CHARLES ROY SHANNON MD NPI 1619959384

NPI Information

NPI: 1619959384
Provider Name: CHARLES ROY SHANNON, MD
Classification: Internal Medicine - 207RG0100X
Entity Type: Individual

Specialization: Gastroenterology

Address:
2841 DEBARR ROAD
SUITE 50
ANCHORAGE, AK
ZIP 99508
Phone: (907) 276-2811
Get Directions

Charles Roy Shannon, MD is a gastroenterology internal medicine in Anchorage, AK. The provider is an internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. Charles Roy Shannon, MD NPI is 1619959384. 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:

2841 DEBARR ROAD
SUITE 50
ANCHORAGE, AK
ZIP 99508-932
Phone: (907) 276-2811
Fax: (907) 276-2810

The enumeration date for this NPI number is 11/17/2005 and was last updated on 4/24/2013.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RG0100X	Internal Medicine	Gastroenterology	2099	ALASKA	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	MD20991	MEDICAID	ALASKA
2	K153146	MEDICARE ID-TYPE UNSPECIFIED
3	C97237	MEDICARE 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: 11/14/2023

NPI Synchronization or Removal

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