NPIMap

Individual provider Active NPI

Shannon Marie Page

  • Anesthesiology Physician
  • Durham, NC
National Provider Identifier
1073879680
Registry record updated Oct 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
2017-00676 Issued in NC
Practice address
2301 Erwin Road
Duke Medical Hospital- Medical Res Office (RM 8254 DN)
Durham, NC 27710
Phone
(650) 464-0576
NPI assigned
Apr 9, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 28, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NC
Anesthesiology Physician 207L00000X 2017-00676 NC Primary

Addresses

Primary practice location

2301 Erwin Road
Duke Medical Hospital- Medical Res Office (RM 8254 DN)
Durham, NC 27710

Mailing address

2301 Erwin Road
Duke Medical Hospital- Medical Res Office (RM 8254 DN)
Durham, NC 27710
Phone (650) 464-0576

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171130003299 NC Practitioner - Anesthesiology 3072808278 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Duke University School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Duke Health Integrated Practice IncGroup PAC ID 8325412737, 3,140 clinicians

Practice addresses (Care Compare)

3400 Wake Forest Rd
Suite 310
Raleigh, NC 27609-7317
Phone (919) 620-4855

40 Duke Medicine Cir
Durham, NC 27710-4000
Phone (919) 684-8111

Hospital & facility affiliations

  • Duke University Hospital Hospital, Durham, NC, CCN 340030
  • Duke Regional Hospital Hospital, Durham, NC, CCN 340155

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2017-00676NCMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Moses H Cone Memorial Hospital Operating Corporation CurrentSince Jul 31, 2023 Accepting new patients
Duke Health Integrated Practice, Inc. CurrentSince Jul 1, 2023 Accepting new patients
The Moses H. Cone Memorial Hospital Operating Corporation CurrentSince Jul 31, 2023 Accepting new patients
Regional Anesthesia, PLLC CurrentSince Oct 1, 2017 Accepting new patients

Locations

40 Duke Medicine Cir
Durham, NC 27710
Phone (919) 681-6588

3643 N Roxboro St
Durham, NC 27704
Phone (919) 470-6186

2301 Erwin Rd
Ofc
Durham, NC 27705
Phone (919) 681-2383

4220 N Roxboro St
Durham, NC 27704
Phone (919) 471-1518

509 N Elam Ave
Fl 3
Greensboro, NC 27403
Phone (336) 832-1970

Interoperability endpoints

  • Direct secure messaging: sklebe4459@direct.medicine.duke.edu

Organizations & group practices 4

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.

Hospital & facility affiliations 8

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

NPI Registry JSON

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

{
    "created_epoch": "1333929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635379200000",
    "number": "1073879680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 ERWIN ROAD",
            "address_2": "DUKE MEDICAL HOSPITAL- MEDICAL RES OFFICE (RM 8254 DN)",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "27710",
            "telephone_number": "650-464-0576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 ERWIN ROAD",
            "address_2": "DUKE MEDICAL HOSPITAL- MEDICAL RES OFFICE (RM 8254 DN)",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "27710",
            "telephone_number": "650-464-0576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAGE",
        "first_name": "SHANNON",
        "middle_name": "MARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-04-09",
        "last_updated": "2021-10-28",
        "certification_date": "2021-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NC",
            "license": null,
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NC",
            "license": "2017-00676",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

Verify at the official NPI Registry.