SHANE MCENTIRE M.D. – NPI #1932224912
Surgery

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

Health Care Provider Taxonomy Code for Surgery

SHANE MCENTIRE is a surgeon located in TALLAHASSEE, FL. NPPES has assigned the NPI number 1932224912 to SHANE MCENTIRE on March 20, 2007. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 2086S0129X from the Health Care Provider Taxonomy code set, which is classified as Surgery, specializing in Vascular Surgery

The NPI profile was last updated on Jun 17, 2024. 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 SHANE MCENTIRE below.

NPI Profile for
SHANE MCENTIRE

NPI Number
1932224912
Enumeration Date

(more than 19 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
SHANE MCENTIRE
Credentials
M.D.
Primary location
1401 CENTERVILLE RD STE 504
TALLAHASSEE, FL 32308-4640
Phone: (850) 216-0100 Fax:
1 Other location(s):
1100 Wilford Hall Loop Bldg 4554
Jbsa Lackland, TX 78236-5638
Phone: (210) 539-9361
Mailing address
1549 ESCADRILLE DR
TALLAHASSEE, FL 32308-4788
Phone: (808) 354-1667 Fax:
Sole Proprietor
Yes
Updated
Certification Date
Jun 17, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

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
2086S0129X
- Surgery / Vascular Surgery (Primary)		 TX R9255

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.

Additional Information

Education
UNIVERSITY OF ARKANSAS COLLEGE OF MEDICINE - Graduated 2005
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
SHANE MCENTIRE is affiliated with the following medical group(s):
  • HOSPITAL
    • LEE MEMORIAL HOSPITAL
      2776 CLEVELAND AVE
      FORT MYERS, FL 33901
    • UNIVERSITY HEALTH SYSTEM
      4502 MEDICAL DR
      SAN ANTONIO, TX 78229

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Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.