JOHN E SHOCKLEY D.O. - NPI 1639161003 - Family Medicine in Lees Summit, MO

Q: What is John Shockley's NPI number?

The NPI number for John Shockley is 1639161003. It was assigned to this individual provider in the NPPES registry on August 22, 2005.

Q: What is John Shockley's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for John Shockley was last updated on November 1, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About John E Shockley D.o. NPPES

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

JOHN E SHOCKLEY D.O. (NPI 1639161003) is an individual family medicine provider in Lees Summit, Missouri, licensed in Missouri (R5A82) and active in the NPI registry since August 2005.

NPPES Registry Identity

NPI1639161003

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameJOHN E SHOCKLEYCredential: D.O.

Location Address615 SW 3RD STLees Summit, MO 64063-2212

Mailing Address8550 Marshall Dr Ste 220Lenexa, KS 66214-1505 · (816) 524-3799 · Fax (913) 495-3727

Phone(816) 524-3799

Fax(913) 495-3727

Sole ProprietorNo

Enumeration DateAugust 22, 2005

Last NPPES UpdateNovember 1, 20213 updates tracked since enumeration

NPPES CertifiedNovember 1, 2021

✔ NPI 1639161003 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in MO · R5A82

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.

615 SW 3RD ST, Lees Summit, MO 64063

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