Jelena Kravic Shadick, M.D.

Pediatrics Physician · Oshkosh, WI

Individual Active NPI

NPI number 1316331960

Practice location

2700 W 9TH Ave
Oshkosh, WI 54904
Phone
(904) 633-4199

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NPI record

NPI
1316331960
Entity type
Individual (Type 1)
Enumeration date
March 21, 2015
Last updated
June 8, 2018
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pediatrics Physician Primary 208000000X 68579 WI
Student in an Organized Health Care Education/Training Program 390200000X — —

Mailing address

2700 W 9TH Ave
Oshkosh, WI 54904-7247

About Dr. Shadick

Jelena Kravic Shadick, M.D. is a healthcare provider registered in the NPI registry with the primary taxonomy Pediatrics Physician (code 208000000X). The practice location is 2700 W 9TH Ave, Oshkosh, WI 54904. The NPI number 1316331960 was assigned on March 21, 2015 and the record was last updated on June 8, 2018.

Dr. Shadick lists a license in the registry: #68579 (WI) for Pediatrics Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jelena Kravic Shadick, M.D.?

The NPI number is 1316331960.

What is the phone number of Dr. Shadick?

The phone number listed for the practice location is (904) 633-4199.

Where is Dr. Shadick located?

2700 W 9TH Ave, Oshkosh, WI 54904.

What is the taxonomy code for Dr. Shadick?

The primary taxonomy code is 208000000X – Pediatrics Physician; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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