Active NPI
Shawn Michael Adams, PHYSICIAN ASSISTANT
- Family Medicine Physician
- El Paso, TX
National Provider Identifier
1760137244
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- PA15348
- Practice address
- 6400 Dyer St
El Paso, TX 79904-5639 - Phone
- (269) 861-6025
- NPI assigned
- Feb 14, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | PA15348 | TX | Primary |
Addresses
Primary practice location
6400 Dyer St
El Paso, TX 79904-5639
Mailing address
6400 Dyer St
El Paso, TX 79904-5639
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1193170 | Other | NCCPA | |
| PA15348 | Other | TX | TEXAS PHYSICIAN ASSISTANT BOARD |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA15348 | TX | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1644796800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1644796800000",
"number": "1760137244",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6400 DYER ST",
"city": "EL PASO",
"state": "TX",
"postal_code": "799045639"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6400 DYER ST",
"city": "EL PASO",
"state": "TX",
"postal_code": "799045639",
"telephone_number": "269-861-6025"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADAMS",
"first_name": "SHAWN",
"middle_name": "MICHAEL",
"credential": "PHYSICIAN ASSISTANT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-02-14",
"last_updated": "2022-02-14",
"certification_date": "2022-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "PA15348",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCCPA",
"identifier": "1193170",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TEXAS PHYSICIAN ASSISTANT BOARD",
"identifier": "PA15348",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in El Paso, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.