Jeffrey E Shook, DPM
Podiatrist, Foot & Ankle Surgery in Logan, WV. Individual provider (NPI-1).
NPI number1346207487
StatusActive
Last updated in NPPESJun 29, 2010
Details
- NPI
- 1346207487
- Entity type
- Individual (NPI-1)
- Name
- Jeffrey E Shook
- Credential
- DPM
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 1, 2006
- Last updated
- Jun 29, 2010
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - PODIATRY
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility No · Hospice Yes
- 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 |
|---|---|---|---|---|
| 213ES0103X | Podiatrist, Foot & Ankle Surgery | 36.002904 | OH | Yes |
| 213ES0103X | Podiatrist, Foot & Ankle Surgery | 00315 | WV |
Practice location
20 Hospital DrLogan, WV 25601-3452
Phone 304-831-1530 · Fax 304-831-1527
Mailing address
90 Jackson PikeGallipolis, OH 45631-1560
Phone 740-446-5890 · Fax 740-446-5982
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