Michael B Shannon, MD

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

License

35-05-2695-5 Issued in OH

Practice address

2809 Bell St
Zanesville, OH 43701-2861

Phone

(740) 453-6543

Fax

(740) 453-1168

NPI assigned

Jul 26, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in OH, MI2 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

Specialty

Neurosurgery

Education

Other, 1974

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mount Carmel East & West Hospital, Columbus, OH, CCN 360035
• Southeastern Ohio Regional Medical Center Hospital, Cambridge, OH, CCN 360203

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Mount Carmel Healthproviders Two LLC

  • Cardiovascular Disease Physician
  • Columbus, OH
  • NPI 1134154750

  Neurological Surgery

  Medicare reassignment NPD
• W. a. Foote Memorial Hospital, Inc

  • Internal Medicine Physician
  • Jackson, MI
  • NPI 1760437826
  Medicare reassignment NPD
• Mount Carmel Healthproviders Two LLC

  • Surgery Physician
  • Columbus, OH
  • NPI 1528203981
  NPD
• W.a. Foote Memorial Hospital, Inc

  • Physician Assistant
  • Jackson, MI
  • NPI 1538606348
  NPD
• Genesis Medical Group LLC

  • General Practice Physician
  • Zanesville, OH
  • NPI 1063663433

  Neurological Surgery

  NPD (past)
• Genesis Medical Group, LLC

  • Durable Medical Equipment & Medical Supplies
  • Coshocton, OH
  • NPI 1144022187
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Mount Carmel Health System

  • General Acute Care Hospital
  • Grove City, OH
  • NPI 1710067376
  Care Compare affiliation
• Mount Carmel Health System

  • General Acute Care Hospital
  • Columbus, OH
  • NPI 1982784534
  Care Compare affiliation
• Southeastern Ohio Regional Medical Center Inc

  • Rural Acute Care Hospital
  • Cambridge, OH
  • NPI 1346247350
  Care Compare affiliation

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

{
    "created_epoch": "1122336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407369600000",
    "number": "1043210727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2809 BELL ST",
            "city": "ZANESVILLE",
            "state": "OH",
            "postal_code": "437011741",
            "telephone_number": "740-453-6543",
            "fax_number": "740-453-1168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2809 BELL ST",
            "city": "ZANESVILLE",
            "state": "OH",
            "postal_code": "437012861",
            "telephone_number": "740-453-6543",
            "fax_number": "740-453-1168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHANNON",
        "first_name": "MICHAEL",
        "middle_name": "B",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-26",
        "last_updated": "2014-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "OH",
            "license": "35-05-2695-5",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0619156",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BWC",
            "identifier": "31116457500",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kaitlynn E Seymour
• William A Shade
• Kunal M Shah
• John Cashon Shamp, D.D.S.
• Nancy Shamp
• Ajay Kumar Sharma, M.D.
• Kimberly Sharrer
• Lynn Ann Sharrer
• Lisa Shaw
• Melissa Dawn Shaw, APRN, FNP-C

• Neurological Surgery Physician in Zanesville, OH
• Providers in Zanesville, OH by specialty
• Neurological Surgery Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2014; 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.