DR. SHANNON DEAN M.D. PH.D. NPI 1376803577

NPI Information

NPI: 1376803577
Provider Name: DR. SHANNON DEAN, M.D., PH.D.
Classification: Psychiatry & Neurology - 2084N0600X
Entity Type: Individual

Specialization: Clinical Neurophysiology

PECOS Registration: Yes

Address:
601 ELMWOOD AVE.
ROCHESTER, NY
ZIP 14642
Phone: (585) 275-2808
Get Directions

DR. Shannon Dean, M.D., PH.D. is a clinical neurophysiology psychiatry neurology in Rochester, NY. The provider is clinical Neurophysiology is a subspecialty with psychiatric or neurologic expertise in the diagnosis and management of central, peripheral, and autonomic nervous system disorders using combined clinical evaluation and electrophysiologic testing such as electroencephalography (EEG), electromyography (EMG), and nerve conduction studies (NCS). DR. Shannon Dean, M.D., PH.D. NPI is 1376803577. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

601 ELMWOOD AVE.
ROCHESTER, NY
ZIP 14642-001
Phone: (585) 275-2808
Fax: (585) 275-3683

The NPI 1376803577 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/22/2012 and was last updated on 7/25/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208000000X	Pediatrics		P27654	MARYLAND	No
2	2084N0402X	Psychiatry & Neurology	Neurology with Special Qualifications in Child Neurology	P27654	MARYLAND	No
3	2084N0600X	Psychiatry & Neurology	Clinical Neurophysiology	289101	NEW YORK	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	P27654	OTHER	MARYLAND	STATE LICENSE NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »