James Shreck, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

12524 Issued in NE

Practice address

1307 S Willow St
North Platte, NE 69101-6011

Phone

(308) 532-3937

Fax

(308) 532-2838

NPI assigned

Aug 12, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Eye Surgeons of Nebraska, LLC

  • Ophthalmology Physician
  • North Platte, NE
  • NPI 1144563750
  NPD (past)
• Retina Center of Nebraska, P.C.

  • Retina Specialist (Ophthalmology) Physician
  • Hastings, NE
  • NPI 1861626806
  NPD (past)

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

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1831101484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1307 S WILLOW ST",
            "city": "NORTH PLATTE",
            "state": "NE",
            "postal_code": "691016011",
            "telephone_number": "308-532-3937",
            "fax_number": "308-532-2838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1307 S WILLOW ST",
            "city": "NORTH PLATTE",
            "state": "NE",
            "postal_code": "691016011",
            "telephone_number": "308-532-3937",
            "fax_number": "308-532-2838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHRECK",
        "first_name": "JAMES",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NE",
            "license": "12524",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "87037047713",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shopko Stores Operating Co LLC
• Shopko Stores Operating Co. LLC
• Shoptikal LLC
• Shari L Shore, MA LMHP
• Amy C Short, MD
• Bailey Shurigar
• Jessica Siegel, PHARMD
• Ty Sigler
• Julio Silos
• Laura Silos

• Specialist in North Platte, NE
• Providers in North Platte, NE by specialty
• Specialist in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.