Active NPI
Donna Arlene Shannon, M.D.
- Family Medicine Physician
- Cedar Hill, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- L1743
- Practice address
- 345 N Highway 67
Cedar Hill, TX 75104-2134 - Phone
- (972) 956-5300
- Fax
- (972) 956-5393
- NPI assigned
- Feb 15, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | L1743 | TX | Primary |
Addresses
Primary practice location
345 N Highway 67
Cedar Hill, TX 75104-2134
Mailing address
PO Box 9101
Coppell, TX 75019-9494
Phone (972) 745-7500
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 164476702 | Medicaid | TX | |
| 8K2772 | Other | TX | BC/BS |
| 164476701 | Other | TX | MEDICAID FOR DALLAS COUNTY |
| 8B5494 | Other | TX | MEDICARE FOR DALLAS COUNTY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- 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
- Family Practice
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5653 McPherson Blvd
Fort Worth, TX 76123-6023
Phone (682) 354-3100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L1743 | TX | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medhealth | Current | Accepting new patients | |
| Medhealth | Family Medicine | Current | Accepting new patients |
| Primary Health Physicians, PLLC | Current | Accepting new patients | |
| Advanced Pain & Rehabilitation Association PLLC | Past | Accepting new patients |
Locations
2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426
345 N Highway 67
Cedar Hill, TX 75104
Phone (972) 956-5300
2310 W University Dr
#1500
Denton, TX 76201
Phone (940) 220-5901
5653 McPherson Blvd
Fort Worth, TX 76123
Phone (682) 354-3100
5224 S State Highway 360
Grand Prairie, TX 75052
Phone (972) 522-0691
104 S Main St
Keller, TX 76248
Phone (214) 295-9385
377 W Campbell Rd
Ste 100
Richardson, TX 75080
Phone (469) 232-2945
613 S Highway 78
Wylie, TX 75098
Phone (972) 941-8700
Organizations & group practices 4
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.
-
- Urgent Care Clinic/Center
- Denton, TX
- NPI 1770048704
-
- Family Medicine Physician
- Dallas, TX
- NPI 1912957200
-
- Urgent Care Clinic/Center
- Grand Prairie, TX
- NPI 1558762690
-
- Physical Medicine & Rehabilitation Physician
- Wylie, TX
- NPI 1215404637
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139961600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1459900800000",
"number": "1720052699",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 9101",
"city": "COPPELL",
"state": "TX",
"postal_code": "750199494",
"telephone_number": "972-745-7500",
"fax_number": "972-471-0700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "345 N HIGHWAY 67",
"city": "CEDAR HILL",
"state": "TX",
"postal_code": "751042134",
"telephone_number": "972-956-5300",
"fax_number": "972-956-5393"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHANNON",
"first_name": "DONNA",
"middle_name": "ARLENE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-15",
"last_updated": "2016-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "L1743",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "164476702",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS",
"identifier": "8K2772",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID FOR DALLAS COUNTY",
"identifier": "164476701",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE FOR DALLAS COUNTY",
"identifier": "8B5494",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cedar Hill, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2016; 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.