Individual provider Active NPI

Shannon M Ankrom, MD

  • Surgery Physician
  • Zanesville, OH
National Provider Identifier
1649404138
Registry record updated Mar 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
35.098458 Issued in OH
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

Updated by the provider on Mar 10, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0113014MedicaidOH

Other names 1

  • Shannon Masters Hanley Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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, LLCGroup PAC ID 7719040385, 265 clinicians

Practice addresses (Care Compare)

2800 Maple Ave
Suite a
Zanesville, OH 43701-1750
Phone (740) 454-4200

Hospital & facility affiliations

  • Genesis Hospital Hospital, Zanesville, OH, CCN 360039

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy39
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
169121DCMDSurgery Physician
35.098458OHMDSurgery Physician
0116021552VAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Genesis Medical Group, LLC CurrentSince Aug 1, 2015 Accepting new patients
Genesis Medical Group LLC CurrentSince Aug 1, 2015 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.

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

Verify at the official NPI Registry.