Active NPI
Nicholas Benjamin Shawnik, D.O.
- Emergency Medicine Physician
- Newport News, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- U0931
- Practice address
- 500 J Clyde Morris Blvd
Department of Emergency Medicine
Newport News, VA 23601-1929 - Phone
- (757) 594-2083
- NPI assigned
- Sep 3, 2008
- 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 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 251493 | NY | |
| Emergency Medicine Physician | 207P00000X | 2063 | NE | |
| Emergency Medicine Physician | 207P00000X | DO-05348 | IA | |
| Emergency Medicine Physician | 207P00000X | 0102202611 | VA | |
| Emergency Medicine Physician | 207P00000X | DO162427 | OR | |
| Emergency Medicine Physician | 207P00000X | A-2330-20 | NM | |
| Emergency Medicine Physician | 207P00000X | U0931 | TX | Primary |
Addresses
Primary practice location
500 J Clyde Morris Blvd
Department of Emergency Medicine
Newport News, VA 23601-1929
Mailing address
500 J Clyde Morris Blvd
Department of Emergency Medicine
Newport News, VA 23601-1929
Phone (757) 594-2196
Other practice location 1
930 SW Abbey St
Newport, OR 97365-4820
Phone (541) 265-2244
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | nshawnik234409@samhealth.direct-ci.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA, CA, OR, AZ, IA, NE, MO, UT, TX, NM
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 10
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Lake Erie College of Osteopathic Medicine, Erie, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
919 E 32ND St
St David'S Med Ctr
Austin, TX 78705-2703
Phone (830) 997-4353
Hospital & facility affiliations
- North Austin Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A-2330-20 | NM | MD | Emergency Medicine Physician |
| 0102202611 | VA | MD | Emergency Medicine Physician |
| 12744 | CA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Samaritan Pacific Health Services, Inc. | Current | Accepting new patients | |
| Longhorn Emergency Medical Associates PA | Emergency Medicine | Current | Accepting new patients |
| New Century Physicians of Nebraska LLC | Emergency Medicine | Current | Accepting new patients |
| Jefferson County Public Hospital District No 2 | Current | Accepting new patients | |
| West Emergency Services, LLC | Emergency Medicine | Current | Accepting new patients |
| Samaritan Pacific Health Services, Inc | Current | Accepting new patients | |
| Grays Harbor Community Hospital | Current | Accepting new patients | |
| Samaritan Pacific Health Services Inc | Current | Accepting new patients | |
| Samaritan Pacific Health Services, Inc | Current | Accepting new patients | |
| Grays Harbor Community Hospital | Current | Accepting new patients | |
| Southwest Emergency Medical Associates of NM PC | Emergency Medicine | Current | Accepting new patients |
| Southeastern Emergency Physicians of Memphis LLC | Emergency Medicine | Current | Accepting new patients |
| Emergency Physicians Southwest, PC | Emergency Medicine | Current | Accepting new patients |
| New Century Physicians of Iowa PC | Emergency Medicine | Current | Accepting new patients |
| Emergency Group of Arizona Professional Corporation | Emergency Medicine | Current | Accepting new patients |
| Good Shepherd Health Care System | Current | Accepting new patients | |
| New Century Physicians of Nebraska LLC | Emergency Medicine | Current | Accepting new patients |
| Grays Harbor Community Hospital | Current | Accepting new patients | |
| Jefferson County Public Hospital District No 2 | Current | Accepting new patients | |
| Riverside Physician Services, Inc. | Emergency Medicine | Past | Accepting new patients |
Locations
1800 E Florence Blvd
Casa Grande, AZ 85122
Phone (520) 381-6285
6644 E Baywood Ave
Mesa, AZ 85206
Phone (480) 321-2000
807 S Ponderosa St
Payson, AZ 85541
Phone (520) 474-3222
1930 E Thomas Rd
Phoenix, AZ 85016
Phone (602) 532-1000
800 Mercy Dr
Council Bluffs, IA 51503
Phone (712) 328-5000
1600 E Broadway
Columbia, MO 65201
Phone (573) 632-5000
1125 Madison St
Jefferson Cty, MO 65101
Phone (573) 632-5000
16901 Lakeside Hills Ct
Omaha, NE 68130
Phone (402) 572-6500
11111 S 84th St
Papillion, NE 68046
Phone (402) 593-3000
2450 S Telshor Blvd
Las Cruces, NM 88011
Phone (505) 522-8641
610 NW 11th St
Hermiston, OR 97838
Phone (541) 667-3400
930 SW Abbey St
Newport, OR 97365
Phone (541) 265-2244
919 E 32nd St
Austin, TX 78705
Phone (512) 343-2466
2400 Round Rock Ave
Round Rock, TX 78681
Phone (512) 255-6066
300 N Hospital Dr
Price, UT 84501
Phone (435) 636-4836
915 Anderson Dr
Aberdeen, WA 98520
Phone (360) 532-8330
1200 W Sims Way
Ste C
Port Townsend, WA 98368
Phone (360) 385-6297
Interoperability endpoints
- nshawnik633865@direct.lhs.org
- nshawnik234409@samhealth.direct-ci.com
Organizations & group practices 23
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.
-
- Emergency Medicine Physician
- Austin, TX
- NPI 1649669672
-
- Emergency Medicine Physician
- Phoenix, AZ
- NPI 1215275433
-
- Emergency Medicine Physician
- Mesa, AZ
- NPI 1912053752
-
- Critical Access Hospital
- Hermiston, OR
- NPI 1295789667
-
- General Acute Care Hospital
- Aberdeen, WA
- NPI 1154378859
-
- Critical Access Hospital
- Port Townsend, WA
- NPI 1356492953
-
- Critical Access Hospital
- Newport, OR
- NPI 1801847066
-
- Physical Medicine & Rehabilitation Physician
- Newport, OR
- NPI 1174888010
-
- Emergency Medicine Physician
- Alton, IL
- NPI 1437105277
MO
-
- Emergency Medicine Physician
- Las Cruces, NM
- NPI 1720505571
-
- Emergency Medicine Physician
- Price, UT
- NPI 1548929565
-
- Emergency Medicine Physician
- Santa Rosa, CA
- NPI 1033152350
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Austin, TX
- NPI 1629021845
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1220400000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709251200000",
"number": "1396993499",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 J CLYDE MORRIS BLVD",
"address_2": "DEPARTMENT OF EMERGENCY MEDICINE",
"city": "NEWPORT NEWS",
"state": "VA",
"postal_code": "236011929",
"telephone_number": "757-594-2196",
"fax_number": "757-594-2196"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 J CLYDE MORRIS BLVD",
"address_2": "DEPARTMENT OF EMERGENCY MEDICINE",
"city": "NEWPORT NEWS",
"state": "VA",
"postal_code": "236011929",
"telephone_number": "757-594-2083"
}
],
"practiceLocations": [
{
"address_1": "930 SW Abbey St",
"address_purpose": "LOCATION",
"city": "Newport",
"state": "OR",
"postal_code": "973654820",
"country_code": "US",
"telephone_number": "541-265-2244",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHAWNIK",
"first_name": "NICHOLAS",
"middle_name": "BENJAMIN",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-09-03",
"last_updated": "2024-03-01",
"certification_date": "2024-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NY",
"license": "251493",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NE",
"license": "2063",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "IA",
"license": "DO-05348",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "VA",
"license": "0102202611",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "OR",
"license": "DO162427",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NM",
"license": "A-2330-20",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "TX",
"license": "U0931",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "nshawnik234409@samhealth.direct-ci.com",
"affiliation": "N",
"address_1": "930 SW Abbey St",
"city": "Newport",
"state": "OR",
"country_code": "US",
"postal_code": "973654820",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Newport News, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2024; 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.