Shannon Marie Masneri, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

2014-01987 Issued in NC

Practice address

1510 NC Highway 68 N # 1510
Oak Ridge, NC 27310-9733

Phone

(336) 644-0111

Fax

(336) 268-3119

NPI assigned

Nov 17, 2006

Sex

Female

Sole proprietor

No

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.

• Eagle Physicians and Associates PA

  • Family Medicine Physician
  • Greensboro, NC
  • NPI 1457436982

  Family Medicine, NC

  Medicare reassignment NPD
• Eagle Physicians and Associates PA

  • Physical Therapist
  • Greensboro, NC
  • NPI 1790491751
  NPD
• Eagle Physicians and Associates PA

  • Family Medicine Physician
  • Oak Ridge, NC
  • NPI 1982773206

  Family Medicine

  NPD
• Eagle Physicians and Associates PA

  • Sleep Medicine (Internal Medicine) Physician
  • Greensboro, NC
  • NPI 1609070648
  NPD (past)

Medicare fee-for-service enrollment

Enrolled in NC

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 23, 2021.

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619136000000",
    "number": "1487727202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6412 PEPPERMILL DR",
            "city": "OAK RIDGE",
            "state": "NC",
            "postal_code": "273109803",
            "telephone_number": "910-992-1457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1510 NC HIGHWAY 68 N # 1510",
            "city": "OAK RIDGE",
            "state": "NC",
            "postal_code": "273109733",
            "telephone_number": "336-644-0111",
            "fax_number": "336-268-3119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASNERI",
        "first_name": "SHANNON",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-17",
        "last_updated": "2021-04-23",
        "certification_date": "2021-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "HI",
            "license": "DOS1019",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "2014-01987",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "shannon.masneri@eaglep.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "1510 Nc Highway 68 N # 1510",
            "city": "Oak Ridge",
            "state": "NC",
            "country_code": "US",
            "postal_code": "273109733",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Nkrumah D'Angelo Lewis, LCSWA
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• David Sean Lorczak, DC
• Laurie Penhall Macdonald, MD
• Stanley Steve Maleski, ED. D.
• Anupama Matcha, M.D.
• Scott Thomas Mathis
• Matthew Devaney, DDS, PA
• Matthew J. Olmsted, DDS Ms PLLC
• Susan Norman Matznick, OTR/L

• All providers in Oak Ridge, NC
• Family Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.