Shelleen E. Denno, MD, Inc.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A50098 Issued in CA

Legal business name

SHELLEEN E. DENNO, MD, INC.

Practice address

2285 Olivet LN
Santa Rosa, CA 95401-3860

Phone

(707) 280-4039

Fax

(707) 526-0465

NPI assigned

Jun 8, 2012

Last updated

Jun 8, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Shelleen E Denno, MDNPI 1871567164

Title

President

Phone

(707) 280-4039

Specialties & licenses 1

Addresses

Other names 1

• SHELLEEN E. DENNO, MD Former legal business name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Shelleen E. Denno, M.D.

  • Internal Medicine Physician
  • Santa Rosa, CA
  • NPI 1871567164
  NPD Authorized official

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

{
    "created_epoch": "1339113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339113600000",
    "number": "1457613275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2285 OLIVET LN",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954013860",
            "telephone_number": "707-280-4039",
            "fax_number": "707-526-0465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2285 OLIVET LN",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954013860",
            "telephone_number": "707-280-4039",
            "fax_number": "707-526-0465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHELLEEN E. DENNO, MD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-08",
        "last_updated": "2012-06-08",
        "status": "A",
        "authorized_official_last_name": "DENNO",
        "authorized_official_first_name": "SHELLEEN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "707-280-4039",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A50098",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SHELLEEN E. DENNO, MD",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Melinda Goodwin Sheehan, FNP
• Merry Bonnie Karen Sheehy
• Stephen Paul Sheerin, M.D.
• Leah G Sheldon
• Shelleen E Denno MD Inc.
• Sandra Emma Shelley, PH.D.
• Meghan Shellooe, OTR/L
• Mark Shen
• Urmila A. Shende, M.D.
• Barbara Shenosky

• Internal Medicine Physician in Santa Rosa, CA
• Providers in Santa Rosa, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.