Active NPI
Adam Shook, PHYSICIAN ASSISTANT
- Medical Physician Assistant
- Danbury, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 021761
- Practice address
- 33 Germantown Rd
Danbury, CT 06810-5038 - Phone
- (203) 739-8310
- NPI assigned
- Sep 29, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | C0005511 | MD | |
| Medical Physician Assistant | 363AM0700X | 3832 | CT | |
| Medical Physician Assistant | 363AM0700X | 021761 | NY | Primary |
Addresses
Primary practice location
33 Germantown Rd
Danbury, CT 06810-5038
Mailing address
33 Germantown Rd
Danbury, CT 06810-5038
Phone (203) 739-8310
Other practice location 1
2389 Main St Ste 100
Glastonbury, CT 06033-4617
Phone (203) 244-6574
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
21 Fox St
Poughkeepsie, NY 12601-4723
334 Plaza Rd
Kingston, NY 12401-2975
Phone (845) 876-3003
45 Reade PL
Poughkeepsie, NY 12601-3947
6511 Spring Brook Ave
Rhinebeck, NY 12572-3709
6525 Spring Brook Ave
Rhinebeck, NY 12572-3709
Phone (845) 871-3760
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 021761 | NY | MD | Physical Therapist |
| C0005511 | MD | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Danbury Hospital | Current | Accepting new patients | |
| Nuvance Health Medical Practice PC | Medical | Current | Accepting new patients |
| Atlantic Physician Services of Maryland, PC | Physician Assistant | Past | Accepting new patients |
Locations
33 Germantown Rd
Danbury, CT 06810
Phone (203) 739-8310
20 Germantown Rd
Danbury, CT 06810
Phone (203) 739-4820
24 Hospital Ave
Danbury, CT 06810
Phone (203) 739-7118
50 Hospital Hill Rd
Sharon, CT 06069
Phone (860) 364-4000
21 Fox St
Ste 104
Poughkeepsie, NY 12601
Phone (845) 431-2400
45 Reade Pl
Fl 2
Poughkeepsie, NY 12601
Phone (845) 483-6001
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Poughkeepsie, NY
- NPI 1437358033
CT, Medical
-
- General Acute Care Hospital
- Danbury, CT
- NPI 1548293343
-
- Internal Medicine Physician
- Danbury, CT
- NPI 1407898117
-
- General Acute Care Hospital
- New Milford, CT
- NPI 1619938016
-
- Physician Assistant
- Baltimore, MD
- NPI 1174632376
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Rhinebeck, NY
- NPI 1124072715
-
- General Acute Care Hospital
- Poughkeepsie, NY
- NPI 1740233899
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1411948800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1346643806",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "33 GERMANTOWN RD",
"city": "DANBURY",
"state": "CT",
"postal_code": "068105038",
"telephone_number": "203-739-8310"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "33 GERMANTOWN RD",
"city": "DANBURY",
"state": "CT",
"postal_code": "068105038",
"telephone_number": "203-739-8310"
}
],
"practiceLocations": [
{
"address_1": "2389 Main St Ste 100",
"address_purpose": "LOCATION",
"city": "Glastonbury",
"state": "CT",
"postal_code": "060334617",
"country_code": "US",
"telephone_number": "203-244-6574",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHOOK",
"first_name": "ADAM",
"credential": "PHYSICIAN ASSISTANT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-09-29",
"last_updated": "2022-07-21",
"certification_date": "2022-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MD",
"license": "C0005511",
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "CT",
"license": "3832",
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "NY",
"license": "021761",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Danbury, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.