Steven L Shook, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

23652 Issued in IA

Practice address

2600 Outer Dr N
Sioux City, IA 51104-1585

Phone

(712) 239-3300

Fax

(712) 239-8201

NPI assigned

Feb 22, 2006

Last updated

Jan 31, 2011By 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 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Family Health Care of Siouxland LLC

  dba Family Health Care Moville Clinic

  • Family Medicine Physician
  • Moville, IA
  • NPI 1720278278
  NPD (past)
• St Lukes Health Resources

  dba St Lukes Clinic Network

  • Family Medicine Physician
  • Sioux City, IA
  • NPI 1528001492
  NPD (past)

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

{
    "created_epoch": "1140566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296432000000",
    "number": "1942275037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "814 PIERCE ST",
            "address_2": "SUITE 102",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511011058",
            "telephone_number": "712-226-2600",
            "fax_number": "712-226-2605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 OUTER DR N",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511041585",
            "telephone_number": "712-239-3300",
            "fax_number": "712-239-8201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOOK",
        "first_name": "STEVEN",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-22",
        "last_updated": "2011-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "23652",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "75305796314",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2208124",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7790782",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lowell D. Shaw, D.D.S.
• Shawn R Walton
• Nicole Kay Shea, NP-C
• Susannah L Shell-Phillips, LISW
• Ship-Administrative Services
• Shopko Stores Operating Co LLC (ShopKo Pharmacy 040)
• Shopko Stores Operating Co. LLC (ShopKo Optical 040)
• Shoptikal LLC (Shopko Optical 4040)
• Short Staffed, Inc.
• Tessa Shultice, RD, LMNT

• Family Medicine Physician in Sioux City, IA
• Providers in Sioux City, IA by specialty
• Family Medicine Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2011; 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.