DR. SHAUN G LENCKI


Address: 1000 E Primrose St Ste 360, Springfield, MO 65807-5293
Phone: 4172694037

DR. SHAUN G LENCKI (NPI# 1639167562) 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) 1639167562
Entity Type Individual
Full Name DR. SHAUN G LENCKI
Credential MD
Practice Address 1000 E Primrose St Ste 360
Springfield
MO 65807-5293
Mailing Address Po Box 4046
Springfield
MO 65808-4046
Practice Telephone 4172694037
Practice Fax Number 4172696139
Mailing Telephone 4172695712
Mailing Fax Number 4172697567
Enumeration Date 2005-10-13
Last Update Date 2020-03-25
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207VM0101X Obstetrics & Gynecology
Specialization: Maternal & Fetal Medicine
2020007993 MO Allopathic & Osteopathic Physicians
N 207VM0101X Obstetrics & Gynecology
Specialization: Maternal & Fetal Medicine
ME86568 FL Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
FL BC/BS 62954 01
FL AETNA 5361051 01
FL HEALTHEASE (MEDICIAD HMO) N290176 01
FL 265903400 05
FL TAX ID 202013798 01

Office Location

Street Address 1000 E PRIMROSE ST STE 360
City SPRINGFIELD
State MO
Zip Code 65807-5293

Providers in the same location

NPI Name Taxonomy Address Enumeration
1306042619 John Kendall Ethridge Jr. Obstetrics & Gynecology 1000 E Primrose St Ste 360, Springfield, MO 65807 2007-06-23

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1396390241 Karley Kassandra Murphy Counselor 3734 South Ave #c, Springfield, MO 65807 2019-08-07
1396203626 Auvia L Logan Dietitian, Registered 3322 S. Campbell Ave. Suite Cc, Springfield, MO 65807 2019-03-05
1598250961 Kathryn Barber Nurse Practitioner 3800 S National Ave Ste 700, Springfield, MO 65807 2018-06-27
1447764899 Missouri Midwifery Service Clinic/Center 3840 South Avenue, Springfield, MO 65807 2017-11-21
1124530290 Senior Living Management Group, LLC Skilled Nursing Facility 3705 S Jefferson Ave, Springfield, MO 65807 2017-10-30
1740663335 Sarah E Kirk Physical Therapist 3545 S. National Ave, Springfield, MO 65807 2015-07-01
1750713335 Amanda Ward Nurse Practitioner 2150 W Republic Rd Ste 112, Springfield, MO 65807 2013-08-06
1932531126 Eugenia R Cortez Counselor 2124 Chesterfield Blvd., Springfield, MO 65807 2013-07-30
1962742866 Missouri Cvs Pharmacy LLC Durable Medical Equipment & Medical Supplies 3045 W Republic St, Springfield, MO 65807 2013-03-01
1033462387 Miguel Angel Medina Physician Assistant 1900 South Sunshine Ave., Springfield, MO 65807 2012-10-24
Find all providers in zip 65807

Taxonomy Information

Taxonomy Code 207VM0101X
Grouping Allopathic & Osteopathic Physicians
Classification Obstetrics & Gynecology
Specialization Maternal & Fetal Medicine

Taxonomy Definition

An obstetrician/gynecologist who cares for, or provides consultation on, patients with complications of pregnancy. This specialist has advanced knowledge of the obstetrical, medical and surgical complications of pregnancy and their effect on both the mother and the fetus. The specialist also possesses expertise in the most current diagnostic and treatment modalities used in the care of patients with complicated pregnancies.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1154500064 Jeffrey Stuart Greenspoon Obstetrics & Gynecology 1000 E. Primrose, #360, Springfield, MO 65807-5293 2007-10-26
1720323496 Corina N. Schoen Obstetrics & Gynecology 759 Chestnut St, Springfield, MA 01107-1619 2012-12-06
1003016965 Robert Marc Abrams Obstetrics & Gynecology 415 N 9th St, 6w100, Springfield, IL 62702-5303 2007-07-19
1215058490 Gwyneth Smith Thompson Obstetrics & Gynecology 415 N 9th St, Suite 6w100, Springfield, IL 62702-5303 2007-04-03
1942342654 Robert F. Fraser II Obstetrics & Gynecology 1900 S National Ave, Suite 2900, Springfield, MO 65804-2265 2007-02-12
1548338841 Charlotte Ann Clausen Obstetrics & Gynecology 3355 Riverbend Dr, Ste 210, Springfield, OR 97477-8800 2006-12-04
1033216007 Fadi A Bsat Obstetrics & Gynecology 759 Chestnut St, Springfield, MA 01107-1619 2006-09-20
1801906714 Patricia Mary Dix Obstetrics & Gynecology 1000 E Primrose St, #360, Springfield, MO 65807-5154 2006-08-30
1477667756 Andrew J Healy Obstetrics & Gynecology 759 Chestnut St, Springfield, MA 01107-1619 2006-08-17
1477578532 Vern Louis Katz Obstetrics & Gynecology 3355 Riverbend Dr, Ste 210, Springfield, OR 97477-8800 2006-07-12
Find all providers in SPRINGFIELD

Competitor

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City SPRINGFIELD
Zip Code 65807

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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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