Organization Active NPI

Todd Shenkenberg MD PA

  • Hematology & Oncology Physician
  • Harlingen, TX
National Provider Identifier
1699875252
Registry record updated May 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
G0110 Issued in TX
Legal business name
TODD SHENKENBERG MD PA
Practice address
1719 Treasure Hills Blvd.
Harlingen, TX 78550-8912
Phone
(956) 364-2131
Fax
(956) 364-2141
NPI assigned
Sep 24, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2009

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

Authorized official

Name
Jan Shenkenberg
Title
Practice Administrator
Phone
(956) 364-2131

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RH0003X G0110 TX Primary
Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363A00000X PA01990 TX

Addresses

Primary practice location

1719 Treasure Hills Blvd.
Harlingen, TX 78550-8912

Mailing address

1719 Treasure Hills Blvd.
Harlingen, TX 78550-8912
Phone (956) 364-2131

Other identifiers 5

IdentifierTypeStateIssuer
2606102OtherTXUNITED HEALTHCARE
436503OtherTXAETNA
156656401MedicaidTX
129757100OtherTXVALLEY HEALTH PLAN
2640596OtherTXCIGNA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1159056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1241740800000",
    "number": "1699875252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1719 TREASURE HILLS BLVD.",
            "city": "HARLINGEN",
            "state": "TX",
            "postal_code": "785508912",
            "telephone_number": "956-364-2131",
            "fax_number": "956-364-2141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1719 TREASURE HILLS BLVD.",
            "city": "HARLINGEN",
            "state": "TX",
            "postal_code": "785508912",
            "telephone_number": "956-364-2131",
            "fax_number": "956-364-2141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TODD SHENKENBERG MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-24",
        "last_updated": "2009-05-08",
        "status": "A",
        "authorized_official_last_name": "SHENKENBERG",
        "authorized_official_first_name": "JAN",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "956-364-2131"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "TX",
            "license": "G0110",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA01990",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "2606102",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "436503",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "156656401",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALLEY HEALTH PLAN",
            "identifier": "129757100",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "2640596",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Harlingen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2009; 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.