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DR. MICHAEL CAROLL SHANNON MD NPI 1164531497


NPI Information

NPI: 1164531497
Provider Name: DR. MICHAEL CAROLL SHANNON, MD
Classification: Pediatrics - 2080P0203X
Entity Type: Individual

Specialization: Pediatric Critical Care Medicine

Address:
1101 MADISON ST STE 800
SWEDISH PEDIATRIC SPECIALTY CARE
SEATTLE, WA
ZIP 98104
Phone: (206) 215-2700
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DR. Michael Caroll Shannon, MD is a pediatric critical care medicine pediatrics in Seattle, WA. The provider is a pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists. DR. Michael Caroll Shannon, MD NPI is 1164531497. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1101 MADISON ST STE 800
SWEDISH PEDIATRIC SPECIALTY CARE
SEATTLE, WA
ZIP 98104-307
Phone: (206) 215-2700
Fax: (206) 215-2702

The enumeration date for this NPI number is 8/30/2006 and was last updated on 8/26/2013.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12080P0203XPediatricsPediatric Critical Care MedicineMD60096471WASHINGTONYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1P002101056MEDICARE ID-TYPE UNSPECIFIED
2348424102MEDICARE PINNEW MEXICO
3NM301284MEDICARE PINNEW MEXICO
48549958MEDICAIDWASHINGTON
5L6647MEDICAIDNEW MEXICO
68883581MEDICARE PINWASHINGTON
7E16328MEDICARE UPIN

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: 4/28/2024

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