Joel L Shanklin, MD

Primary specialty

Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X

License

35137549 Issued in OH

Practice address

825 W Market St Ste 260
Lima, OH 45805-2745

Phone

(419) 996-5208

Fax

(419) 996-5209

NPI assigned

Jul 7, 2005

Last updated

Oct 17, 2019By the provider in NPPES

Sex

Male

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 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Renewalasc, LLC

  • Ambulatory Surgical Clinic/Center
  • Savannah, GA
  • NPI 1144228883
  NPD
• Lima Memorial Joint Operating Company

  dba Lima Memorial Health System

  • General Acute Care Hospital
  • Lima, OH
  • NPI 1336144732
  NPD (past)
• Renewalmd Bluffton

  • Plastic Surgery Physician
  • Bluffton, SC
  • NPI 1093097396
  NPD (past)

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571270400000",
    "number": "1851398580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 636930",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452636930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 W MARKET ST STE 260",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458052745",
            "telephone_number": "419-996-5208",
            "fax_number": "419-996-5209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHANKLIN",
        "first_name": "JOEL",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-07",
        "last_updated": "2019-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "OH",
            "license": "35137549",
            "primary": true
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "GA",
            "license": "48571",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300044892A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "G48571",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mansi Dilipkumar Shah, DPT
• Mohammad Kamal Shah, MD
• Adel M Shaheen, MD
• Saboor Shahid, MD
• Evette Shaner, CNP
• Sasikala Thirumazhisai Shanmugam, M.D.
• Capree Shannon
• Nicole Shannon, LPN
• Emily Christine Shappell, CCP
• Sharp Counseling LLC

• Plastic and Reconstructive Surgery Physician in Lima, OH
• Providers in Lima, OH by specialty
• Plastic and Reconstructive Surgery Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2019; 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.