Stephen Shanklin, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

OS3566 Issued in FL

Practice address

5534 Cortez Rd W
Bradenton, FL 34210-2817

Phone

(941) 757-2100

Fax

(941) 757-2101

NPI assigned

Feb 9, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

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.

• Optumcare Florida, LLC

  • Hospitalist Physician
  • Tampa, FL
  • NPI 1659884294
  NPD (past)

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

{
    "created_epoch": "1139443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210550400000",
    "number": "1669445797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 2ND AVE NE",
            "address_2": "SUITE 1500",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337013434",
            "telephone_number": "727-824-0780",
            "fax_number": "727-895-1637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5534 CORTEZ RD W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342102817",
            "telephone_number": "941-757-2100",
            "fax_number": "941-757-2101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHANKLIN",
        "first_name": "STEPHEN",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-09",
        "last_updated": "2008-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS3566",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Raj Shah, DO
• Lucas J Shallenberger
• Renat Shamiev, PHARMD
• Amirra Gisselle Shamma
• Sean Dien Shanahan, DPM
• Ismely Shannon, LCSW
• Kimberly Evette Shannon, RPH
• Lisa Shannon, D.O.
• Mikala Shannon
• Todd A Shapiro, LCSW, MPA

• Family Medicine Physician in Bradenton, FL
• Providers in Bradenton, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2008; 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.