Active NPI
David L Shank, MD
- Emergency Medicine Physician
- Harrisonburg, VA
National Provider Identifier
1811939853
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 0101030245
- Practice address
- 235 Cantrell Ave
Harrisonburg, VA 22801-3248 - Phone
- (540) 433-4100
- NPI assigned
- Jun 12, 2006
- Last updated
- Mar 4, 2008
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 0101030245 | VA | Primary |
Addresses
Primary practice location
235 Cantrell Ave
Harrisonburg, VA 22801-3248
Mailing address
1000 River Rd
Suite 100
Conshohocken, PA 19428-2439
Phone (610) 834-2828
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0051064000 | Other | VA | WEST VA MEDICAID |
| 6037968 | Medicaid | VA |
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)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Harrisonburg Emergency Physicians, LLC | Emergency Medicine | Current | Accepting new patients |
Locations
235 Cantrell Ave
Harrisonburg, VA 22801
Phone (540) 433-4100
2010 Health Campus Dr
Rockingham, VA 22801
Phone (540) 689-1000
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Emergency Medicine Physician
- Rockingham, VA
- NPI 1558317115
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150070400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1204588800000",
"number": "1811939853",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 RIVER RD",
"address_2": "SUITE 100",
"city": "CONSHOHOCKEN",
"state": "PA",
"postal_code": "194282439",
"telephone_number": "610-834-2828",
"fax_number": "610-834-2862"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "235 CANTRELL AVE",
"city": "HARRISONBURG",
"state": "VA",
"postal_code": "228013248",
"telephone_number": "540-433-4100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHANK",
"first_name": "DAVID",
"middle_name": "L",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-12",
"last_updated": "2008-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "VA",
"license": "0101030245",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WEST VA MEDICAID",
"identifier": "0051064000",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6037968",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Harrisonburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 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.