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

John E Shockley, DO

Individual provider Family Medicine Physician · NPI 1639161003

John E Shockley, DO is a Family Medicine Physician in Lees Summit, Missouri. Licensed in Missouri. Registered with an NPI since 2005.

Licensed in
MO
In the registry since
2005
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

615 SW 3rd St
Lees Summit, MO 64063-2212
Phone: (816) 524-3799
Fax: (913) 495-3727
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence R5A82 (MO)

Record details

NPI number1639161003
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedAugust 22, 2005
Last updated in NPPESNovember 1, 2021
Certification dateNovember 1, 2021
Mailing address8550 Marshall Dr Ste 220, Lenexa, KS 66214-1505

Other providers in Lees Summit