Individual provider Active NPI

Moira A Shanahan, M.D.

  • Obstetrics & Gynecology Physician
  • Lebanon, NH
National Provider Identifier
1356321327
Registry record updated Apr 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
15992 Issued in NH
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

Updated by the provider on Apr 2, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
3085897MedicaidNH
1021892MedicaidVT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME, NH2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20031114000056 ME Practitioner - Obstetrics/Gynecology 9032023023 Reassigns benefits to 1 organization
I20130806000131 NH Practitioner - Obstetrics/Gynecology 9032023023 Reassigns benefits to 5 organizations

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
Concord Hospital IncGroup PAC ID 6103721790, 572 clinicians

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

LicenseStateTypeSpecialty
014577MEMDObstetrics & Gynecology Physician
15992NHMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Maine Medical Partners CurrentSince Aug 31, 2022 Accepting new patients
Concord Hospital, Inc. CurrentSince Jun 1, 2023 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. CurrentSince Jun 1, 2023 Accepting new patients
Cheshire Medical Center CurrentSince Feb 22, 2020 Accepting new patients
Mary Hitchcock Memorial Hospital CurrentSince Jun 11, 2013 Accepting new patients
Mary Hitchcock Memorial Hospital CurrentSince Jun 11, 2013 Accepting new patients
Mary Hitchcock Memorial Hospital CurrentSince Feb 22, 2020 Accepting new patients
Wentworth Douglass Physician Corporation CurrentSince Jun 1, 2024 Accepting new patients
Concord Hospital, Inc. Current Accepting new patients
Maine Medical Partners CurrentSince Aug 31, 2022 Accepting new patients
Dartmouth-Hitchcock Clinic Obstetrics & Gynecology CurrentSince Jun 11, 2013 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

  • Direct secure messaging: 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.

View all 16

Hospital & facility affiliations 1

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

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

Verify at the official NPI Registry.