Mitchel Wade Shaner

Physician • San Antonio, TX

Deactivated NPI 1609806082 Deactivated in NPPES Male Practitioner

Practice location in NPPES

3503 S Ww White Rd
San Antonio, TX 782225017

Phone: 2103377772

Location details and other listings

Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

This NPI Is Deactivated in NPPES

NPPES lists this NPI as deactivated as of September 10, 2021; the reason is not published. The records below are historical. They do not show whether Mitchel Shaner currently practices or holds a license; check the state medical board for current license status.

NPI Enumeration Date July 03, 2006

NPI Deactivation Date September 10, 2021

NPI Active Period 2006 – 2021

Practice Location & Contact Primary Location

Practice Address

3503 S Ww White Rd

San Antonio, TX 782225017

Telephone 2103377772

Fax 2103379282

Before You Book

Paying without insurance? Prepare a cost-estimate request

Ask about interpreters and office accessibility

Organization at the Same NPPES Address or Phone

Medcare Ambulance Inc Facility NPI 1255448908

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

What Public CMS Data Show

These CMS figures cover limited populations and published records; they are not quality ratings or medical advice.

Physician: NPPES taxonomy is a reported classification, not proof of board certification.

NPI first issued

2006

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Compared with the same specialty in San Antonio and Texas

Comparisons are not shown because NPPES lists this NPI as deactivated.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Specialties & License Numbers Reported to NPPES

Ambulance - Land Transport Primary Specialty

NUCC Taxonomy Code: 3416L0300X

License # reported to NPPES TX 015109

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Texas Medical Board.

Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events

⚠️

NPI Profile Deactivated September 10, 2021

NPPES lists this NPI as deactivated as of September 10, 2021; the reason is not published.

✅

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍

Practice Location (Initial Record) July 08, 2007

Registered at 3503 S WW WHITE RD, SAN ANTONIO, TX 782225017 (Tel: 2103377772)

📍

Business Mailing Address (Initial Record) July 08, 2007

Registered at MCA MED CARE, PO BOX 942, ADKINS, TX 781010942 (Tel: 2103377772)

👤

Provider Name / Credentials (Initial Record) July 08, 2007

Recorded as MITCHEL SHANER

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Ambulance (license number reported to NPPES: TX 015109)

🟢

Initial NPI Registration & Enumeration July 03, 2006

First registered as active Individual Practitioner in NPPES Database.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1609806082

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: July 03, 2006

Last Update: July 08, 2007

Deactivation Date: September 10, 2021

Update or Correct Profile

Mailing Address

Mca Med Care, Po Box 942

Adkins, TX 781010942

Phone: 2103377772

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.