Elizabeth Shandor, D.O.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

17300A Issued in WY

Practice address

469 Highway 50
Gillette, WY 82718-9330

Phone

(307) 387-9850

Fax

(307) 387-9890

NPI assigned

Jul 2, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA, WY2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/26742/brand/1/csg/1/fhir/r4

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.

• Hoskinson Health & Wellness Clinic LLC

  • Multi-Specialty Clinic/Center
  • Gillette, WY
  • NPI 1376280750

  Internal Medicine

  Medicare reassignment NPD
• Osh - PA Physicians Group, PC

  • Primary Care Clinic/Center
  • Philadelphia, PA
  • NPI 1811405533

  Internal Medicine

  Medicare reassignment NPD
• Hoskinson Health & Wellness Clinic LLC

  dba Hoskinson Wound Care

  • Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
  • Gillette, WY
  • NPI 1003628611
  NPD
• Collier Health Services Inc

  dba Healthcare Network

  • Federally Qualified Health Center (FQHC)
  • Immokalee, FL
  • NPI 1609827211
  NPD (past)
• House Call Medical Services, P.C.

  • Family Medicine Physician
  • Flourtown, PA
  • NPI 1720533854
  NPD (past)

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

{
    "created_epoch": "1151798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724803200000",
    "number": "1801825674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "469 HIGHWAY 50",
            "city": "GILLETTE",
            "state": "WY",
            "postal_code": "827189330",
            "telephone_number": "307-387-9850",
            "fax_number": "307-387-9890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "469 HIGHWAY 50",
            "city": "GILLETTE",
            "state": "WY",
            "postal_code": "827189330",
            "telephone_number": "307-387-9850",
            "fax_number": "307-387-9890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHANDOR",
        "first_name": "ELIZABETH",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-02",
        "last_updated": "2024-08-28",
        "certification_date": "2024-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WY",
            "license": "17300A",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "OS009248L",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2689367000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Desiree Scott
• Susan Serge
• Alisha Anne Serowka
• Sairav B Shah, M.D.
• Katherina A Shahan, NP-C
• Barry Shannon, MSW
• Kaitlynn Shaw, MA
• Whitney Renee Shawver, FNP-C
• Shelley M. Shepard M.D.P.C.
• Shelley M Shepard, M.D.

• Internal Medicine Physician in Gillette, WY
• Providers in Gillette, WY by specialty
• Internal Medicine Physician in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.