JACK SHAMOUN – NPI #1508940354
Radiology

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

JACK SHAMOUN is a radiologist located in LATHAM, NY. NPPES has assigned the NPI number 1508940354 to JACK SHAMOUN on October 25, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 2085R0202X from the Health Care Provider Taxonomy code set, which is classified as Radiology, specializing in Diagnostic Radiology

The NPI profile was previously updated about 19 years ago on Dec 08, 2007. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for JACK SHAMOUN below.

NPI Profile for
JACK SHAMOUN

NPI Number
1508940354
Enumeration Date

(more than 19 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
JACK SHAMOUN
Primary location
CRHP-711 TROY-SCHENECTADY ROAD
SUITE 114
LATHAM, NY 12110
Phone: (518) 786-1600 Fax:
Mailing address
711 TROY SCHENECTADY RD
SUITE 201
LATHAM, NY 12110-2442
Phone: Fax:
Sole Proprietor
No
Updated
Identifiers

Identifiers for JACK SHAMOUN

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDNY00369466
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2085R0202X
- Radiology / Diagnostic Radiology (Primary)
NY 107225
207U00000X
- Nuclear Medicine
NY 107225

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.