Karen Wang Shannon, M.D.

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

License

ME81339 Issued in FL

Practice address

812 NW 57TH St
Gainesville, FL 32605-6414

Phone

(352) 519-5420

Fax

(352) 333-6249

NPI assigned

Mar 17, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Gainesville Family Physicians P a

  • Family Medicine Physician
  • Gainesville, FL
  • NPI 1972601789
  NPD (past)
• Gainesville Physicians LLC

  • Family Medicine Physician
  • Gainesville, FL
  • NPI 1992946461
  NPD (past)

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

{
    "created_epoch": "1142553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416355200000",
    "number": "1124087317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8976 SW 11TH AVE",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326074962",
            "telephone_number": "352-219-8104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "812 NW 57TH ST",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326056414",
            "telephone_number": "352-519-5420",
            "fax_number": "352-333-6249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHANNON",
        "first_name": "KAREN",
        "middle_name": "WANG",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-17",
        "last_updated": "2014-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "FL",
            "license": "ME81339",
            "primary": true
        },
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "FL",
            "license": "ME81339",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "053127800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Julie Shaner, M.D.
• Valli N Shanmugam, M. D.
• Kate Shannahan, PA-C
• Shannon River Enterprises,Inc.
• Erica Shannon
• Molly Catherine Shannon
• Wendy Shannon, LMHC
• Susan Shapiro, CCC-SLP
• Yana Shaposhnikova
• Cynthia A. Sharadin, M.D.

• Adult Medicine Physician in Gainesville, FL
• Providers in Gainesville, FL by specialty
• Adult Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.