Gregory Bernard Shankman, MD

Primary specialty

SpecialistTaxonomy code 174400000X

License

134913 Issued in NY

Practice address

1418 Genesee St
Utica, NY 13502-5101

Phone

(315) 797-0111

Fax

(315) 735-3459

NPI assigned

Sep 20, 2006

Last updated

Jul 8, 2007By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1861599813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8190",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135058190",
            "telephone_number": "315-797-0111",
            "fax_number": "315-735-3459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1418 GENESEE ST",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135025101",
            "telephone_number": "315-797-0111",
            "fax_number": "315-735-3459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHANKMAN",
        "first_name": "GREGORY",
        "middle_name": "BERNARD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "134913",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shazia Qaisar Shah, MD
• Malikah Z Shaheed, MSW
• Asma Neelofer Shaik, MD
• Nazanin Shakibaie, MD
• Amani Shamroukh, MD
• Shannon Green RCM Management
• Virendra Sharma, MD
• Amy Sharpe
• Erica K Shaw, M.S., CCC-SLP
• Cassandra Sheets, LMSW

• Specialist in Utica, NY
• Providers in Utica, NY by specialty
• Specialist in New York

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.