# DR. SHANE R FANCHER

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1427055433
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | 036-094339 | IL | — |
| 207L00000X | Anesthesiology Physician | 24559 | SC | — |
| 207L00000X | Anesthesiology Physician | ME93432 | FL | — |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | 036-094339 | IL | Yes |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | 24559 | SC | — |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | ME93432 | FL | — |
| 208600000X | Surgery Physician | 036-094339 | IL | — |
| 208600000X | Surgery Physician | 24559 | SC | — |
| 208600000X | Surgery Physician | ME93432 | FL | — |
| 208VP0014X | Interventional Pain Medicine Physician | 036-094339 | IL | — |

## Other

- **Enumeration date:** 07/05/2005
- **Last updated:** 12/16/2025