MICHAEL JAMES ELKINS SHANKS (NPI# 1619241783) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619241783 |
| Entity Type | Individual |
| Full Name | MICHAEL JAMES ELKINS SHANKS |
| Credential | DO |
| Practice Address |
3401 S 4th St Terre Haute IN 47802 |
| Mailing Address |
3401 S 4th St Terre Haute IN 47802-5501 |
| Practice Telephone | 8122329596 |
| Practice Fax Number | 8122327992 |
| Mailing Telephone | 8122013807 |
| Enumeration Date | 2012-03-06 |
| Last Update Date | 2018-08-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | 02005486A | IN | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 20201 Crawford Ave, Attn: Postdoctoral Education, Olympia Fields, IL 604611010 | 7087474000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568576767 | Michael Todd Shanks | Optometrist | 3225 S 27th St, Abilene, TX 79605 | 2006-08-18 |
| 1851458970 | Michael Kevin Shanks | Chiropractor | 813 N Main St, Nixa, MO 65714-9315 | 2007-01-02 |
| 1780697672 | Michael M Shanks | Nurse Anesthetist, Certified Registered | 200 Hospital Dr, Galax, VA 24333-2227 | 2006-08-14 |
| 1619906930 | Michael John Shanks | Radiology | 3100 Shore Dr, Radiology Department, Marinette, WI 54143-4242 | 2006-06-30 |
| Street Address |
3401 S 4TH ST |
| City | TERRE HAUTE |
| State | IN |
| Zip Code | 47802 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184242364 | Sowjanya Gunukula | Dentist | 3359 S Us Hwy 41, Terre Haute, IN 47802 | 2020-07-14 |
| 1366005027 | Irma D Davis Lmft | Marriage & Family Therapist | 1400 South Pugh Drive, Suite #3, Terre Haute, IN 47802 | 2019-04-18 |
| 1255892543 | Darcie Jo Antony | Dietitian, Registered | 3901 South 7th St, Dietitian's Office 4th Floor, Terre Haute, IN 47802 | 2019-03-28 |
| 1548726003 | James Brian Levenson | Nurse Practitioner | 670 Margaret Dr, Terre Haute, IN 47802 | 2019-02-20 |
| 1972011815 | Wellness for Life Medical LLC | Clinic/Center | 3487 S 4th St, Terre Haute, IN 47802 | 2018-01-12 |
| 1992211965 | Megan Elizabeth Marietta | Nurse Practitioner | 3487 S 4th Street, Terre Haute, IN 47802 | 2017-12-28 |
| 1396187944 | Marc Keilman | Pharmacist | 1240 E Hook Dr, Terre Haute, IN 47802 | 2013-07-24 |
| 1043563364 | Indiana Hearing LLC | Hearing Aid Equipment | 3181 S 3rd Pl, Terre Haute, IN 47802 | 2012-10-24 |
| 1073890208 | Christopher Allan Blila | Nurse Practitioner | 4700 Bureau Road South, Terre Haute, IN 47802 | 2011-11-16 |
| 1649554726 | Cathy Ann Tarrh | Pharmacist | 3603 S Us 41, Terre Haute, IN 47802 | 2011-10-06 |
| Find all providers in zip 47802 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134236557 | Monte L Cordray | Urology | 1429 No 6th St, Terre Haute, IN 47807-1037 | 2006-08-23 |
| 1538572862 | Mohammed Zaher | Urology | 1429 N 6th St, Terre Haute, IN 47807-1019 | 2014-06-04 |
| 1104937044 | Stephen L Schwartz | Urology | 1429 N 6th St, Terre Haute, IN 47807-1037 | 2006-08-31 |
| 1932216231 | Douglas E Claybrook | Urology | 221 S 6th St, Terre Haute, IN 47807-4214 | 2006-08-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336752799 | Mark Alexander Assmus | Urology | 1801 Senate Blvd Ste 220, Indianapolis, IN 46202-1260 | 2020-08-26 |
| 1124653803 | Catherine Baugher | Urology | 2525 W University Ave Ste 504, Muncie, IN 47303-3409 | 2020-03-03 |
| 1245881812 | Carol Jean Stephens | Urology | 1000 N 16th St Ste 210, New Castle, IN 47362-4319 | 2019-09-25 |
| 1376960302 | Mohammad Mahmoud | Urology | 535 Barnhill Dr Ste 150, Indianapolis, IN 46202-5116 | 2014-03-27 |
| 1114364064 | Alexander J Tatem | Urology | 8240 Naab Rd Ste 220, Indianapolis, IN 46260-1950 | 2013-06-03 |
| 1699015941 | Frank Walerko | Urology | 809 Bittersweet Cove Drive, Mishawaka, IN 46544 | 2013-02-25 |
| 1861744997 | Vincent Joseph Santare | Urology | 134 Carnoustie Ln, Schererville, IN 46375-2926 | 2012-10-13 |
| 1821353814 | Little Company of Mary Hospital of Indiana Inc | Urology | 600 W 13th Street, Suite 105, Jasper, IN 47546-1882 | 2012-07-06 |
| 1154681369 | Joshua David Roth | Urology | 705 Riley Hospital Dr Ste 4230, Indianapolis, IN 46202-5109 | 2012-05-22 |
| 1801152210 | Richard James Holloway | Urology | 18799 Arapaho Ln, South Bend, IN 46637 | 2012-04-10 |
| Find all providers with the same taxonomy | ||||
| City | TERRE HAUTE |
| Zip Code | 47802 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.