SHANEYFELT CLINIC
NPI 1124175773
Family Medicine in Manila, AR

Active since January 05, 2007
105 S. BALTIMORE, MANILA, AR 72442(870) 561-4421(870) 561-3434 Get Directions Write a Review

NPPES record last updated: May 24, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shaneyfelt Clinic NPPES

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

SHANEYFELT CLINIC (NPI 1124175773) is a healthcare organization registered as a family medicine in Manila, Arkansas and active in the NPI registry since January 2007. The organization lists Dora Elizabeth Shaneyfelt, Owner And Advanced Practice Nurse, as its authorized official.

NPPES Registry Identity

NPI1124175773
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameSHANEYFELT CLINIC
Location Address105 S. BALTIMOREManila, AR 72442-0630
Mailing AddressPo Box 630, 105 South Baltimore StreetManila, AR 72442-0630 · (870) 561-4421 · Fax (870) 561-3434
Fax(870) 561-3434
Organization SubpartNo
Authorized OfficialDora Elizabeth ShaneyfeltOwner And Advanced Practice Nurse · (870) 561-4421
Enumeration DateJanuary 5, 2007
Last NPPES UpdateMay 24, 2011
NPI 1124175773 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
105 S. BALTIMORE, Manila, AR 72442

Other Identifiers 2

Medicaid162966002AR
Medicare PIN5F688AR

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Shaneyfelt Clinic's NPI number?

The NPI number for Shaneyfelt Clinic is 1124175773. It was assigned to this organization in the NPPES registry on January 5, 2007.

Where is Shaneyfelt Clinic located?

Shaneyfelt Clinic is located at 105 S. Baltimore, Manila, AR 72442. The listed phone number is (870) 561-4421.

What is Shaneyfelt Clinic's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Shaneyfelt Clinic was last updated on May 24, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.