Shannon K Alsop, DO

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

License

OS016023 Issued in PA

Practice address

150 S Warner Rd Ste 310
King of Prussia, PA 19406-2860

Phone

(773) 292-4800

Fax

(312) 564-4059

NPI assigned

Jun 18, 2009

Last updated

Oct 13, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in PA, NY, MD, TN, AL, VT, GA, CT, IN, LA, OR, MO, IL13 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 13

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: salsop28992@evernorth.direct-ci.com
• Direct secure messaging: shannon.alsop.p2@direct.alegiscare.nextgenshare.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Alegis Care - Pennsylvania PC

  • Family Medicine Physician
  • Pittsburgh, PA
  • NPI 1548511017
  Medicare reassignment NPD
• Evernorth Care Providers - Delaware PA

  • General Practice Physician
  • Philadelphia, PA
  • NPI 1457138182
  Medicare reassignment NPD
• Evernorth Care Providers - Delaware PA

  • General Practice Physician
  • Indianapolis, IN
  • NPI 1013795053
  Medicare reassignment NPD
• Evernorth Care Providers - Delaware PA

  • General Practice Physician
  • Baltimore, MD
  • NPI 1063284032
  Medicare reassignment NPD
• Evernorth Care Providers - Delaware PA

  • Internal Medicine Physician
  • Kansas City, MO
  • NPI 1073262408
  Medicare reassignment NPD
• Evernorth Care Providers - Delaware PA

  • Internal Medicine Physician
  • Rutland, VT
  • NPI 1215675327
  Medicare reassignment NPD
• Evernorth Care Providers - Delaware PA

  • Internal Medicine Physician
  • East Berlin, CT
  • NPI 1437803012
  Medicare reassignment NPD
• Evernorth Care Providers - Delaware PA

  • Internal Medicine Physician
  • Portland, OR
  • NPI 1700529120
  Medicare reassignment NPD
• Evernorth Care Providers - Tennessee PC

  • General Practice Physician
  • Birmingham, AL
  • NPI 1356128904
  Medicare reassignment NPD
• Evernorth Care Providers - Tennessee PC

  • General Practice Physician
  • Atlanta, GA
  • NPI 1780461335
  Medicare reassignment NPD
• Evernorth Medical Care Providers New York Professional Corporation

  • Family Medicine Physician
  • Melville, NY
  • NPI 1205234291

  Adult Medicine

  Medicare reassignment NPD
• Evernorth Care Providers - Delaware PA

  • General Practice Physician
  • Chicago, IL
  • NPI 1558118281
  Medicare reassignment

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1245283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602547200000",
    "number": "1003043803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1340 S DAMEN AVE",
            "address_2": "SUITE 400",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606081169",
            "telephone_number": "773-292-4800",
            "fax_number": "312-564-4059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 S WARNER RD STE 310",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "194062860",
            "telephone_number": "773-292-4800",
            "fax_number": "312-564-4059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALSOP",
        "first_name": "SHANNON",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-18",
        "last_updated": "2020-10-13",
        "certification_date": "2020-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "PA",
            "license": "OT012985",
            "primary": false
        },
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "PA",
            "license": "OS016023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Faith Alleyne
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• Alpha Mens Clinic PC (Alpha Mens Center)
• Alpha Optical King of Prussia LLC
• Amanda Alston
• Alta Smiles PA PC
• Natalie Ann Amann, DDSMAGD
• Diana Amarante
• Ambulnz PA, LLC

• Adult Medicine Physician in King of Prussia, PA
• Providers in King of Prussia, PA by specialty
• Adult Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.