Individual provider Active NPI

Richard Francis Shonk, M.D.

  • Family Medicine Physician
  • West Chester, OH
National Provider Identifier
1699716209
Registry record updated Jun 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35043639S Issued in OH
Practice address
7700 University CT
Suite # 3100
West Chester, OH 45069-6542
Phone
(513) 475-8264
Fax
(513) 475-8265
NPI assigned
Jun 8, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 25, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 35043639S OH
Family Medicine Physician 207Q00000X 35043639S OH Primary

Addresses

Primary practice location

7700 University CT
Suite # 3100
West Chester, OH 45069-6542

Mailing address

7440 Wood Meadow Dr
Cincinnati, OH 45243-3073
Phone (513) 271-3671

Other identifiers 3

IdentifierTypeStateIssuer
0408320MedicaidOH
942460636061OtherOHCARESOURCE
P00194556OtherOHMEDICARE TRAVELERS RR-GA

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

LicenseStateTypeSpecialty
35043639SOHMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Family Physicians, Inc. Family Medicine Past Accepting new patients
University of Cincinnati Physicians Company, LLC Family Medicine PastSince May 1, 2010 Accepting new patients
Lakewood Hospital Association Past Accepting new patients
Lakewood Hospital Association Emergency Medicine Past Accepting new patients

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214352000000",
    "number": "1699716209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7440 WOOD MEADOW DR",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452433073",
            "telephone_number": "513-271-3671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7700 UNIVERSITY CT",
            "address_2": "SUITE # 3100",
            "city": "WEST CHESTER",
            "state": "OH",
            "postal_code": "450696542",
            "telephone_number": "513-475-8264",
            "fax_number": "513-475-8265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHONK",
        "first_name": "RICHARD",
        "middle_name": "FRANCIS",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-08",
        "last_updated": "2008-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OH",
            "license": "35043639S",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35043639S",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0408320",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARESOURCE",
            "identifier": "942460636061",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE TRAVELERS RR-GA",
            "identifier": "P00194556",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Chester, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 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.