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Individual Healthcare Provider

Thomas J Shaknovsky, DO

NPI Record: ActiveSurgery
NPI1568690014
Crestview, Florida

Provider's NPPES record last updated: August 24, 2022

Overview

Entity Type
Individual Healthcare Provider
NPI
1568690014
Primary Specialty
Surgery
Practice Location
Crestview, Florida
Sole Proprietor
No

Federal Screening

NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.

List of Excluded Individuals/Entities (LEIE)

HHS Office of Inspector General

Potential match — review required

1 potential match identified in List of Excluded Individuals/Entities (LEIE). Review required.

Source data
September 10, 2026
Records indexed
84,001
Screened
Sep 19, 2026, 8:46 AM UTC
NPI match

THOMAS JACOB SHAKNOVSKY

Why NPISignal flagged this

  • The NPI on both records is identical

The exclusion record carries the same NPI. This is the strongest signal available in the public data, and still warrants confirmation with the source before any action is taken.

The source record

Name on the exclusion record
THOMAS JACOB SHAKNOVSKY
NPI on the exclusion record
1568690014
General category
PHYSICIAN (MD, DO)
Specialty
GENERAL PRACTICE
Exclusion type
1128b4
Exclusion date
January 20, 2025
Excluding agency
HHS Office of Inspector General
Location on record
DESTIN, FL, 32541
Date of birth on record
Held by the source, not shown

Confirm this record directly with the HHS-OIG exclusions database before acting on it. NPISignal matches on public identity fields and cannot verify identity using a Social Security number or employer identification number — only the issuing agency can.

SAM.gov Exclusions

U.S. General Services Administration

Not checked

SAM.gov Exclusions was not checked.

SAM.gov screening is not configured on this deployment. No SAM check has been performed.

Screened
Not checked

This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

Run a name-based screening

Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

  • Surgery

    Allopathic & Osteopathic Physicians

    Primary

    A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

    Taxonomy code 208600000X

  • Colon & Rectal Surgery

    Allopathic & Osteopathic Physicians

    A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease.

    Taxonomy code 208C00000X

Provider-Reported License Information

Surgery (Florida)
OS16658
Surgery (New Jersey)
25MA09329900
Colon & Rectal Surgery (Florida)
16658
License numbers are reported by the provider to NPPES and are not independently verified by NPISignal against any state licensing board. Confirm current license status directly with the issuing state board.

Practice Locations

Practice Location

214 Covell Rd

Crestview, Florida 32539-6060

Phone: (850) 864-4005

Additional Practice Location

6879 US Highway 98 W

Santa Rosa Beach, Florida 32459-3257

Phone: (850) 660-5204

Additional Practice Location

554 Twin Cities Blvd Ste C

Niceville, Florida 32578-1058

Phone: (850) 660-5204

Record Information

Enumeration Date
June 23, 2009
Provider's NPPES Record Last Updated
August 24, 2022
Certification Date
August 23, 2022
NPISignal NPPES Dataset
August 2026

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