Organization Active NPI

Hong-I Shen, M.D., P.a.

Doing business as Shen Medical Associates

  • Family Medicine Physician
  • Longview, TX
National Provider Identifier
1841370756
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
K7894 Issued in TX
Legal business name
HONG-I SHEN, M.D., P.A.
Doing business as
Shen Medical Associates
Practice address
3100 N 4TH St
Longview, TX 75605-5139
Phone
(903) 247-4404
Fax
(903) 247-4408
NPI assigned
Oct 16, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Hong-I Shen, M.D.NPI 1700866969
Title
President
Phone
(903) 247-4404

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X K7894 TX Primary

Addresses

Primary practice location

3100 N 4TH St
Longview, TX 75605-5139

Mailing address

3100 N 4TH St
Longview, TX 75605-5139
Phone (903) 247-4404

Other names 1

  • Shen Medical Associates Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20061019000236 TX Part B Supplier - Clinic/Group Practice 2163428863 Receives reassigned benefits from 1 practitioner
Practice locations: Longview, TX

National Provider Directory

National Provider Directory
Tax ID family
Hong-I Shen MD PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1841370756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 N 4TH ST",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756055139",
            "telephone_number": "903-247-4404",
            "fax_number": "903-247-4408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 N 4TH ST",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756055139",
            "telephone_number": "903-247-4404",
            "fax_number": "903-247-4408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HONG-I SHEN, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHEN",
        "authorized_official_first_name": "HONG-I",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "903-247-4404",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "K7894",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shen Medical Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Longview, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.