TYLER JAMES SHANK (NPI# 1962918367) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962918367 |
| Entity Type | Individual |
| Full Name | TYLER JAMES SHANK |
| Practice Address |
2088 S Liberty Dr Ste 112 Bloomington IN 47403-5171 |
| Practice Telephone | 8123230111 |
| Mailing Telephone | 8123230111 |
| Enumeration Date | 2017-12-20 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 237700000X | Hearing Instrument Specialist | 17001190A | IN | Speech, Language and Hearing Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2619 16th St, Bedford, IN 474213503 | 8122755550 | |
| 560a Morton Ave, Martinsville, IN 461512753 | 7653490700 |
| Street Address |
2088 S LIBERTY DR STE 112 |
| City | BLOOMINGTON |
| State | IN |
| Zip Code | 47403-5171 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043783673 | Brook Whitaker | Registered Nurse | 4011 S. Monroe Medical Park Blvd, Bloomington, IN 47403 | 2019-01-07 |
| 1598251175 | Jacob Edward Lundorf | Nurse Practitioner | 2100 S Liberty Dr Ste B, Bloomington, IN 47403 | 2018-07-06 |
| 1568973717 | Gregory Thomas Dougan | Physician Assistant | 418 South Landmark Avenue, Bloomington, IN 47403 | 2017-10-16 |
| 1295276160 | Indiana Center for Recovery, LLC | Substance Abuse Rehabilitation Facility | 1004 W 1st Street, Bloomington, IN 47403 | 2017-03-13 |
| 1144694217 | Kayla Dewolf | Specialist/Technologist | 1471 W Allen St, Bloomington, IN 47403 | 2015-11-30 |
| 1164806444 | Monroe Hosoital | General Acute Care Hospital | 4011 Monroe Medical Park, Bloomington, IN 47403 | 2015-07-16 |
| 1821411588 | Jennifer Turner | Occupational Therapy Assistant | 1023 West Main St, Swiss Villa, Vevay, IN 47403 | 2014-01-30 |
| 1104170232 | Kendall Basore | Social Worker | 445 S. Landmark Ave., Bloomington, IN 47403 | 2012-10-26 |
| 1568715886 | Indiana Hearing LLC | Hearing Aid Equipment | 2019 S Liberty Dr, Bloomington, IN 47403 | 2012-10-24 |
| 1679870232 | Accurate Hearing Services | Clinic/Center | 1355 W Second St, #3, Bloomington, IN 47403 | 2011-02-17 |
| Find all providers in zip 47403 | ||||
| Taxonomy Code | 237700000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Hearing Instrument Specialist |
| Individuals who test hearing for the selection, adaptation, fitting, adjusting, servicing, and sale of hearing aids. Hearing Instrument Specialist is a designation provided individuals who qualify by the National Hearing Aid Society |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497265870 | Midstate Hearing Inc. | Hearing Instrument Specialist | 3801 Ge Rd Ste 1, Bloomington, IL 61704-4193 | 2017-10-11 |
| 1790141117 | David Lewis | Hearing Instrument Specialist | 1833 N Kinser Pike, Bloomington, IN 47404-1914 | 2016-01-14 |
| 1881998102 | Mark Wayne Mcclintock | Hearing Instrument Specialist | 3801 General Electric Rd Ste 1, Bloomington, IL 61704-4193 | 2010-12-29 |
| 1477788388 | Paul Allen Thulin | Hearing Instrument Specialist | 10800 Normandale Blvd, Suite 103m, Bloomington, MN 55437-3130 | 2009-05-20 |
| 1659554277 | Shank & Wells Enterprises, LLC | Hearing Instrument Specialist | 2088 S Liberty Dr, Suite 112, Bloomington, IN 47403-5171 | 2007-12-06 |
| 1205974573 | Lori Ann Elkins | Hearing Instrument Specialist | 359 S Landmark Ave, Bloomington, IN 47403-5002 | 2007-02-01 |
| 1396379616 | Katherine A Mcclintock | Hearing Instrument Specialist | 3801 General Electric Rd Ste 1, Bloomington, IL 61704-4193 | 2020-02-25 |
| 1639680184 | Teresa D Luttrell | Hearing Instrument Specialist | 2920 S Mcintire Dr, Bloomington, IN 47403-4221 | 2017-10-23 |
| 1013381128 | Jacob Daniel Marlow | Hearing Instrument Specialist | 2412 E Washington St, Suite 2, Bloomington, IL 61704-4497 | 2015-12-01 |
| 1760812234 | Kelly Amanda Wycoff | Hearing Instrument Specialist | 359 S Landmark Ave, Bloomington, IN 47403-5002 | 2013-11-20 |
| Find all providers in BLOOMINGTON | ||||
| City | BLOOMINGTON |
| Zip Code | 47403 |
Please comment or provide details below to improve the information on TYLER JAMES SHANK.
| 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.