NPIMap

Organization Active NPI

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

  • Family Medicine Physician
  • Longview, TX
National Provider Identifier
1922055425
Registry record updated Jan 2, 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.
Practice address
3100 N 4TH St
Longview, TX 75605-5139
Phone
(903) 247-4404
Fax
(903) 247-4408
NPI assigned
May 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 2, 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
Physician/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 PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 identifiers 4

IdentifierTypeStateIssuer
172138301MedicaidTX
00697VOtherTXGROUP NUMBER
00697VOtherTXBCBS GROUP NUMBER
172138302MedicaidTX

Other names 1

  • Shen Medical Associates Doing business as

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.

NPI Registry JSON

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

{
    "created_epoch": "1148774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1577923200000",
    "number": "1922055425",
    "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": "2006-05-28",
        "last_updated": "2020-01-02",
        "certification_date": "2020-01-02",
        "status": "A",
        "authorized_official_last_name": "SHEN",
        "authorized_official_first_name": "HONG-I",
        "authorized_official_title_or_position": "PHYSICIAN/PRESIDENT",
        "authorized_official_telephone_number": "903-247-4404",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "K7894",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "172138301",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NUMBER",
            "identifier": "00697V",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP NUMBER",
            "identifier": "00697V",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "172138302",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shen Medical Associates",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "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 Jan 2, 2020; 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.