Gregory John O'Shanick, M.D.

Primary specialty

Brain Injury Medicine (Psychiatry & Neurology) PhysicianTaxonomy code 2084P0301X

License

0101036956 Issued in VA

Practice address

7401 Beaufont Springs Dr
Suite 205
North Chesterfield, VA 23225-5504

Phone

(804) 272-0114

Fax

(804) 272-1125

NPI assigned

Jun 29, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Jul 1, 2013 through Jul 1, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Center for Neurorehabilitation Services

  • Brain Injury Medicine (Psychiatry & Neurology) Physician
  • North Chesterfield, VA
  • NPI 1275672073
  NPD (past)

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

{
    "created_epoch": "1246233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490572800000",
    "number": "1982832960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7401 BEAUFONT SPRINGS DR",
            "address_2": "SUITE 205",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232255504",
            "telephone_number": "804-272-0114",
            "fax_number": "804-272-1125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7401 BEAUFONT SPRINGS DR",
            "address_2": "SUITE 205",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232255504",
            "telephone_number": "804-272-0114",
            "fax_number": "804-272-1125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'SHANICK",
        "first_name": "GREGORY",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-06-29",
        "last_updated": "2017-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084B0040X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry",
            "state": "VA",
            "license": "0101036956",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "VA",
            "license": "0101036956",
            "primary": false
        },
        {
            "code": "2084P0301X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Brain Injury Medicine",
            "state": "VA",
            "license": "0101036956",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Gabrielle Laureles Oblena
• Candice C. Ocampo, N.P.

• Brain Injury Medicine (Psychiatry & Neurology) Physician in North Chesterfield, VA
• Providers in North Chesterfield, VA by specialty
• Brain Injury Medicine (Psychiatry & Neurology) Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.