Shannon Swanson, DO

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

34008887 Issued in OH

Practice address

158 W Main Rd
Conneaut, OH 44030-2039

Phone

(330) 493-4443

Fax

(330) 493-8677

NPI assigned

May 10, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in OH, PA2 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 2

Merit-based Incentive Payment System (MIPS)

Final score

96.46 of 100Reported as group

Quality

90.17

Improvement activities

40

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Osteopathy

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/0c45d456-c156-4baa-b6a0-bf60418740f7/
• Direct secure messaging: sswanson219950@ehrdirect.uhhospitals.org

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

• Steward Emergency Physicians Ohio Inc

  • Emergency Medicine Physician
  • Warren, OH
  • NPI 1124501861
  Medicare reassignment NPD
• University Emergency Specialists LLC

  • Emergency Medicine Physician
  • Conneaut, OH
  • NPI 1033454483
  Medicare reassignment
• Erie Banks Emergency Physicians LLC

  • Emergency Medicine Physician
  • Willoughby, OH
  • NPI 1801105366
  NPD (past)
• Windber Hospital, Inc.

  • General Acute Care Hospital
  • Windber, PA
  • NPI 1275620536
  NPD (past)

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

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688083200000",
    "number": "1023067550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4535 DRESSLER RD NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447182545",
            "telephone_number": "330-493-4443",
            "fax_number": "330-493-8677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "158 W MAIN RD",
            "city": "CONNEAUT",
            "state": "OH",
            "postal_code": "440302039",
            "telephone_number": "330-493-4443",
            "fax_number": "330-493-8677"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "476 S Main St",
            "address_purpose": "LOCATION",
            "city": "Andover",
            "state": "OH",
            "postal_code": "440039602",
            "country_code": "US",
            "telephone_number": "330-841-4000",
            "fax_number": "330-656-5901",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SWANSON",
        "first_name": "SHANNON",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-10",
        "last_updated": "2023-06-30",
        "certification_date": "2023-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OH",
            "license": "34008887",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000385522",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000383091",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PENNSYLVANIA MEDICAID",
            "identifier": "101986736-0001",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2708994",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Julie Mae Strader
• Kelsey Strasser
• Abirammy Sundaramoorthy, M.D.
• Michele Lynn Sundstrom, RN
• Sunshine Health Care Services Inc.
• Jennifer Rebecca Swiger, APRN CNP
• Dalton Timothy Talso
• Margaret Tate
• Lucinda A Taylor, LPN
• Ashley Thomas, OTR/L

• Emergency Medicine Physician in Conneaut, OH
• Providers in Conneaut, OH by specialty
• Emergency Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.