Active NPI
Shannon M Ankrom, MD
- Surgery Physician
- Zanesville, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 35.098458
- Practice address
- 2800 Maple Ave
Suite a
Zanesville, OH 43701-1716 - Phone
- (740) 454-5221
- NPI assigned
- May 12, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 169121 | DC | |
| Surgery Physician | 208600000X | 0116021552 | VA | |
| Surgery Physician | 208600000X | 35.098458 | OH | Primary |
Addresses
Primary practice location
2800 Maple Ave
Suite a
Zanesville, OH 43701-1716
Mailing address
1246 Ashland Ave Ste 204
Zanesville, OH 43701-2861
Phone (740) 450-6147
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0113014 | Medicaid | OH |
Other names 1
- Shannon Masters Hanley
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150106002194 | OH | Practitioner - General Surgery | 3072741479 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Wright State University Boonshoft School of Medicine, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Genesis Medical Group, LLC
Practice addresses (Care Compare)
2800 Maple Ave
Suite a
Zanesville, OH 43701-1750
Phone (740) 454-4200
Hospital & facility affiliations
- Genesis Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Mastectomy | 39 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 169121 | DC | MD | Surgery Physician |
| 35.098458 | OH | MD | Surgery Physician |
| 0116021552 | VA | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Genesis Medical Group, LLC | Current | Accepting new patients | |
| Genesis Medical Group LLC | Current | Accepting new patients |
Locations
2800 Maple Ave
Zanesville, OH 43701
Phone (740) 453-7725
2800 Maple Ave
Ste A
Zanesville, OH 43701
Phone (740) 454-4200
1246 Ashland Ave
Ste 204
Zanesville, OH 43701
Phone (740) 450-6167
945 Bethesda Dr
Ste 330
Zanesville, OH 43701
Phone (740) 454-4038
945 Bethesda Dr
Ste 200
Zanesville, OH 43701
Phone (740) 454-4788
2916 Vangader Dr
Zanesville, OH 43701
Phone (740) 453-0661
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.
-
- Durable Medical Equipment & Medical Supplies
- Zanesville, OH
- NPI 1013526334
-
- Durable Medical Equipment & Medical Supplies
- Coshocton, OH
- NPI 1144022187
Hospital & facility affiliations 4
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": "1242086400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773100800000",
"number": "1649404138",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1246 ASHLAND AVE STE 204",
"city": "ZANESVILLE",
"state": "OH",
"postal_code": "437012861",
"telephone_number": "740-450-6147",
"fax_number": "740-450-6157"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2800 MAPLE AVE",
"address_2": "SUITE A",
"city": "ZANESVILLE",
"state": "OH",
"postal_code": "437011716",
"telephone_number": "740-454-5221"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANKROM",
"first_name": "SHANNON",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-05-12",
"last_updated": "2026-03-10",
"certification_date": "2026-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "DC",
"license": "169121",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "VA",
"license": "0116021552",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "OH",
"license": "35.098458",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0113014",
"state": "OH"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "SHANNON",
"last_name": "HANLEY",
"middle_name": "MASTERS",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Zanesville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2026; 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.