Shawn D. McQuilkin, MD

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

1761771205 Issued in UT

Legal business name

SHAWN D. MCQUILKIN, MD

Practice address

1117 Country Hills Dr
Suite #3
Ogden, UT 84403-2559

Phone

(801) 829-8881

Fax

(801) 528-3320

NPI assigned

Aug 5, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Shawn David McQuilkin, M.D.

Title

Owner

Phone

(801) 829-8881

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1217894400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217894400000",
    "number": "1740446160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1117 COUNTRY HILLS DR",
            "address_2": "SUITE #3",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844032559",
            "telephone_number": "801-829-8881",
            "fax_number": "801-528-3320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1117 COUNTRY HILLS DR",
            "address_2": "SUITE #3",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844032559",
            "telephone_number": "801-829-8881",
            "fax_number": "801-528-3320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAWN D. MCQUILKIN, MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-05",
        "last_updated": "2008-08-05",
        "status": "A",
        "authorized_official_last_name": "MCQUILKIN",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-829-8881",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "UT",
            "license": "1761771205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "1761771205",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Zackary Shaughnessy, PT
• Dawntae Shaw
• John Leroy Shaw, RPH
• Rebecca Shaw
• Tyler C Shaw, D.D.S
• Cayson Sheffield
• Mark J Sheffield, MD
• Jenica Sheldon
• Linda C Shelley, CRNA
• Elizabeth Anne Shelton, CSW

• Primary Care Clinic/Center in Ogden, UT
• Providers in Ogden, UT by specialty
• Primary Care Clinic/Center in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 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.