Shane Charles Wilson, DO
Shane Charles Wilson, DO is an Internal Medicine in Memphis, Missouri. Graduated from At Still University, Arizona School of Dentistry & Oral Hlth in 2012, 14 years ago. Practices with Northeast Missouri Health Council Inc, a 20-clinician group and accepts Medicare assignment. Licensed in Missouri.
- Years since qualifying
- 14
- Trained at
- At Still University, Arizona School of Dentistry & Oral Hlth
- Licensed in
- MO
- In the registry since
- 2012
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.
Practice location Address checks out
118 E Grand AveMemphis, MO 63555-1419
Phone: (660) 465-7522
Fax: (660) 465-7526
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Internal Medicine Physician (primary) | Taxonomy 207R00000X · Licence 2014026613 (MO) |
|---|
Record details
| NPI number | 1477808467 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | DO |
| Sole proprietor | No |
| NPI enumerated | July 17, 2012 |
| Last updated in NPPES | May 8, 2026 |
| Certification date | May 8, 2026 |
| Mailing address | 118 E Grand Ave, Memphis, MO 63555-1419 |
Medicare enrollment
| Medicare specialty | INTERNAL MEDICINE |
|---|---|
| Medical school | AT STILL UNIVERSITY, ARIZONA SCHOOL OF DENTISTRY & ORAL HLTH |
| Graduated | 2012 (14 years in practice) |
| Group practice | Northeast Missouri Health Council Inc — 20 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |
Other providers in Memphis
-
Northeast Missouri Health Council Inc
118 E Grand Ave, Memphis, MO 63555 · (660) 627-5757