Shawn D. Trask, M.D

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

33419 Issued in AL

Practice address

8104 Seaton PL
Montgomery, AL 36116-7204

Phone

(334) 272-3889

Fax

(334) 272-4089

NPI assigned

Sep 22, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Behavioral Medicine LLC

  • Mental Health Counselor
  • Montgomery, AL
  • NPI 1326423781
  NPD
• Montgomery Pediatric Assoc, P.a.

  • Pediatric Adolescent Medicine Physician
  • Montgomery, AL
  • NPI 1770532681
  NPD (past)

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588550400000",
    "number": "1972602902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8104 SEATON PL",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361167204",
            "telephone_number": "334-272-3889",
            "fax_number": "334-272-4089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8104 SEATON PL",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361167204",
            "telephone_number": "334-272-3889",
            "fax_number": "334-272-4089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRASK",
        "first_name": "SHAWN",
        "middle_name": "D.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-22",
        "last_updated": "2020-05-04",
        "certification_date": "2020-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "KY",
            "license": "TP873",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TN",
            "license": "20926",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AL",
            "license": "33419",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100095850 INDIVIDUA",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3056158",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "180920",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "65927394  GROUP",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Megan Traffanstedt, LPT
• Trammell Periodontics LLC
• Ashley Trammell, PHARMD
• Tammy Burlingame Trammell, MS CCC-SLP
• Transformative Solutions, LLC
• Mary Traudt-Bowdoin, CRNP
• Travel With Care LLC
• Adrienne L Travis, PHARMD
• Micah Traw, ATC
• Linda D Treadwell, NP

• Pediatrics Physician in Montgomery, AL
• Providers in Montgomery, AL by specialty
• Pediatrics Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 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.