Karyn Marie Shanks, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

29583 Issued in IA

Practice address

610 Eastbury Dr
Suite 5
Iowa City, IA 52245-7603

Phone

(319) 358-9510

Fax

(319) 358-9524

NPI assigned

Nov 13, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Jan 1, 2010 through Jan 1, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193097600000",
    "number": "1851462360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 EASTBURY DR",
            "address_2": "SUITE 5",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522457603",
            "telephone_number": "319-358-9510",
            "fax_number": "319-358-9524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 EASTBURY DR",
            "address_2": "SUITE 5",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522457603",
            "telephone_number": "319-358-9510",
            "fax_number": "319-358-9524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHANKS",
        "first_name": "KARYN",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-13",
        "last_updated": "2007-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IA",
            "license": "29583",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hala H Shamsuddin, MD
• Callahan Murphy Shanahan-Swanson
• Kelly J Shanahan
• Valerie Shane
• Connie Sue Shanks, PAC
• Shanthi Wellness, LLC
• Mary Beth Shapcott, RN, CDE
• Claire L Shapleigh, P.A.-C.
• Haneen Sharabati, MD
• Anjali A Sharathkumar, MD

• Internal Medicine Physician in Iowa City, IA
• Providers in Iowa City, IA by specialty
• Internal Medicine Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.