Mackenzie R Shaughnessy, DO

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

34.016571 Issued in OH

Practice address

5000 E Market St Ste 30
Warren, OH 44484-2259

Phone

(330) 856-9699

NPI assigned

Mar 27, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Osteopathy

State licenses

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.

• Children's Hospital Medical Center of Akron

  dba Akron Children's Home Care

  • Home Infusion Agency
  • Akron, OH
  • NPI 1649485848
  NPD (past)
• Children's Hospital Medical Center of Akron

  dba Akron Children's Hospital-Physician Group

  • Pediatrics Physician
  • Akron, OH
  • NPI 1841328853

  Single Specialty

  NPD (past)
• Children's Hospital Medical Center of Akron

  • Specialty Pharmacy
  • Akron, OH
  • NPI 1841916905
  NPD (past)

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

{
    "created_epoch": "1585267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687824000000",
    "number": "1275161275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 E MARKET ST STE 30",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444842259",
            "telephone_number": "330-856-9699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 E MARKET ST STE 30",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444842259",
            "telephone_number": "330-856-9699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAUGHNESSY",
        "first_name": "MACKENZIE",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-27",
        "last_updated": "2023-06-27",
        "certification_date": "2023-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "34.016571",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sharon George DO Inc
• Tonya D Sharp, LMT
• Melissa A. Sharper
• Jillian Sharpnack
• Emily Shattuck, DPT
• Sharon Shaw-Chandler
• Jo C Shaw-Franklin, MSW, LISW
• Makayla Shea, LPN
• Bridget R Sheets, CDCA
• Julia Sheffield, LPN

• Pediatrics Physician in Warren, OH
• Providers in Warren, OH by specialty
• Pediatrics Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2023; 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.