Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Jacob D. Shank, MD

Individual provider Emergency Medicine Physician · NPI 1780983312

Dr. Jacob D. Shank, MD is an Emergency Medicine in Cottonwood, Arizona. Graduated from Tulane University School of Medicine in 2011, 15 years ago. Practices with Flagstaff Emergency Physicians, a 39-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
15
Trained at
Tulane University School of Medicine
Licensed in
AZ
In the registry since
2011
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

269 S Candy Ln
Cottonwood, AZ 86326-4158
Phone: (928) 639-6172
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 49186 (AZ)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1780983312
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMarch 22, 2011
Last updated in NPPESAugust 20, 2014

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyEMERGENCY MEDICINE
Medical schoolTULANE UNIVERSITY SCHOOL OF MEDICINE
Graduated 2011 (15 years in practice)
Group practice Flagstaff Emergency Physicians — 39 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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