DR. SHAUN KINK


Address: 1111 Trinity Ln Ste 111, Bloomington, IL 61704-8112
Phone: (309) 663-6461

DR. SHAUN KINK (NPI# 1801181920) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1801181920
Entity Type Individual
Full Name DR. SHAUN KINK
Credential M.D.
Practice Address 1111 Trinity Ln Ste 111
Bloomington
IL 61704-8112
Mailing Address 1111 Trinity Ln
Ste 111
Bloomington
IL 61704-8112
Practice Telephone (309) 663-6461
Practice Fax Number 3096635711
Mailing Telephone (309) 663-6461
Mailing Fax Number 3096635711
Enumeration Date 2011-06-16
Last Update Date 2018-06-16
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207XX0004X Orthopaedic Surgery
Specialization: Foot and Ankle Surgery
036141813 IL Allopathic & Osteopathic Physicians

Office Location

Street Address 1111 TRINITY LN STE 111
City BLOOMINGTON
State IL
Zip Code 61704-8112

Providers in the same location

NPI Name Taxonomy Address Enumeration
1609875798 Kimberly Kelleher Rhoda Occupational Therapist 1111 Trinity Ln Ste 111, Bloomington, IL 61704-8112 2005-07-20
1316582273 Nicole Christine Bermudes Orthopaedic Surgery 1111 Trinity Ln Ste 111, Bloomington, IL 61704-8112 2019-11-14
1063054278 Nicholas Ray Von Holten Physician Assistant 1111 Trinity Ln Ste 111, Bloomington, IL 61704-8112 2019-10-09
1134690522 Matthew A Kresnicka Physical Therapist 1111 Trinity Ln Ste 111, Bloomington, IL 61704-8112 2018-12-10
1871082826 Jessica Amanda Tobias Student in an Organized Health Care Education/Training Program 1111 Trinity Ln Ste 111, Bloomington, IL 61704-8112 2018-05-04
1164939179 Lukas Dominic Manieri Specialist/Technologist 1111 Trinity Ln Ste 111, Bloomington, IL 61704-8112 2017-12-29
1083124846 Lucas B Roth Physician Assistant 1111 Trinity Ln Ste 111, Bloomington, IL 61704 2017-10-06
1467961706 Sandra A Fader Nurse Practitioner 1111 Trinity Ln Ste 111, Bloomington, IL 61704-8112 2017-09-28
1356732101 Brian A Schrock Physician Assistant 1111 Trinity Ln Ste 111, Bloomington, IL 61704-8112 2015-02-16
1144633579 Ashley R Anderson Physical Therapist 1111 Trinity Ln Ste 111, Bloomington, IL 61704-8112 2014-06-03
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1518430859 Visionpoint Eye Center LLC Optometrist 1107 Airport Road, Bloomington, IL 61704 2019-01-09
1922588235 Geethu Sabu Makil Speech-Language Pathologist 1039 Blueheron Way, Apt#3, Bloomington, IL 61704 2018-08-16
1629596812 Mental Wellness Center Inc Counselor 202 N Prospect Rd Ste 207, Bloomington, IL 61704 2017-09-07
1649798513 Sarah Goodner Psychologist 1704 Royal Pointe Drive, Bloomington, IL 61704 2017-08-31
1346760253 Elizabeth Devlin Nurse Practitioner 25 Long Cove Ct, Bloomington, IL 61704 2017-06-21
1396107918 Darla Schwertfeger Specialist/Technologist, Other 2104 Hedgewood Dr, Bloomington, IL 61704 2016-03-23
1740662949 Oncology Hematology Associates of Central Illinois Pharmacy 3105 Magory Drive, Bloomington, IL 61704 2015-06-24
1821478967 Kelly R Andrews Massage Therapist 4101 Wicker Rd, Bloomington, IL 61704 2015-06-03
1235522582 All Ways Caring Services, Inc. In Home Supportive Care 209 S Prospect Rd, Suite 3e, Bloomington, IL 61704 2015-03-11
1396093977 Bhawna Gupta Physical Therapist 2200 East Washington Street, Bloomington, IL 61704 2012-08-29
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Taxonomy Information

Taxonomy Code 207XX0004X
Grouping Allopathic & Osteopathic Physicians
Classification Orthopaedic Surgery
Specialization Foot and Ankle Surgery

Taxonomy Definition

Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, foot and ankle surgeons deal with adult reconstructive foot and ankle surgery, adult foot and ankle trauma, sports medicine foot and ankle, and children's foot and ankle reconstructive surgery.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: title modified, definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. ACGME Accredited Residency Program Requirements: 1 year of training with 5 years Orthopedic Surgery for a total of 6 years.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1417287970 Athelite Orthopedics and Sports Medicine, LLC Orthopaedic Surgery 365 S Park Ridge Rd, Suite 102, Bloomington, IN 47401-8361 2010-01-06
1912984915 Ross Paskoff Orthopaedic Surgery 8100 Northland Dr, Bloomington, MN 55431-4800 2005-12-30
1013902089 Matthew A Parmenter Orthopaedic Surgery 2920 Mcintyre Dr, Suite 100, Bloomington, IN 47403-4221 2005-09-15

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1588189419 Oa Associates LLC Orthopaedic Surgery 200 Admiral Trost Rd, Columbia, IL 62236-2163 2017-08-11
1275829954 Raymond R Montoya II Orthopaedic Surgery 259 E Erie St Ste 2230, Chicago, IL 60611-3370 2011-06-21
1497231518 Saluja Kaushali Mahabamunuge Orthopaedic Surgery 2160 S 1st Ave, Maywood, IL 60153 2018-07-11
1528563483 Christopher Cklamovski Orthopaedic Surgery 2160 S 1st Ave, Maywood, IL 60153 2018-03-24
1427505197 Kelly Hynes Orthopaedic Surgery 5841 S Maryland Ave, Mc3079, Room P211m, Chicago, IL 60637-1447 2016-09-09
1417339995 Kurt Krautmann Orthopaedic Surgery 251 E Huron St, Chicago, IL 60611-2908 2015-06-22
1972919702 Jonathan L Hook Orthopaedic Surgery 2850 S Wabash Ave Ste 100, Chicago, IL 60616 2014-07-01
1659716751 Gina Rose Cahill Orthopaedic Surgery 929 W Higgins Rd, Schaumburg, IL 60195-3203 2013-05-02
1841501962 Bryant Shane Ho Orthopaedic Surgery 550 W Ogden Ave, Hinsdale, IL 60521-3186 2010-06-23
1770717670 Kamran Syed Hamid Orthopaedic Surgery 1611 W. Harrison St, Ste 400, Chicago, IL 60612-2530 2009-05-06
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City BLOOMINGTON
Zip Code 61704

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Dataset Information

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.

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