THERESA L SHANAHAN MD NPI 1780681627

NPI Information

NPI: 1780681627
Provider Name: THERESA L SHANAHAN, MD
Classification: Pediatrics - 208000000X
Entity Type: Individual
Address:
1 LYONS ST
DEDHAM, MA
ZIP 02026
Phone: (781) 329-1400
Get Directions

Theresa L Shanahan, MD is a pediatrics in Dedham, MA. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. Theresa L Shanahan, MD NPI is 1780681627. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1 LYONS ST
DEDHAM, MA
ZIP 02026-599
Phone: (781) 329-1400
Fax: (781) 278-5667

The enumeration date for this NPI number is 7/7/2005 and was last updated on 7/8/2007.

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	208000000X	Pediatrics		206175	MASSACHUSETTS	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	Other Provider Identifier Issuer
1	27697	OTHER		CHILDREN'S MED SECURITY
2	2780341	OTHER	MASSACHUSETTS	HEALTHSOURCE
3	204130	OTHER		HARVARD PILGRIM PPO
4	1240820	OTHER		UNITED HEALTHCARE
5	206175	OTHER		TUFTS
6	J23933	OTHER		BS-BLUE CARE ELECT
7	J23933	OTHER		HMO BLUE/BLUE CHOICE
8	2780341	OTHER		CIGNA HEALTH CARE
9	0141330	OTHER		MASS HEALTH
10	204130	OTHER		FIRST SENIORITY
11	204130	OTHER		HARVARD PILGRIM POS
12	204130	OTHER		HARVARD PILGRIM
13	206175	OTHER		TUFTS COMMONWEALTH PPO
14	H44869	MEDICARE UPIN
15	0023152	OTHER		NEIGHBORHOOD HEALTH
16	206175	OTHER		TUFTS TOTAL HEALTH PLAN
17	J23933	OTHER		BLUE SHIELD INDEMNITYY

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

NPI Synchronization or Removal

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