Shannon Thomas Radgens, D.O.

Primary specialty

Plastic Surgery within the Head & Neck (Otolaryngology) PhysicianTaxonomy code 207YX0007X

License

5101013241 Issued in MI

Practice address

818 W King St
Suite 301
Owosso, MI 48867-2116

Phone

(989) 729-4800

Fax

(989) 729-4810

NPI assigned

Aug 19, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Otolaryngology

Education

Michigan State University College of Osteopathic Medicine, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Memorial HospitalGroup PAC ID 8527976497, 210 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Memorial Healthcare Hospital, Owosso, MI, CCN 230121
• Edward W Sparrow Hospital Hospital, Lansing, MI, CCN 230230

Merit-based Incentive Payment System (MIPS)

Final score

82.58 of 100Reported as group

Quality

58.15

Promoting interoperability

100

Improvement activities

40

Cost

74.45

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: shannonradgens@memh.allscriptsdirect.net
• Direct secure messaging: s.radgens@memorialhealthcare.midirect.net

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.

• Memorial Hospital

  • General Practice Physician
  • Owosso, MI
  • NPI 1235160532

  Otolaryngology

  Medicare reassignment Care Compare group NPD
• Red Cedar Ear Nose Throat & Audiology P.L.L.C.

  • Specialist
  • Owosso, MI
  • NPI 1447420625
  NPD (past) Authorized official
• Memorial Hospital

  • Anesthesiology Physician
  • Owosso, MI
  • NPI 1659527737
  NPD
• Memorial Hospital

  • General Practice Physician
  • Owosso, MI
  • NPI 1316008006
  NPD (past)
• Memorial Hospital

  • Home Health Agency
  • Owosso, MI
  • NPI 1952498610
  NPD (past)
• Mid-Michigan Behavioral Health, PC

  • Psychiatry Physician
  • Owosso, MI
  • NPI 1083823835
  NPD (past)

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

• Edward W Sparrow Hospital Association

  • General Acute Care Hospital
  • Lansing, MI
  • NPI 1073588711
  Care Compare affiliation
• Edward W Sparrow Hospital Association

  • General Acute Care Hospital
  • Lansing, MI
  • NPI 1760710719
  Care Compare affiliation
• Memorial Hospital

  • General Acute Care Hospital
  • Owosso, MI
  • NPI 1063414233
  Care Compare affiliation

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360800000000",
    "number": "1316051949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "818 W KING ST",
            "address_2": "SUITE 301",
            "city": "OWOSSO",
            "state": "MI",
            "postal_code": "488672116",
            "telephone_number": "989-729-4800",
            "fax_number": "989-729-4810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "818 W KING ST",
            "address_2": "SUITE 301",
            "city": "OWOSSO",
            "state": "MI",
            "postal_code": "488672116",
            "telephone_number": "989-729-4800",
            "fax_number": "989-729-4810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RADGENS",
        "first_name": "SHANNON",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-19",
        "last_updated": "2013-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207YX0007X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Plastic Surgery within the Head & Neck",
            "state": "MI",
            "license": "5101013241",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4616511",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jimmy Qaqish, MD
• Lauren Quinlan
• R U Ready Recovery PLLC
• Jamie Lee Rabaut, M.A., CCC-SLP
• Erika Rabb
• Tarah Jean Rakoski, PA-C
• Heidi Rambo
• Audra Regina Ramirez
• Patricia Ramirez
• Socorro Ramirez

• Plastic Surgery within the Head & Neck (Otolaryngology) Physician in Owosso, MI
• Providers in Owosso, MI by specialty
• Plastic Surgery within the Head & Neck (Otolaryngology) Physician in Michigan

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