DR. NICK H SHANNON MD NPI 1619076114

NPI Information

  • NPI: 1619076114
  • Provider Name: DR. NICK H SHANNON, MD
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 3326 E SOUTHCROSS BLVD
    SAN ANTONIO, TX
    ZIP 78223
  • Phone: (210) 532-3216

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NPI Details

DR. Nick H Shannon, MD is a family medicine in San Antonio, TX. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DR. Nick H Shannon, MD NPI is 1619076114. 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:

3326 E SOUTHCROSS BLVD
SAN ANTONIO, TX
ZIP 78223-922
Phone: (210) 532-3216
Fax: (210) 532-2262

The NPI 1619076114 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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes (HCPCS:97110)
  • Urinalysis, manual test (HCPCS:81002)
  • Blood glucose (sugar) test performed by hand-held instrument (HCPCS:82962)
  • Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes (HCPCS:97112)
  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Therapy procedure for walking training, each 15 minutes (HCPCS:97116)
  • Influenza vaccine split virus, preservative free (HCPCS:90662)
  • Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report (HCPCS:93000)
  • X-ray of chest, 2 views (HCPCS:71046)
  • Test to measure expiratory airflow and volume (HCPCS:94010)
  • Test for exercise-induced lung stress (HCPCS:94618)
  • Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme (HCPCS:J7620)
  • Stool analysis for blood to screen for colon tumors (HCPCS:82270)
  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • Re-evaluation for physical therapy, typically 20 minutes (HCPCS:97164)
  • Injection, methylprednisolone acetate, 40 mg (HCPCS:J1030)
  • Injection of drug or substance under skin or into muscle (HCPCS:96372)
  • Evaluation for physical therapy, typically 20 minutes (HCPCS:97161)
  • Influenza vaccine, quadrivalent derived from recombinant dna (HCPCS:90682)
  • Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
  • Complete ultrasound scan behind abdominal cavity (HCPCS:76770)
  • Ultrasound of heart with color-depicted blood flow, rate, direction and valve function (HCPCS:93306)
  • Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)

The enumeration date for this NPI number is 9/21/2006 and was last updated on 12/3/2010.

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
1207QG0300XFamily MedicineGeriatric MedicineD2834TEXASNo
2208D00000XGeneral PracticeD2834TEXASNo
3207Q00000XFamily MedicineD2834TEXASYes

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
1092125601MEDICAIDTEXAS
200E314MEDICARE ID-TYPE UNSPECIFIEDTEXAS
3B26377MEDICARE UPINTEXAS

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: 3/30/2025

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