Shanon Walko, DO

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

510103291 Issued in MI

Practice address

3235 N Wellness Dr
#120B
Holland, MI 49424-7264

Phone

(616) 399-9522

NPI assigned

Jun 7, 2006

Last updated

Jul 29, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Internal Medicine

Education

Michigan State University College of Osteopathic Medicine, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Holland Community HospitalGroup PAC ID 0446157291, 174 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Holland Hospital Hospital, Holland, MI, CCN 230072
• Spectrum Health Hospital, Grand Rapids, MI, CCN 230038

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: shanon.walko@holland.eclinicaldirectplus.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Holland Community Hospital

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Holland, MI
  • NPI 1780888099
  Medicare reassignment Care Compare group NPD
• Holland Community Hospital

  • Neurology Physician
  • Holland, MI
  • NPI 1508095530
  NPD
• Holland Community Hospital

  • Family Medicine Physician
  • Hudsonville, MI
  • NPI 1952130585
  NPD
• Holland Community Hospital

  • Endocrinology, Diabetes & Metabolism Physician
  • Holland, MI
  • NPI 1649993783
  NPD (past)
• Holland Community Hospital

  • Internal Medicine Physician
  • Holland, MI
  • NPI 1720232697
  NPD (past)
• Holland Community Hospital

  dba Holland Hospital Ear, Nose, Throat & Allergy

  • Otolaryngology Physician
  • Holland, MI
  • NPI 1982910857
  NPD (past)
• Metropolitan Enterprises Inc.

  dba Metro Health

  • Family Medicine Physician
  • Wyoming, MI
  • NPI 1770550105

  Internal Medicine

  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Holland Community Hospital

  dba Holland Hospital

  • General Acute Care Hospital
  • Holland, MI
  • NPI 1871672618
  Care Compare affiliation
• Pennock Hospital

  dba Corewell Health Pennock Hospital

  • Critical Access Hospital
  • Hastings, MI
  • NPI 1932695525
  Care Compare affiliation
• Spectrum Health Hospitals

  dba Corewell Health Grand Rapids Hospital

  • General Acute Care Hospital
  • Grand Rapids, MI
  • NPI 1922090554
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438128000000",
    "number": "1316987498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175S WAVERLY RD",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494237906",
            "telephone_number": "616-355-3896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3235 N WELLNESS DR",
            "address_2": "#120B",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494247264",
            "telephone_number": "616-399-9522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKO",
        "first_name": "SHANON",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-07",
        "last_updated": "2015-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "510103291",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Walgreen Co (Walgreens #02905)
• Walgreen Co (Walgreens #06911)
• Walgreen Co (Walgreens #02825)
• Walgreen Co (Walgreens #10515)
• Camila Walker
• Roberta Nicole Wall, PA
• Rebekah Joy Walma
• Linnea Walmsley, MS, OTR/L
• Sarah Walsh
• Ashley Walter

• Internal Medicine Physician in Holland, MI
• Providers in Holland, MI by specialty
• Internal Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.