Provider Demographics
NPI:1043226285
Name:SHOKEK, ORI (MD)
Entity Type:Individual
Prefix:
First Name:ORI
Middle Name:
Last Name:SHOKEK
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1803 MOUNT ROSE AVE
Mailing Address - Street 2:SUITE B3
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17403-3026
Mailing Address - Country:US
Mailing Address - Phone:717-851-1405
Mailing Address - Fax:717-812-4087
Practice Address - Street 1:25 MONUMENT RD
Practice Address - Street 2:SUITE 94
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17403-5074
Practice Address - Country:US
Practice Address - Phone:717-741-8180
Practice Address - Fax:717-741-8196
Is Sole Proprietor?:No
Enumeration Date:2006-07-31
Last Update Date:2020-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD645732085R0001X
PAMD4336102085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA20075708OtherAMERIHEALTH MERCY-WMG
PA2027454OtherHIGHMARK BLUE SHIELD
PA102114308Medicaid
PA112627OtherGEISINGER HEALTH PLAN
PA1570602OtherGATEWAY-WMG
PA50077193OtherCAPITAL BLUE CROSS-WMG
PA7593869OtherAETNA
PA200237OtherJOHNS HOPKINS
PAP00641359Medicare PIN
PA20075708OtherAMERIHEALTH MERCY-WMG
PA1570602OtherGATEWAY-WMG