DR. KAREN WANG SHANNON M.D. NPI 1124087317

NPI Information

NPI: 1124087317
Provider Name: DR. KAREN WANG SHANNON, M.D.
Classification: Family Medicine - 207QA0505X
Entity Type: Individual

Specialization: Adult Medicine

PECOS Registration: Yes

Address:
812 NW 57TH ST
GAINESVILLE, FL
ZIP 32605
Phone: (352) 519-5420
Get Directions

DR. Karen Wang Shannon, M.D. is an adult medicine family medicine in Gainesville, FL. The provider is definition to come. DR. Karen Wang Shannon, M.D. NPI is 1124087317. 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:

812 NW 57TH ST
GAINESVILLE, FL
ZIP 32605-414
Phone: (352) 519-5420
Fax: (352) 333-6249

The NPI 1124087317 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 3/17/2006 and was last updated on 11/19/2014.

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	207PE0004X	Emergency Medicine	Emergency Medical Services	ME81339	FLORIDA	No
2	207QA0505X	Family Medicine	Adult Medicine	ME81339	FLORIDA	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
1	51758Y	MEDICARE PIN	FLORIDA
2	053127800	MEDICAID	FLORIDA
3	51758Z	MEDICARE PIN	FLORIDA
4	E75962	MEDICARE UPIN	FLORIDA
5	H28447	MEDICARE UPIN	FLORIDA

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

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