SHANEYFELT CLINIC – Family Medicine Physician, NPI 1124175773

SHANEYFELT CLINIC is a healthcare provider. based in Manila, Arkansas. specializing in Family Medicine Physician. The NPI Number for SHANEYFELT CLINIC is 1124175773

Main info

Organization
Name
SHANEYFELT CLINIC
NPI
1124175773
Phone
(870) 561-4421
Address
PO BOX 630
Authorized Official
MS. DORA ELIZABETH SHANEYFELT OWNER AND ADVANCED PRACTICE NURSE MSN, APN, CNS
Enumeration Date
5 January 2007
Last Update Date
24 May 2011
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:19State licenses:0Digital endpointsOther names

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Provider Addresses for SHANEYFELT CLINIC

  • PO BOX 630

    105 SOUTH BALTIMORE STREET

    MANILA, AR 724420630

    Phone: (870) 561-4421

    Fax: (870) 561-3434

    Type: Mailing

  • Baltimore Avenue, Manila, Mississippi County, Arkansas, 72442, United States

    MANILA, AR 724420630

    Phone: (870) 561-4421

    Fax: (870) 561-3434

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 72442)

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Reviews

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Frequently asked questions

Can I cross-check SHANEYFELT CLINIC using NPI 1124175773?
NPI 1124175773 belongs to SHANEYFELT CLINIC; compare other details if you need extra assurance.
Active or inactive — what applies to SHANEYFELT CLINIC?
You should see SHANEYFELT CLINIC as active in CMS-hosted NPPES data.
What area of care is associated with SHANEYFELT CLINIC?
SHANEYFELT CLINIC's record emphasizes Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for SHANEYFELT CLINIC?
Travel planning: use Manila, Arkansas as the reference point for SHANEYFELT CLINIC, then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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