# SHAWN MICHAEL ACINO

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1942319850
- **Gender:** Man
- **Credential:** MD FACS

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208800000X | Urology Physician | 01074322A | IN | — |
| 208800000X | Urology Physician | 22723 | IL | — |
| 208800000X | Urology Physician | 49477 | KY | Yes |

## Other

- **Enumeration date:** 08/30/2006
- **Last updated:** 04/18/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000001036081 | ANTHEM BCBS KY | KY |
| 01 | — | 12063358 | CAQH | KY |
| 01 | — | 1942319850 | HUMANA | KY |
| 01 | — | 50115464 | PASSPORT | KY |
| 05 | — | 7100436510 | — | KY |