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

Individual provider Vascular Surgery Physician · NPI 1932224912

Dr. Shane McEntire, MD is a Vascular Surgery in Tallahassee, Florida. Graduated from University of Arkansas College of Medicine in 2005, 21 years ago. Practices with Tallahassee Memorial Healthcare Inc, a 497-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
21
Trained at
University of Arkansas College of Medicine
Licensed in
TX
In the registry since
2007
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

1401 Centerville Rd Ste 504
Tallahassee, FL 32308-4640
Phone: (850) 216-0100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Vascular Surgery Physician (primary) Taxonomy 2086S0129X · Licence R9255 (TX)

Record details

NPI number1932224912
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMarch 20, 2007
Last updated in NPPESJune 17, 2024
Certification dateJune 17, 2024
Mailing address1549 Escadrille Dr, Tallahassee, FL 32308-4788

Medicare enrollment

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

Medicare specialtyVASCULAR SURGERY
Medical schoolUNIVERSITY OF ARKANSAS COLLEGE OF MEDICINE
Graduated 2005 (21 years in practice)
Group practice Tallahassee Memorial Healthcare Inc — 497 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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