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

Glen D Shook, MD

Individual provider Emergency Medicine Physician · NPI 1194767814

Glen D Shook, MD is an Emergency Medicine in Whittier, California. Graduated from Medical College of Wisconsin in 1988, 38 years ago. Practices with Intercommunity Emergency Medical Group, a 60-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
38
Trained at
Medical College of Wisconsin
Licensed in
CA
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

12401 Washington Blvd
Whittier, CA 90602-1006
Phone: (562) 698-0811
Fax: (818) 587-2493
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence G73240 (CA)

Record details

NPI number1194767814
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 10, 2006
Last updated in NPPESJuly 13, 2026
Mailing addressPo Box 4419, Woodland Hills, CA 91365-4419

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolMEDICAL COLLEGE OF WISCONSIN
Graduated 1988 (38 years in practice)
Group practice Intercommunity Emergency Medical Group — 60 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Whittier