Individual provider Active NPI

Adam Shook, PHYSICIAN ASSISTANT

  • Medical Physician Assistant
  • Danbury, CT
National Provider Identifier
1346643806
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
021761 Issued in NY
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

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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, NY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20170721000266 CT Practitioner - Physician Assistant 4486876315 Reassigns benefits to 3 organizations
I20240312001342 NY Practitioner - Physician Assistant 4486876315 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
021761NYMDPhysical Therapist
C0005511MDMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Danbury Hospital CurrentSince Aug 1, 2017 Accepting new patients
Nuvance Health Medical Practice PC Medical CurrentSince Jan 8, 2024 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.

Hospital & facility affiliations 3

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

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

Verify at the official NPI Registry.