Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1972602902 Individual Practitioner Male Practitioner

Dr. Shawn D. Trask , MD

Pediatrics • Montgomery, AL

Professional Overview & Biography Verified Profile Summary

Dr. Shawn Trask, MD is a registered healthcare professional specializing in Pediatrics in Montgomery, AL. Practice services are available at 8104 SEATON PL under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

8104 Seaton Pl

Montgomery, AL 361167204

Telephone 3342723889
Fax 3342724089
Associated Practice Facility / Clinic
🏢 Behavioral Medicine Llc Facility NPI 1326423781

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Montgomery, AL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 42.0 Yrs
State Avg: 28.7 Yrs
Regional Practice Density
49 Specialists

Practicing in Montgomery, AL (853 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2020-05-04
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License AL 33419

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Pediatrics

NUCC Taxonomy Code: 208000000X

State License KY TP873

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Pediatrics

NUCC Taxonomy Code: 208000000X

State License TN 20926

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
7100095850 INDIVIDUA (KY)
Medicaid State Provider ID
3056158 (TN)
Medicaid State Provider ID
180920 (AL)
Medicaid State Provider ID
65927394 GROUP (KY)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

22 Associated Practitioners
Dr. David Hall , DO

Psychiatry & Neurology - Psychiatry

NPI 1154316305

Doctor of Osteopathic Medicine (D.O.)

NPI 1205573409

Master of Science, ALC

Jerrel Ivey , LPC

Counselor - Professional

NPI 1215925706

Licensed Professional Counselor

NPI 1245706035
Bianca Austin , MS, LPC, NCC

Counselor - Professional

NPI 1245826429

Master of Science, Licensed Professional Counselor, National Certified Counselor

NPI 1346829181

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location May 04, 2020

Registered at 8104 SEATON PL, MONTGOMERY, AL 361167204 (Tel: 3342723889)

📍
Updated Business Mailing Address May 04, 2020

Registered at 8104 SEATON PL, MONTGOMERY, AL 361167204 (Tel: 3342723889)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 04, 2020

Pediatrics (License #33419 in AL)

NPI Profile Active December 04, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location December 04, 2011

Registered at 1532 LONE OAK RD, SUITE 345, PADUCAH, KY 420037913 (Tel: 2704426161)

📍
Updated Business Mailing Address December 04, 2011

Registered at PO BOX 636961, CINCINNATI, OH 452630001 (Tel: 5139815098)

👤
Provider Name / Credentials Updated December 04, 2011

Recorded as SHAWN TRASK, M.D

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 04, 2011

Pediatrics (License #TP873 in KY)

🟢
Initial NPI Registration & Enumeration September 22, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1972602902
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 22, 2006
Last Update: May 04, 2020
Sole Proprietor: No

Mailing Address

8104 Seaton Pl

Montgomery, AL 361167204

Phone: 3342723889

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.