Individual provider Active NPI

Steven D Shonkwiler, RNFA

  • Orthopaedic Surgery Physician
  • Knoxville, IL
National Provider Identifier
1801980826
Registry record updated Dec 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
041-239854 Issued in IL
Practice address
513 Newman St
Knoxville, IL 61448
Phone
(309) 368-3395
Fax
(309) 289-8661
NPI assigned
Oct 3, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 18, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 041-239854 IL Primary

Addresses

Primary practice location

513 Newman St
Knoxville, IL 61448

Mailing address

513 Newman St
Knoxville, IL 61448-1435
Phone (309) 368-3395

Other identifiers 1

IdentifierTypeStateIssuer
4815127OtherBC/BS

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

LicenseStateTypeSpecialty
041-239854ILMDOrthopaedic Surgery Physician

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1261094400000",
    "number": "1801980826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "513 NEWMAN ST",
            "city": "KNOXVILLE",
            "state": "IL",
            "postal_code": "614481435",
            "telephone_number": "309-368-3395",
            "fax_number": "309-289-8661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "513 NEWMAN ST",
            "city": "KNOXVILLE",
            "state": "IL",
            "postal_code": "61448",
            "telephone_number": "309-368-3395",
            "fax_number": "309-289-8661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHONKWILER",
        "first_name": "STEVEN",
        "middle_name": "D",
        "credential": "RNFA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2009-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "IL",
            "license": "041-239854",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "4815127",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 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.