Organization Active NPI

Shannon Kearney, DO, PC

  • Allergy Physician
  • Bethlehem, PA
National Provider Identifier
1124167788
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy PhysicianTaxonomy code 207KA0200X
License
OS 011819 Issued in PA
Legal business name
SHANNON KEARNEY, DO, PC
Practice address
3535 High Point Blvd
Suite 600
Bethlehem, PA 18017-7804
Phone
(610) 867-8874
Fax
(610) 867-8871
NPI assigned
Feb 6, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Shannon Kearney, DONPI 1306843149
Title
President
Phone
(610) 867-8874

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy Physician 207KA0200X OS 011819 PA Primary

Addresses

Primary practice location

3535 High Point Blvd
Suite 600
Bethlehem, PA 18017-7804

Mailing address

3535 High Point Blvd
Suite 600
Bethlehem, PA 18017-7804
Phone (610) 867-8874

Other identifiers 1

IdentifierTypeStateIssuer
OS 011819OtherPAMEDICAL LICENCE

National Provider Directory

National Provider Directory

Locations

3535 High Point Blvd
Ste 600
Bethlehem, PA 18017
Phone (610) 360-0691

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1124167788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3535 HIGH POINT BLVD",
            "address_2": "SUITE 600",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180177804",
            "telephone_number": "610-867-8874",
            "fax_number": "610-867-8871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3535 HIGH POINT BLVD",
            "address_2": "SUITE 600",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180177804",
            "telephone_number": "610-867-8874",
            "fax_number": "610-867-8871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHANNON KEARNEY, DO, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KEARNEY",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "610-867-8874",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology, Allergy",
            "state": "PA",
            "license": "OS 011819",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENCE",
            "identifier": "OS 011819",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethlehem, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.