MR. THOMAS OSWALD SHANNON MD NPI 1689781841

NPI Information

  • NPI: 1689781841
  • Provider Name: MR. THOMAS OSWALD SHANNON, MD
  • Classification: Surgery - 2086S0122X
  • Specialization: Plastic and Reconstructive Surgery
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 3115 COLLEGE PARK DRIVE
    STE 101
    THE WOODLANDS, TX
    ZIP 77384
  • Phone: (936) 321-4345

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NPI Details

MR. Thomas Oswald Shannon, MD is a plastic and reconstructive surgery surgery in The Woodlands, TX with 38 years of experience. The provider is a surgeon who specializes in plastic and reconstructive surgery. MR. Thomas Oswald Shannon, MD NPI is 1689781841. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: PENNSYLVANIA STATE UNIVERSITY COLLEGE OF MEDICINE
Graduation Year:1988

The provider's business location address is:

3115 COLLEGE PARK DRIVE
STE 101
THE WOODLANDS, TX
ZIP 77384-001
Phone: (936) 321-4345
Fax: (936) 321-4353

The NPI 1689781841 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 8/24/2006 and was last updated on 9/16/2015.

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
12086S0122XSurgeryPlastic and Reconstructive SurgeryJ5014TEXASYes

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
1E77804MEDICARE UPINTEXAS
2139377915MEDICAIDTEXAS
3080725701MEDICAIDTEXAS

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: 11/21/2025

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