Active NPI
Gregory I Shenk, M.D.
- Specialist
- Casa Grande, AZ
National Provider Identifier
1396793246
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 24970
- Practice address
- 1669 E McMurray Blvd
Casa Grande, AZ 85222-6010 - Phone
- (520) 876-0297
- Fax
- (480) 889-3501
- NPI assigned
- May 4, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 24970 | AZ | Primary |
Addresses
Primary practice location
1669 E McMurray Blvd
Casa Grande, AZ 85222-6010
Mailing address
1840 W Apache TRL
Apache Junction, AZ 85220-3728
Phone (480) 889-3500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 002936 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24970 | AZ | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MRI Associates of Illinois SC | Past | Accepting new patients | |
| Libertyville Imaging Associates, Inc | Past | Accepting new patients | |
| Aztech Radiology and Open MRI | Specialist | Past | Accepting new patients |
| Premier Health Services Inc | Past | Accepting new patients | |
| Aztech Radiology and Open MRI | Specialist | Past | Accepting new patients |
| Aztech Radiology and Open MRI | Specialist | Past | Accepting new patients |
| Az-Tech Radiology & Open MRI | Specialist | Past | Accepting new patients |
| Aztech Radiology and Open MRI | Specialist | Past | Accepting new patients |
Organizations & group practices 8
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.
-
- Specialist
- Casa Grande, AZ
- NPI 1710945266
-
- Specialist
- Phoenix, AZ
- NPI 1043278377
-
- Specialist
- Apache Junction, AZ
- NPI 1396703690
-
- Specialist
- Phoenix, AZ
- NPI 1821056367
-
- Specialist
- Flagstaff, AZ
- NPI 1831157015
-
- Diagnostic Radiology Physician
- Libertyville, IL
- NPI 1427041086
-
dba Open MRI of Chicago
- Diagnostic Radiology Physician
- Chicago, IL
- NPI 1942293352
-
dba Premier MRI of Schaumburg
- Magnetic Resonance Imaging (MRI) Clinic/Center
- Schaumburg, IL
- NPI 1528446812
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1193961600000",
"number": "1396793246",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1840 W APACHE TRL",
"city": "APACHE JUNCTION",
"state": "AZ",
"postal_code": "852203728",
"telephone_number": "480-889-3500",
"fax_number": "480-889-3501"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1669 E MCMURRAY BLVD",
"city": "CASA GRANDE",
"state": "AZ",
"postal_code": "852226010",
"telephone_number": "520-876-0297",
"fax_number": "480-889-3501"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHENK",
"first_name": "GREGORY",
"middle_name": "I",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-04",
"last_updated": "2007-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "AZ",
"license": "24970",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "002936",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Casa Grande, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.