Active NPI
Priscilla Moutinho Shogan, DO
- Emergency Medicine Physician
- Owings Mills, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- H006810
- Practice address
- 5 Silentwood CT
Owings Mills, MD 21117-1358 - Phone
- (215) 917-5011
- NPI assigned
- Dec 24, 2007
- 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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | OT011586 | PA | |
| Emergency Medicine Physician | 207P00000X | H006810 | MD | Primary |
Addresses
Primary practice location
5 Silentwood CT
Owings Mills, MD 21117-1358
Mailing address
5 Silentwood CT
Owings Mills, MD 21117-1358
Phone (215) 917-5011
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Philadelphia College of Osteopathic Medicine, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
107 Natchez Park Dr
Tristar Natchez ER
Dickson, TN 37055-9013
Phone (615) 326-2960
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| H006810 | MD | MD | Emergency Medicine Physician |
| OT011586 | PA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Medicine Services of TN, PC | Emergency Medicine | Current | Accepting new patients |
| Southeastern Emergency Physicians LLC | Emergency Medicine | Current | Accepting new patients |
| Dimensions Health Corporation | Emergency Medicine | Past | Accepting new patients |
Locations
2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426
107 Natchez Park Dr
Dickson, TN 37055
Phone (615) 326-2900
111 Highway 70 E
Dickson, TN 37055
Phone (615) 441-2357
9352 Park West Blvd
Knoxville, TN 37923
Phone (865) 373-1000
2300 Patterson St
Nashville, TN 37203
Phone (615) 342-1500
Organizations & group practices 3
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
- Nashville, TN
- NPI 1720785884
-
dba Bowie Health Center Physicians
- Diagnostic Radiology Physician
- Bowie, MD
- NPI 1124057427
Emergency Medicine
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Tristar Horizon Medical Center
- General Acute Care Hospital
- Dickson, TN
- NPI 1871530832
-
dba Tristar Summit Medical Center
- General Acute Care Hospital
- Hermitage, TN
- NPI 1982650024
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1198454400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1271203200000",
"number": "1528242765",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 SILENTWOOD CT",
"city": "OWINGS MILLS",
"state": "MD",
"postal_code": "211171358",
"telephone_number": "215-917-5011"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 SILENTWOOD CT",
"city": "OWINGS MILLS",
"state": "MD",
"postal_code": "211171358",
"telephone_number": "215-917-5011"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOUTINHO SHOGAN",
"first_name": "PRISCILLA",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-12-24",
"last_updated": "2010-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "PA",
"license": "OT011586",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MD",
"license": "H006810",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Owings Mills, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2010; 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.