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

Individual provider Pediatric Emergency Medicine (Pediatrics) Physician · NPI 1053774802

Shane Wo, MD is a Pediatric Medicine in Aurora, Colorado. Qualified in 2016, 10 years ago. Works from 2 locations. Licensed in California and Colorado.

Years since qualifying
10
Licensed in
CA, CO
In the registry since
2016
Specialties on file
2
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

13123 E 16th Ave
Aurora, CO 80045-7106
Phone: (720) 777-1234
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3020 Childrens Way, San Diego, CA 92123-4223 — (858) 966-8800

Specialties & licences

Pediatric Emergency Medicine (Pediatrics) Physician (primary) Taxonomy 2080P0204X · Licence DR.0068651 (CO)
Pediatrics Physician Taxonomy 208000000X · Licence A162467 (CA)

Record details

NPI number1053774802
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 30, 2016
Last updated in NPPESAugust 12, 2022
Certification dateAugust 12, 2022
Mailing addressPo Box 110429, Aurora, CO 80042-0429

Medicare enrollment

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

Medicare specialtyPEDIATRIC MEDICINE
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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