Andrew Shanes, DO
Student in an Organized Health Care Education/Training Program in Flushing, NY. Individual provider (NPI-1).
Details
- NPI
- 1245084342
- Entity type
- Individual (NPI-1)
- Name
- Andrew Shanes
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 15, 2024
- Certification date
- Apr 15, 2024
- Last updated
- Apr 15, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
5645 Main StFlushing, NY 11355-5045
Phone 718-661-7305
Mailing address
5645 Main StFlushing, NY 11355-5045
Phone 718-661-7305
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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