STEVEN SHANNON DPM NPI 1669460101

NPI Information

  • NPI: 1669460101
  • Provider Name: STEVEN SHANNON, DPM
  • Classification: Podiatrist - 213ES0103X
  • Specialization: Foot & Ankle Surgery
  • Entity Type: Individual
  • Address: 3801 MARKET ST
    MAB #111
    PHILADELPHIA, PA
    ZIP 19104
  • Phone: (215) 662-9563

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NPI Details

Steven Shannon, DPM is a foot and ankle surgery podiatrist in Philadelphia, PA. Steven Shannon, DPM NPI is 1669460101. 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:

3801 MARKET ST
MAB #111
PHILADELPHIA, PA
ZIP 19104-153
Phone: (215) 662-9563
Fax: (215) 243-8818

The enumeration date for this NPI number is 10/10/2005 and was last updated on 10/10/2012.

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
1213ES0103XPodiatristFoot & Ankle SurgerySC-004744-2PENNSYLVANIAYes

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
1V00189MEDICARE UPIN
21009461910001MEDICAIDPENNSYLVANIA
3080327M08MEDICARE PIN

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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