Shannon Kimberly Lieb, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

OS015474 Issued in PA

Practice address

967 E Lancaster Ave
Downingtown, PA 19335-3328

Phone

(484) 593-5160

NPI assigned

Oct 8, 2008

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 1

Other names 1

• Shannon Kimberly Monk Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in PA

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 1

Specialty

Family Practice

Education

Philadelphia College of Osteopathic Medicine, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Patient First Pennsylvania Medical Group PLLCGroup PAC ID 5193900280, 132 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: paexchange@patientfirstclinics.com

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.

• Patient First Pennsylvania Medical Group PLLC

  • Urgent Care Clinic/Center
  • Glen Allen, VA
  • NPI 1194039560

  Family Medicine, PA

  Medicare reassignment Care Compare group NPD
• Patient First Pennsylvania Medical Group PLLC

  • Family Medicine Physician
  • Fairless Hills, PA
  • NPI 1144870387
  NPD
• Patient First Pennsylvania Medical Group PLLC

  • Family Medicine Physician
  • Montgomeryville, PA
  • NPI 1568712677
  NPD

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

{
    "created_epoch": "1223424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645056000000",
    "number": "1093966046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 COX RD",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230609263",
            "telephone_number": "804-968-5700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "967 E LANCASTER AVE",
            "city": "DOWNINGTOWN",
            "state": "PA",
            "postal_code": "193353328",
            "telephone_number": "484-593-5160"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "950 Octorara Trail",
            "address_purpose": "LOCATION",
            "city": "Parkesburg",
            "state": "PA",
            "postal_code": "193652150",
            "country_code": "US",
            "telephone_number": "610-857-6616",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LIEB",
        "first_name": "SHANNON",
        "middle_name": "KIMBERLY",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-08",
        "last_updated": "2022-02-17",
        "certification_date": "2022-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS015474",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "6063731",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "PAExchange@patientfirstclinics.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "967 E Lancaster Ave",
            "city": "Downingtown",
            "state": "PA",
            "country_code": "US",
            "postal_code": "193353328",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "SHANNON",
            "last_name": "MONK",
            "middle_name": "KIMBERLY",
            "credential": "DO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lawrence K Alwine D O
• Brandon Leboeuf, MSW, LCSW
• Seth Loius Lehman
• Jeannie Lerch, PSYD.
• Fraulein Fangfei Li, MD
• Gabrielle Morgan Lieberman
• Life Fit Physical Therapy, LLC
• Lift Angels LLC
• Eileen Lightner, PSY.D.
• Shelbi Lindros, BCBA

• Family Medicine Physician in Downingtown, PA
• Providers in Downingtown, PA by specialty
• Family Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2022; 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.