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

Shane Robert Wortman, DPM

Individual provider Foot & Ankle Surgery Podiatrist · NPI 1245417385

Shane Robert Wortman, DPM is a Foot & Ankle Surgery Podiatrist in Fort Campbell, Kentucky. Licensed in Nebraska. Registered with an NPI since 2008.

Licensed in
NE
In the registry since
2008
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

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Practice location Address checks out

650 Joel Dr
Fort Campbell, KY 42223-5318
Phone: (270) 798-8375
Fax: (270) 798-8630
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Foot & Ankle Surgery Podiatrist (primary) Taxonomy 213ES0103X · Licence 285 (NE)

Record details

NPI number1245417385
Entity typeIndividual (Type 1)
GenderMale
Credentials DPM
Sole proprietorNo
NPI enumeratedJanuary 30, 2008
Last updated in NPPESFebruary 4, 2019
Mailing address650 Joel Drive, Podiatry/Ortho Dept, Fort Campbell, KY 42223-5318

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