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ROGER B SHAMBO, MD, LLC
NPI 1215133491
Family Medicine in Copenhagen, NY

Active since June 25, 2007
9732 STATE ROUTE 12, COPENHAGEN, NY 13626(315) 688-2305(315) 688-2139 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Roger B Shambo, Md, Llc NPPES

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

ROGER B SHAMBO, MD, LLC (NPI 1215133491) is a healthcare organization registered as a family medicine in Copenhagen, New York and active in the NPI registry since June 2007. The organization lists Roger B Shambo, Owner, as its authorized official.

NPPES Registry Identity

NPI1215133491
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameROGER B SHAMBO, MD, LLC
Location Address9732 STATE ROUTE 12Copenhagen, NY 13626-0026
Mailing Address9732 State Route 12, Po Box 26Copenhagen, NY 13626-0026 · (315) 688-2305 · Fax (315) 688-2139
Phone(315) 688-2305
Fax(315) 688-2139
Organization SubpartNo
Authorized OfficialRoger B ShamboOwner · (315) 688-2305
Enumeration DateJune 25, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1215133491 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NY · 165521
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.

9732 STATE ROUTE 12, Copenhagen, NY 13626
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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

Other Providers at the Same Location NPPES 2

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

NORMAN BRUCE SCOTT D.O.
Family Medicine
9732 STATE ROUTE 12
COPENHAGEN, NY 13626
Lewis County (315) 688-2305
MRS. LACI LYNN REILLY APRN
Nurse Practitioner (Family)
9732 STATE ROUTE 12
COPENHAGEN, NY 13626
Lewis County (719) 250-1131

Frequently Asked Questions

What is ROGER B SHAMBO, MD, LLC's NPI number?

The NPI number assigned to this healthcare provider is 1215133491, enumerated as an "organization" on June 25, 2007.

Where is the provider located?

The provider is located at 9732 STATE ROUTE 12 COPENHAGEN, NY 13626 and the phone number is (315) 688-2305.

What is the provider's specialty?

Family Medicine with taxonomy code 207Q00000X.