DR. JOHN R SHANK (NPI# 1831141290) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831141290 |
| Entity Type | Individual |
| Full Name | DR. JOHN R SHANK |
| Credential | M.D. |
| Practice Address |
2446 Research Pkwy Suite 200 Colorado Springs CO 80920-1087 |
| Practice Telephone | 7196231050 |
| Practice Fax Number | 7196231052 |
| Mailing Telephone | 7196231050 |
| Mailing Fax Number | 7196231052 |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2013-04-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgery | CO40999 | CO | Allopathic & Osteopathic Physicians |
| Y | 207XX0004X |
Orthopaedic Surgery Specialization: Foot and Ankle Surgery |
CO40999 | CO | Allopathic & Osteopathic Physicians |
| N | 207XX0801X |
Orthopaedic Surgery Specialization: Orthopaedic Trauma |
CO40999 | CO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 85089320 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073747200 | John W. Shank | Recreation Therapist | 1413 Hillside Rd, Wynnewood, PA 19096-2406 | 2009-05-01 |
| 1154349439 | John Jacob Shank | Dentist | 2121 E Dupont Rd Ste C, Fort Wayne, IN 46825-1546 | 2006-07-17 |
| 1730576158 | John Paul Shank | Nurse Practitioner | 228 Saint Charles Way Ste 300, York, PA 17402-4661 | 2015-04-23 |
| 1538296215 | John Shank | Optometrist | 3450 E. Rezanof Dr., Kodiak, AK 99615 | 2007-02-28 |
| 1306835152 | John Stephen Shank | Family Medicine | 350 Fairview Heights Rd, Summersville, WV 26651 | 2005-10-14 |
| Street Address |
2446 RESEARCH PKWY SUITE 200 |
| City | COLORADO SPRINGS |
| State | CO |
| Zip Code | 80920-1087 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437131547 | Karl Martin Larsen | Orthopaedic Surgery | 2446 Research Pkwy, Suite 200, Colorado Springs, CO 80920-1087 | 2005-11-15 |
| 1639797335 | Brianne Wagner | Nurse Practitioner | 2446 Research Pkwy, Colorado Springs, CO 80920-1087 | 2020-07-09 |
| 1063853893 | Miyoko Stephanie Green | Physician Assistant | 2446 Research Pkwy, Suite 200, Colorado Springs, CO 80920-1087 | 2013-07-09 |
| 1326300559 | Stephanie Noble | Physician Assistant | 2446 Research Pkwy, Suite 200, Colorado Springs, CO 80920-1087 | 2012-06-13 |
| 1053615013 | Miranda D Holland | Nurse Practitioner | 2446 Research Pkwy, Suite 200, Colorado Springs, CO 80920-1087 | 2011-01-06 |
| 1538362389 | Colorado Center of Orthopaedic Excellence Inc | Orthopaedic Surgery | 2446 Research Pkwy, Suite 200, Colorado Springs, CO 80920-1087 | 2007-06-08 |
| 1972534873 | Ky Kobayashi | Orthopaedic Surgery | 2446 Research Pkwy, Ste 200, Colorado Springs, CO 80920-1087 | 2006-07-06 |
| 1356388490 | Frederick William Hainge | Podiatrist | 2446 Research Pkwy, Suite 200, Colorado Springs, CO 80920-1087 | 2006-05-31 |
| 1164478673 | Derek B Purcell | Orthopaedic Surgery | 2446 Research Pkwy, Suite 200, Colorado Springs, CO 80920-1087 | 2006-05-26 |
| 1538113105 | Jeremy Michael Raulie | Physician Assistant | 2446 Research Pkwy, Suite 200, Colorado Springs, CO 80920-1087 | 2006-05-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407463409 | Cynthia Cruz | Marriage & Family Therapist | 7710 N. Union, Ste 100b and 100c, Colorado Springs, CO 80920 | 2020-09-24 |
| 1851905178 | Emergency Medical Specialists, PC | Emergency Medicine | Woodmen Fsed - Md, 3790 E. Woodmen Road, Colorado Springs, CO 80920 | 2020-09-03 |
| 1114531431 | Emergency Medical Specialists, PC | Emergency Medicine | Memorial Hospital North - Md, 4050 Briargate Pkway, Colorado Springs, CO 80920 | 2020-09-03 |
| 1205440583 | Emergency Medical Specialists, PC | Emergency Medicine | Memorial Hospital North - App, 4050 Briargate Pkway, Colorado Springs, CO 80920 | 2020-09-03 |
| 1700490455 | Poudre Valley Medical Group, LLC | Radiology | 4080 Briargate Parkway, Colorado Springs, CO 80920 | 2020-09-01 |
| 1962015792 | Emergency Medical Specialists, PC | Emergency Medicine | Woodmen Fsed - App, 3790 E. Woodmen Road, Colorado Springs, CO 80920 | 2020-08-31 |
| 1194296491 | Kramer Dentistry Inc | Clinic/Center | 9290 Highland Ridge Heights Suite # 120, Colorado Springs, CO 80920 | 2018-12-12 |
| 1134602279 | Juliana Plucinik | Assistant Behavior Analyst | 7011 Campus Drive Suite 205, Colorado Springs, CO 80920 | 2018-09-14 |
| 1811473861 | Vsb Colorado Providers Pllc | Dentist | 1750 Telstar Drive, Suite 200, Colorado Springs, CO 80920 | 2018-07-12 |
| 1336637438 | Children's Hospital Colorado | General Acute Care Hospital | 4090 Briargate Parkway, Colorado Springs, CO 80920 | 2018-04-25 |
| Find all providers in zip 80920 | ||||
| Taxonomy Code | 207XX0004X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Foot and Ankle Surgery |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760481519 | Tammron Jay Kleeman | Orthopaedic Surgery | 11820 Destination Dr, Broomfield, CO 80021-2518 | 2005-07-14 |
| 1174521496 | Kevin Karthik Nagamani | Orthopaedic Surgery | 1830 Franklin St, Suite 450, Denver, CO 80218-1128 | 2005-07-11 |
| 1801339502 | Orthopedic Centers of Colorado, LLC | Orthopaedic Surgery | 8101 E Lowry Blvd, Suite 230, Denver, CO 80230 | 2016-11-29 |
| 1205222502 | Stephen Blake Wallace | Orthopaedic Surgery | 3055 Roslyn St Unit 200, Denver, CO 80238-3324 | 2015-04-13 |
| 1326300864 | Courtney Marie Grimsrud | Orthopaedic Surgery | 12605 E 16th Ave, Aurora, CO 80045-2545 | 2012-06-11 |
| 1548587900 | Jonathon David Backus | Orthopaedic Surgery | 500 W 144th Ave Ste 230, Westminster, CO 80023-9328 | 2010-04-26 |
| 1053554709 | Boleslaw Lubomir Czachor | Orthopaedic Surgery | 10240 Park Meadows Dr, Lone Tree, CO 80124-5425 | 2009-04-10 |
| 1972604916 | Eric Lindberg | Orthopaedic Surgery | 4700 E. Hale Pkwy, Ste 550, Denver, CO 80220-4053 | 2006-09-25 |
| 1679509566 | Mark H Perlman | Orthopaedic Surgery | 2045 Franklin St, Denver, CO 80205-5437 | 2006-06-23 |
| 1598700478 | Denver Sports Performance Enhancement Center LLC | Orthopaedic Surgery | 8200 E Belleview Ave, Suite 615, Greenwood Village, CO 80111-2898 | 2006-06-17 |
| Find all providers with the same taxonomy | ||||
| City | COLORADO SPRINGS |
| Zip Code | 80920 |
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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.