Eve Collins Shank, M.D.

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

KS04-24830 Issued in KS

Practice address

700 W Central Ave
Suite 202
El Dorado, KS 67042-2184

Phone

(316) 321-8762

Fax

(316) 321-8775

NPI assigned

Oct 25, 2006

Last updated

Mar 17, 2018By 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 3

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• District Medical Group, Inc

  • Internal Medicine Physician
  • Phoenix, AZ
  • NPI 1295968162

  Family Medicine

  NPD (past)

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1609951367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 W CENTRAL AVE",
            "address_2": "SUITE 202",
            "city": "EL DORADO",
            "state": "KS",
            "postal_code": "670422184",
            "telephone_number": "316-321-8762",
            "fax_number": "316-321-8775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 W CENTRAL AVE",
            "address_2": "SUITE 202",
            "city": "EL DORADO",
            "state": "KS",
            "postal_code": "670422184",
            "telephone_number": "316-321-8762",
            "fax_number": "316-321-8775"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2350 Buhne St Ste C",
            "address_purpose": "LOCATION",
            "city": "Eureka",
            "state": "CA",
            "postal_code": "955013205",
            "country_code": "US",
            "telephone_number": "707-444-8863",
            "fax_number": "707-444-9496",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHANK",
        "first_name": "EVE",
        "middle_name": "COLLINS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-25",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "AZ",
            "license": "28369",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "CA",
            "license": "G72121",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "KS",
            "license": "KS04-24830",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSAZ",
            "identifier": "AZ0730930",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "735350",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100148290B",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Courtney Tenille Schwanke, PA-C
• Kristina Ann Scott, LMSW
• Amy Dianne Seeber, M.D.
• Serc Rehabilitation Partners LLC
• Stanley L Seymour, LCMFT
• Lawrence P Shank, MD
• Cecilia R Shook, T-LMFT
• Christopher W Siwek, M. D.
• Danny E. Smiley Jr., LAT, ATC
• Caitlin Smith

• Otolaryngology Physician in El Dorado, KS
• Providers in El Dorado, KS by specialty
• Otolaryngology Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.