Shannon Webb Von Gunten, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

50.003481 Issued in OH

Practice address

5172 Leavitt Rd
Lorain, OH 44053-2384

Phone

(440) 282-7420

NPI assigned

Mar 14, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Fairview HospitalGroup PAC ID 4688571730, 74 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Fairview Hospital Hospital, Cleveland, OH, CCN 360077

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Fairview Hospital

  • Obstetrics & Gynecology Physician
  • Cleveland, OH
  • NPI 1407953706
  Medicare reassignment Care Compare group NPD
• The Cleveland Clinic Foundation

  • General Acute Care Hospital
  • Cleveland, OH
  • NPI 1679525919
  Medicare reassignment NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Fairview Hospital

  • General Acute Care Hospital
  • Cleveland, OH
  • NPI 1215989611
  Care Compare affiliation

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

{
    "created_epoch": "1363219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363219200000",
    "number": "1295076370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5172 LEAVITT RD",
            "city": "LORAIN",
            "state": "OH",
            "postal_code": "440532384",
            "telephone_number": "440-282-7420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5172 LEAVITT RD",
            "city": "LORAIN",
            "state": "OH",
            "postal_code": "440532384",
            "telephone_number": "440-282-7420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VON GUNTEN",
        "first_name": "SHANNON",
        "middle_name": "WEBB",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-03-14",
        "last_updated": "2013-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "OH",
            "license": "50.003481",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa L Visnyai, MSN, RN
• John Vitello, LSW
• Caitlin Vogler, LISW
• Samantha Rose Von Bauer, RN
• Savannah Marie Von Eitzen
• Ciara Nicole Wade
• Elizabeth Wainio, RN
• Wal-Mart Stores East LP
• Wal-Mart Stores East LP
• Walgreen Co

• Medical Physician Assistant in Lorain, OH
• Providers in Lorain, OH by specialty
• Medical Physician Assistant in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2013; 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.