Active NPI
Todd Shenkenberg MD PA
- Hematology & Oncology Physician
- Harlingen, TX
National Provider Identifier
1699875252
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- G0110
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Hematology & Oncology Physician | 207RH0003X | G0110 | TX | Primary |
| Physician Assistant | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2606102 | Other | TX | UNITED HEALTHCARE |
| 436503 | Other | TX | AETNA |
| 156656401 | Medicaid | TX | |
| 129757100 | Other | TX | VALLEY HEALTH PLAN |
| 2640596 | Other | TX | CIGNA |
National Provider Directory
National Provider DirectoryNPI 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.