WILLIAM J SHANAHAN MD
NPI 1649262510
Specialist in Pensacola, FL

Active since August 17, 2005PECOS Enrolled
4511 N. DAVIS HWY SUITE C, PENSACOLA, FL 32503(850) 484-8448(850) 479-3258 Get Directions Write a Review

NPPES record last updated: June 23, 2015. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About William J Shanahan Md NPPES

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

WILLIAM J SHANAHAN MD (NPI 1649262510) is an individual specialist in Pensacola, Florida, licensed in Florida (ME0032249) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1649262510
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameWILLIAM J SHANAHANCredential: MD
Location Address4511 N. DAVIS HWY SUITE CPensacola, FL 32503-2770
Mailing Address4511 N. Davis Hwy Suite CPensacola, FL 32503-2770 · (850) 484-8448 · Fax (850) 479-3258
Fax(850) 479-3258
Sole ProprietorYes
Enumeration DateAugust 17, 2005
Last NPPES UpdateJune 23, 2015
✔ NPI 1649262510 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in FL · ME0032249
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
4511 N. DAVIS HWY SUITE C, Pensacola, FL 32503

Other Identifiers 5

Medicare UPINC67611FL
Other592966048FL · Itin
Medicaid061290100FL
Other010028302FL · Rrb Ptan
Medicare PIN17563FL

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

William J Shanahan Md 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.

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 William Shanahan's NPI number?

The NPI number for William Shanahan is 1649262510. It was assigned to this individual provider in the NPPES registry on August 17, 2005.

Where is William Shanahan located?

William Shanahan practices at 4511 N. Davis Hwy Suite C, Pensacola, FL 32503. The listed phone number is (850) 484-8448.

What is William Shanahan's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is William Shanahan enrolled in Medicare?

Yes. William Shanahan is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for William Shanahan was last updated on June 23, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.