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SHANNON DALE ARMSTRONG M.D. NPI 1780891176


NPI Information

NPI: 1780891176
Provider Name: SHANNON DALE ARMSTRONG, M.D.
Classification: Surgery - 2086S0122X
Entity Type: Individual

Specialization: Plastic and Reconstructive Surgery

PECOS Registration: Yes

Address:
245 CHERRY STREET S.E.
SUITE 302
GRAND RAPIDS, MI
ZIP 49503
Phone: (616) 459-4131
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Shannon Dale Armstrong, M.D. is a plastic and reconstructive surgery surgery in Grand Rapids, MI with 18 years of experience. The provider is a surgeon who specializes in plastic and reconstructive surgery. Shannon Dale Armstrong, M.D. NPI is 1780891176. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: WRIGHT STATE UNIVERSITY BOONSHOFT SCHOOL OF MEDICINE
Graduation Year:2006

The provider's business location address is:

245 CHERRY STREET S.E.
SUITE 302
GRAND RAPIDS, MI
ZIP 49503-607
Phone: (616) 459-4131
Fax: (616) 459-6030

The NPI 1780891176 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.

  • Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes (HCPCS:97110)
  • Evaluation of occupational therapy, typically 30 minutes (HCPCS:97165)

The enumeration date for this NPI number is 5/17/2007 and was last updated on 8/16/2012.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208600000XSurgery4301088227MICHIGANNo
22086S0122XSurgeryPlastic and Reconstructive Surgery4301088227MICHIGANYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1D16253021MEDICARE 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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.