Active NPI
Shawn Shannon Leonhard, D.O.M. , L.AC.
- Acupuncturist
- Hagerstown, MD
National Provider Identifier
1619653169
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- U02982
- Practice address
- 265 Mill St Ste 500
Hagerstown, MD 21740-6179 - Phone
- (301) 712-3342
- NPI assigned
- Jun 27, 2023
- Last updated
- Jun 27, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | U02982 | MD | Primary |
Addresses
Primary practice location
265 Mill St Ste 500
Hagerstown, MD 21740-6179
Mailing address
PO Box 102
Mercersburg, PA 17236-0102
Phone (904) 710-1887
Other practice location 1
208 W Patrick St # 1
Frederick, MD 21701-5516
Phone (301) 712-3342
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| U02982 | MD | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shawsok LLC | Acupuncturist | Current | Accepting new patients |
Locations
265 Mill St
Ste 500
Hagerstown, MD 21740
Phone (301) 712-3342
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1687824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687824000000",
"number": "1619653169",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 102",
"city": "MERCERSBURG",
"state": "PA",
"postal_code": "172360102",
"telephone_number": "904-710-1887"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "265 MILL ST STE 500",
"city": "HAGERSTOWN",
"state": "MD",
"postal_code": "217406179",
"telephone_number": "301-712-3342"
}
],
"practiceLocations": [
{
"address_1": "208 W Patrick St # 1",
"address_purpose": "LOCATION",
"city": "Frederick",
"state": "MD",
"postal_code": "217015516",
"country_code": "US",
"telephone_number": "301-712-3342",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LEONHARD",
"first_name": "SHAWN",
"middle_name": "SHANNON",
"credential": "D.O.M. , L.AC.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-06-27",
"last_updated": "2023-06-27",
"certification_date": "2023-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "MD",
"license": "U02982",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hagerstown, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.