Individual provider Active NPI

Shannon Kathleen Hoium, MD

  • Emergency Medicine Physician
  • Issaquah, WA
National Provider Identifier
1376720771
Registry record updated Jun 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
MD61392215 Issued in WA
Practice address
751 NE Blakely Dr Dept of
Issaquah, WA 98029-6201
Phone
(425) 346-0771
NPI assigned
Jan 28, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X P3163 TX
Emergency Medicine Physician 207P00000X MD61392215 WA Primary

Addresses

Primary practice location

751 NE Blakely Dr Dept of
Issaquah, WA 98029-6201

Mailing address

1567 Highlands Dr NE # 110-35
Issaquah, WA 98029-6245
Phone (503) 425-9135

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, WA2 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
I20121002000542 TX Practitioner - Emergency Medicine 6305017401 Reassigns benefits to 1 organization
I20240408000842 WA Practitioner - Emergency Medicine 6305017401 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Johns Hopkins University School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Swedish Health ServicesGroup PAC ID 9537072814, 384 clinicians
Eastside Emergency Physicians PLLCGroup PAC ID 5193725372, 56 clinicians

Practice addresses (Care Compare)

18100 NE Union Hill Rd
Suite 200
Redmond, WA 98052-3330
Phone (206) 320-5190

751 NE Blakely Dr
Issaquah, WA 98029-6201
Phone (425) 394-0610

Hospital & facility affiliations

  • Swedish Issaquah Hospital, Issaquah, WA, CCN 500152
  • Swedish Medical Center Hospital, Seattle, WA, CCN 500027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Swedish Health Services CurrentSince Aug 4, 2024 Accepting new patients
Eastside Emergency Physicians, PLLC Emergency Medicine CurrentSince Feb 14, 2024 Accepting new patients
Century Integrated Partners, Inc Emergency Medicine CurrentSince Dec 10, 2017 Accepting new patients
Eastside Emergency Physicians PLLC Emergency Medicine CurrentSince Feb 14, 2024 Accepting new patients
Swedish Health Services Family Medicine Current Accepting new patients
Emurgent Care PLLC Past Accepting new patients
Cowboy Capital Emergency Physicians Emergency Medicine Past Accepting new patients

Locations

3500 Gaston Ave
Dallas, TX 75246

1400 8th Ave
Ft Worth, TX 76104
Phone (817) 922-1559

4700 Alliance Blvd
#P
Plano, TX 75093
Phone (469) 814-2000

6800 Scenic Dr
#1550
Rowlett, TX 75088
Phone (972) 412-2273

6800 Scenic Dr
Rowlett, TX 75088
Phone (972) 412-2273

13020 Meridian Ave S
Everett, WA 98208
Phone (425) 357-3700

751 NE Blakely Dr
Issaquah, WA 98029
Phone (425) 313-4000

18100 NE Union Hill Rd
Ste 200
Redmond, WA 98052
Phone (206) 320-5190

18100 NE Union Hill Rd
Redmond, WA 98052
Phone (425) 498-2020

2450 33rd Ave W
Ste 100
Seattle, WA 98199
Phone (206) 320-3364

Organizations & group practices 7

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.

Hospital & facility affiliations 2

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": "1201478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685664000000",
    "number": "1376720771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1567 HIGHLANDS DR NE # 110-35",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980296245",
            "telephone_number": "503-425-9135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "751 NE BLAKELY DR DEPT OF",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980296201",
            "telephone_number": "425-346-0771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOIUM",
        "first_name": "SHANNON",
        "middle_name": "KATHLEEN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-28",
        "last_updated": "2023-06-02",
        "certification_date": "2023-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "P3163",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WA",
            "license": "MD61392215",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Issaquah, WA

Sources for this page

Verify at the official NPI Registry.