Provider Demographics
NPI:1760699938
Name:CONES, SHAWN JAMES (MD)
Entity Type:Individual
Prefix:DR
First Name:SHAWN
Middle Name:JAMES
Last Name:CONES
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 1:1100 N UNIVERSITY AVE STE 102
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72207-6351
Mailing Address - Country:US
Mailing Address - Phone:501-904-3146
Mailing Address - Fax:501-904-3149
Practice Address - Street 1:1100 N UNIVERSITY AVE STE 102
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72207-6351
Practice Address - Country:US
Practice Address - Phone:501-904-3146
Practice Address - Fax:501-904-3149
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-17
Last Update Date:2022-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARE5860207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR179101001Medicaid
AR5G768Medicare PIN