NPIMap

Individual provider Active NPI

Shannon Baker, DO

  • Emergency Medicine Physician
  • Mansfield, OH
National Provider Identifier
1669407417
Registry record updated Jul 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
34-008733 Issued in OH
Practice address
335 Glessner Ave
Mansfield, OH 44903-2269
Phone
(330) 493-4443
Fax
(330) 493-8677
NPI assigned
Jul 11, 2006
Last updated
Jul 1, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 34-008733 OH Primary

Addresses

Primary practice location

335 Glessner Ave
Mansfield, OH 44903-2269

Mailing address

4535 Dressler Rd NW
Canton, OH 44718-2545
Phone (330) 493-4443

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Shannon.Baker@direct.aultman.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061003000385 OH Practitioner - Emergency Medicine 8921003542 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Ohio University, College of Osteopathic Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Canton Aultman Emergency Physicians IncGroup PAC ID 2961307319, 24 clinicians

Practice addresses (Care Compare)

2600 6TH St SW
Canton, OH 44710-1702
Phone (330) 456-2695

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34-008733OHMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Stark County Pathologists Inc Current Accepting new patients
Aultman Hospital CurrentSince Nov 18, 2008 Accepting new patients
Aultman Hospital Current Accepting new patients
Caep-Dunlap, LLC Emergency Medicine CurrentSince Dec 1, 2009 Accepting new patients
Aultman Hospital CurrentSince Nov 18, 2008 Accepting new patients
Canton Aultman Emergency Physicians Inc Emergency Medicine CurrentSince Nov 1, 2008 Accepting new patients
Emergency Medicine Physicians of Tulsa County, LLC Emergency Medicine Past Accepting new patients
Emergency Medicine Physicians of Barberton, LTD Emergency Medicine Past Accepting new patients
Emergency Medicine Physicians of Stark County, LTD Emergency Medicine Past Accepting new patients
Emergency Medicine Physicians of Richland County, LTD Emergency Medicine Past Accepting new patients

Locations

200 E State St
Alliance, OH 44601
Phone (330) 596-6000

2600 6th St SW
Canton, OH 44710
Phone (330) 363-2180

2600 6th St SW
#L
Canton, OH 44710

832 S Main St
Orrville, OH 44667
Phone (330) 456-2695

Interoperability endpoints

  • Direct secure messaging: shannon.baker@direct.aultman.org

Organizations & group practices 10

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.

Hospital & facility affiliations 1

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": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656633600000",
    "number": "1669407417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4535 DRESSLER RD NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447182545",
            "telephone_number": "330-493-4443",
            "fax_number": "330-493-8677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "335 GLESSNER AVE",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449032269",
            "telephone_number": "330-493-4443",
            "fax_number": "330-493-8677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKER",
        "first_name": "SHANNON",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-11",
        "last_updated": "2022-07-01",
        "certification_date": "2022-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OH",
            "license": "34-008733",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Shannon.Baker@direct.aultman.org",
            "affiliation": "N",
            "address_1": "2600 Sixth St SW",
            "city": "Canton",
            "state": "OH",
            "country_code": "US",
            "postal_code": "447101702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mansfield, OH

Sources for this page

Verify at the official NPI Registry.