DR. MICHAEL JOHN SHANKS (NPI# 1619906930) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619906930 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL JOHN SHANKS |
| Credential | M.D. |
| Practice Address |
3100 Shore Dr Radiology Department Marinette WI 54143-4242 |
| Mailing Address |
10335 N Port Washington Rd Suite 250 Mequon WI 53092-5763 |
| Practice Telephone | 7157354200 |
| Practice Fax Number | 7157358019 |
| Mailing Telephone | 2622409870 |
| Mailing Fax Number | 2622409869 |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
43866-020 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 34304300 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619241783 | Michael James Elkins Shanks | Urology | 3401 S 4th St, Terre Haute, IN 47802 | 2012-03-06 |
| 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 |
| Street Address |
3100 SHORE DR RADIOLOGY DEPARTMENT |
| City | MARINETTE |
| State | WI |
| Zip Code | 54143-4242 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639621998 | Chaeli Greco | Physical Therapist | 3100 Shore Dr, Marinette, WI 54143-4242 | 2016-11-02 |
| 1396119426 | Emergency Physician Associates of Wisconsin Sc | Physician Assistant | 3100 Shore Dr, Marinette, WI 54143-4242 | 2015-12-01 |
| 1346632346 | Lindsay N Finch | Physician Assistant | 3100 Shore Dr, Marinette, WI 54143-4242 | 2015-02-27 |
| 1750789392 | Brian Cleven | Specialist/Technologist | 3100 Shore Dr, Marinette, WI 54143-4242 | 2014-12-14 |
| 1184027948 | Andrea Hallfrisch | Speech-Language Pathologist | 3100 Shore Dr, Rehabilitation Department, Marinette, WI 54143-4242 | 2014-10-07 |
| 1104228220 | Jena K Doemel | Dietitian, Registered | 3100 Shore Dr, Marinette, WI 54143-4242 | 2014-09-19 |
| 1306258728 | Bianca Mercedes Asan Borja | Emergency Medicine | 3100 Shore Dr, Marinette, WI 54143-4242 | 2014-05-21 |
| 1053658492 | Kara Ann Mekarski | Speech-Language Pathologist | 3100 Shore Dr, Marinette, WI 54143-4242 | 2013-01-04 |
| 1598036360 | Bay Area Medical Center, Inc | Internal Medicine | 3100 Shore Dr, Marinette, WI 54143-4242 | 2012-01-25 |
| 1144591900 | Bay Area Medical Center, Inc | Internal Medicine | 3100 Shore Dr, Marinette, WI 54143-4242 | 2012-01-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669966750 | Allie Parthie | Dentist | 1420 University Dr, Marinette, WI 54143 | 2018-06-21 |
| 1043730690 | Jonathan Weseman | Emergency Medicine | 3003 University Dr, Marinette, Marinette, WI 54143 | 2017-06-25 |
| 1538698618 | Meghan M Russell | Nurse Practitioner | 4061 Old Peshtigo Road, Marinette, WI 54143 | 2017-06-12 |
| 1801279435 | Stephanie Miller | Licensed Practical Nurse | W1902 State Hwy 64, Marinette, WI 54143 | 2015-07-01 |
| 1417298704 | Danielle Risner | Occupational Therapist | Luther Home 831 Pine Beach Rd, Marinette, WI 54143 | 2013-03-12 |
| 1053631903 | Lincare Inc. | Durable Medical Equipment & Medical Supplies | W 716 County B, Ste B, Marinette, WI 54143 | 2010-06-02 |
| 1417105545 | Forefront Dermatology, S.c. | Dermatology | 3515 Murray Street, Marinette, WI 54143 | 2008-09-03 |
| 1245493352 | Judith M Ribbens | Counselor | 1557 Cleveland Ave, Marinette, WI 54143 | 2008-07-08 |
| 1538338926 | Charlene Mae Miller | Licensed Practical Nurse | 1126 Daggett, Marinette, WI 54143 | 2008-02-29 |
| 1104025519 | James Alan Boren | Family Medicine | 5926 Highway 41, Stephenson, MI 54143 | 2007-07-16 |
| Find all providers in zip 54143 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407020258 | Rupesh Patel | Radiology | 4061 Old Peshtigo Rd, Marinette, WI 54143-3887 | 2008-04-14 |
| 1205941408 | Robert P Dizor | Radiology | 4061 Old Peshtigo Rd, Marinette, WI 54143 | 2006-08-20 |
| 1093741456 | Bay Area Imaging, S.c. | Radiology | 3100 Shore Dr, Radiology Department, Marinette, WI 54143-4242 | 2006-06-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487264511 | Howard Simon Md PC | Radiology | 3960 Hillside Dr Ste 106, Delafield, WI 53018-2148 | 2020-08-04 |
| 1952951154 | Premier Radiology Wisconsin, LLC | Radiology | 10180 Washington Ave Ste 101, Mt Pleasant, WI 53177-1604 | 2019-09-19 |
| 1013478635 | Troy Nelson Tenbrunsel | Radiology | Uw Hospitals & Clinics 600 Highland Road, Madison, WI 53792-0001 | 2019-03-27 |
| 1336660216 | Kevin Shuai Lian | Radiology | 420 W Dayton St Unit 1142, Madison, WI 53703 | 2017-06-30 |
| 1346774726 | Molly Peterson | Radiology | 2639 University Ave Ste 201, Madison, WI 53705-3750 | 2017-04-12 |
| 1821445107 | Ryan Griesbach | Radiology | Uw Hospitals and Clinic, 600 Highland Ave, Madison, WI 53792-0001 | 2016-05-17 |
| 1629442181 | Dysphagia Testing, LLC | Radiology | 10638 Hidden Creek Dr, Mequon, WI 53092-8538 | 2015-11-20 |
| 1679987341 | Daniel Joseph Baumel | Radiology | 513 Clifden Dr, Madison, WI 53711-1530 | 2014-06-20 |
| 1235549247 | Benjamin Sawatzky | Radiology | 9 S Marquette St, Madison, WI 53704-5117 | 2014-04-29 |
| 1285054064 | Matthew Gregory Pipho | Radiology | 9306 Briar Haven Dr, Verona, WI 53593-8791 | 2014-04-21 |
| Find all providers with the same taxonomy | ||||
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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.