Active NPI
Moira A Shanahan, M.D.
- Obstetrics & Gynecology Physician
- Lebanon, NH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 15992
- Practice address
- 1 Medical Center Dr
DH - OB/GYN
Lebanon, NH 03756-1000 - Phone
- (603) 653-9300
- Fax
- (603) 650-0901
- NPI assigned
- Jan 18, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 15992 | NH | Primary |
| Obstetrics & Gynecology Physician | 207V00000X | 014577 | ME |
Addresses
Primary practice location
1 Medical Center Dr
DH - OB/GYN
Lebanon, NH 03756-1000
Mailing address
1 Medical Center Dr
DH - OB/GYN
Lebanon, NH 03756-1000
Phone (603) 653-9300
Other practice location 1
246 Pleasant St Bldg West
Concord, NH 03301-2548
Phone (603) 228-1111
Other practice location 2
22 Bramhall St
Portland, ME 04102-3134
Phone (207) 662-5400
Other practice location 3
15 Old Rollinsford Rd Ste 102
Dover, NH 03820-2869
Phone (603) 749-4963
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3085897 | Medicaid | NH | |
| 1021892 | Medicaid | VT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ME, NH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Geisel School of Medicine at Dartmouth, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
15 Old Rollinsford Rd
Suite 102
Dover, NH 03820-2840
Phone (603) 749-4963
246 Pleasant St
Concord, NH 03301-2548
Phone (603) 224-3388
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 014577 | ME | MD | Obstetrics & Gynecology Physician |
| 15992 | NH | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maine Medical Partners | Current | Accepting new patients | |
| Concord Hospital, Inc. | Current | Accepting new patients | |
| Maine Medical Partners | Obstetrics & Gynecology | Current | Accepting new patients |
| Wentworth Douglass Physician Corporation | Current | Accepting new patients | |
| Wentworth Douglass Hospital | Current | Accepting new patients | |
| Concord Hospital, Inc. | Current | Accepting new patients | |
| Cheshire Medical Center | Current | Accepting new patients | |
| Mary Hitchcock Memorial Hospital | Current | Accepting new patients | |
| Mary Hitchcock Memorial Hospital | Current | Accepting new patients | |
| Mary Hitchcock Memorial Hospital | Current | Accepting new patients | |
| Wentworth Douglass Physician Corporation | Current | Accepting new patients | |
| Concord Hospital, Inc. | Current | Accepting new patients | |
| Maine Medical Partners | Current | Accepting new patients | |
| Dartmouth-Hitchcock Clinic | Obstetrics & Gynecology | Current | Accepting new patients |
| Concord Hospital, Inc. | Past | Accepting new patients | |
| Wentworth Douglass Hospital | Past | Accepting new patients |
Locations
22 Bramhall St
Portland, ME 04102
Phone (207) 662-2179
887 Congress St
Ste 200
Portland, ME 04102
Phone (207) 771-5549
250 Pleasant St
Concord, NH 03301
Phone (603) 225-2711
246 Pleasant St
Bldg W
Concord, NH 03301
Phone (603) 224-3388
246 Pleasant St
Concord, NH 03301
Phone (603) 224-1223
789 Central Ave
Dover, NH 03820
Phone (603) 740-2832
15 Old Rollinsford Rd
Ste 102
Dover, NH 03820
Phone (603) 742-7338
580 Court St
Keene, NH 03431
Phone (603) 354-5454
590 Court St
Keene, NH 03431
Phone (603) 354-5454
1 Medical Dr
Lebanon, NH 03756
Phone (603) 650-5922
67 Corporate Dr
Fl 2
Portsmouth, NH 03801
Phone (603) 610-8078
67 Corporate Dr
#300
Portsmouth, NH 03801
Phone (603) 516-0092
150 Marketplace Blvd
Unit 9
Rochester, NH 03867
Phone (603) 516-4212
Interoperability endpoints
- shanahan.moira.wdh@direct.partners.masshiway.net
Organizations & group practices 16
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.
-
- Emergency Medicine Physician
- Concord, NH
- NPI 1194778571
-
- Magnetic Resonance Imaging Radiologic Technologist
- Dover, NH
- NPI 1447352430
-
- Emergency Medicine Physician
- Keene, NH
- NPI 1093803397
-
- Internal Medicine Physician
- Lebanon, NH
- NPI 1548210198
Obstetrics & Gynecology
-
- General Acute Care Hospital
- Lebanon, NH
- NPI 1023092053
-
- Obstetrics & Gynecology Physician
- Portland, ME
- NPI 1104921535
-
- Psychiatric Hospital Unit
- Concord, NH
- NPI 1124070966
-
- General Practice Physician
- Concord, NH
- NPI 1801840764
-
- Community/Retail Pharmacy
- Keene, NH
- NPI 1033761739
-
- Psychiatric Hospital
- Hampstead, NH
- NPI 1699584219
-
- General Acute Care Hospital
- Portsmouth, NH
- NPI 1528687829
-
- Diagnostic Radiology Physician
- Somersworth, NH
- NPI 1295326494
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Concord, NH
- NPI 1215988530
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137542400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712016000000",
"number": "1356321327",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 MEDICAL CENTER DR",
"address_2": "DH - OB/GYN",
"city": "LEBANON",
"state": "NH",
"postal_code": "037561000",
"telephone_number": "603-653-9300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 MEDICAL CENTER DR",
"address_2": "DH - OB/GYN",
"city": "LEBANON",
"state": "NH",
"postal_code": "037561000",
"telephone_number": "603-653-9300",
"fax_number": "603-650-0901"
}
],
"practiceLocations": [
{
"address_1": "246 Pleasant St Bldg West",
"address_purpose": "LOCATION",
"city": "Concord",
"state": "NH",
"postal_code": "033012548",
"country_code": "US",
"telephone_number": "603-228-1111",
"fax_number": "603-227-7558",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "22 Bramhall St",
"address_purpose": "LOCATION",
"city": "Portland",
"state": "ME",
"postal_code": "041023134",
"country_code": "US",
"telephone_number": "207-662-5400",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "15 Old Rollinsford Rd Ste 102",
"address_purpose": "LOCATION",
"city": "Dover",
"state": "NH",
"postal_code": "038202869",
"country_code": "US",
"telephone_number": "603-749-4963",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHANAHAN",
"first_name": "MOIRA",
"middle_name": "A",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-18",
"last_updated": "2024-04-02",
"certification_date": "2024-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "NH",
"license": "15992",
"primary": true
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "ME",
"license": "014577",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3085897",
"state": "NH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1021892",
"state": "VT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lebanon, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2024; 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.