Shannel R Adams, M.D.

Key facts

NPI

1235455403

Entity type

Individual (NPI type 1)

Primary specialty

Obstetrics & Gynecology Physician 207V00000X

License

57.022223 (OH)

Practice address

7675 Wellness Way Ste 315
West Chester, OH 45069-2509

Phone

(513) 475-7657

NPI assigned

Apr 13, 2010

Sex

Female

Sole proprietor

No

Organizations & group practices 1

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.

• Pacific NW Fertility and Ivf Specialists. I. PLLC Reproductive Endocrinology Physician · Seattle, WA · NPI 1518910124
  NPD (past) REPRODUCTIVE ENDOCRINOLOGY

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: sadams853837@wm.providencedirect.org

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 1, 2014.

{
    "created_epoch": "1271116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404172800000",
    "number": "1235455403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7675 WELLNESS WAY STE 315",
            "city": "WEST CHESTER",
            "state": "OH",
            "postal_code": "450692509",
            "telephone_number": "513-475-7657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7675 WELLNESS WAY STE 315",
            "city": "WEST CHESTER",
            "state": "OH",
            "postal_code": "450692509",
            "telephone_number": "513-475-7657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADAMS",
        "first_name": "SHANNEL",
        "middle_name": "R",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-13",
        "last_updated": "2014-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VE0102X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": "OH",
            "license": "57.022223",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "OH",
            "license": "57.022223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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All providers in West Chester, OH · Obstetrics & Gynecology Physician in Ohio