Active NPI
Terrance Huntar Shank, PA-C
- Physician Assistant
- Parkersburg, WV
National Provider Identifier
1942823018
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 2375
- Practice address
- 800 Garfield Ave
Parkersburg, WV 26101-5376 - Phone
- (304) 588-9684
- NPI assigned
- May 25, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 2375 | WV | Primary |
Addresses
Primary practice location
800 Garfield Ave
Parkersburg, WV 26101-5376
Mailing address
1506 Farrow Hill Rd
Davisville, WV 26142-8878
Phone (304) 588-9684
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2375 | WV | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1590364800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1590364800000",
"number": "1942823018",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1506 FARROW HILL RD",
"city": "DAVISVILLE",
"state": "WV",
"postal_code": "261428878",
"telephone_number": "304-588-9684"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 GARFIELD AVE",
"city": "PARKERSBURG",
"state": "WV",
"postal_code": "261015376",
"telephone_number": "304-588-9684"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHANK",
"first_name": "TERRANCE",
"middle_name": "HUNTAR",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-05-25",
"last_updated": "2020-05-25",
"certification_date": "2020-05-25",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "WV",
"license": "2375",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Parkersburg, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 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.