1. Home
  2. Directory
  3. Arkansas
  4. North Little Rock
  5. Student In An Organized Health Care Education Training Program
  6. NPI Profile

SHAWN TANAKA DO
NPI 1003510462
Student in an Organized Health Care Education/Training Program in North Little Rock, AR

Active since March 29, 2023PECOS Enrolled
3201 SPRINGHILL DR STE 100, NORTH LITTLE ROCK, AR 72117(501) 955-4530 Get Directions Write a Review

NPPES record last updated: March 29, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shawn Tanaka Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHAWN TANAKA DO (NPI 1003510462) is an individual student in an organized health care education/training program in North Little Rock, Arkansas and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1003510462
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameSHAWN TANAKACredential: DO
Location Address3201 SPRINGHILL DR STE 100North Little Rock, AR 72117-2905
Mailing Address3201 Springhill Dr Ste 100North Little Rock, AR 72117-2905
Phone(501) 955-4530
Sole ProprietorYes
Enumeration DateMarch 29, 2023
NPPES CertifiedMarch 29, 2023
✔ NPI 1003510462 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
3201 SPRINGHILL DR STE 100, North Little Rock, AR 72117
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shawn Tanaka Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MANPREET SAINI
Student in an Organized Health Care Education/Training Program
3201 SPRINGHILL DR STE 100
NORTH LITTLE ROCK, AR 72117
Pulaski County (501) 955-4530
DR. CODY SCHILHAB MD
Student in an Organized Health Care Education/Training Program
3201 SPRINGHILL DR STE 100
NORTH LITTLE ROCK, AR 72117
Pulaski County (501) 955-4530
DR. EUGENIA ABENA PINAMAN PREKO MD
Student in an Organized Health Care Education/Training Program
3201 SPRINGHILL DR STE 100
NORTH LITTLE ROCK, AR 72117
Pulaski County (501) 955-4530
WESTON DOUGLAS ROGERS
Student in an Organized Health Care Education/Training Program
3201 SPRINGHILL DR STE 100
NORTH LITTLE ROCK, AR 72117
Pulaski County (501) 955-4530
DR. DALTON DAVIS DO
Student in an Organized Health Care Education/Training Program
3201 SPRINGHILL DR STE 100
NORTH LITTLE ROCK, AR 72117
Pulaski County (501) 955-4530
APRIL LAWSON ELLIS FNP
Nurse Practitioner (Family)
3201 SPRINGHILL DR STE 100
NORTH LITTLE ROCK, AR 72117
Pulaski County (501) 202-2000
IFRAH AMREEN HUSSAINI
Student in an Organized Health Care Education/Training Program
3201 SPRINGHILL DR STE 100
NORTH LITTLE ROCK, AR 72117
Pulaski County (501) 955-4530
PARKER JAY FUNK MD
Student in an Organized Health Care Education/Training Program
3201 SPRINGHILL DR STE 100
NORTH LITTLE ROCK, AR 72117
Pulaski County (501) 955-4530

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shawn Tanaka's NPI number?

The NPI number for Shawn Tanaka is 1003510462. It was assigned to this individual provider in the NPPES registry on March 29, 2023.

Where is Shawn Tanaka located?

Shawn Tanaka practices at 3201 Springhill Dr Ste 100, North Little Rock, AR 72117. The listed phone number is (501) 955-4530.

What is Shawn Tanaka's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Shawn Tanaka enrolled in Medicare?

Yes. Shawn Tanaka is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Shawn Tanaka was last updated on March 29, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.