Active NPI
Erin McGloin Shanahan, M.D.
- Pediatrics Physician
- Clayton, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 2017-01255
- Practice address
- 204 Medspring Dr
Clayton, NC 27520-9293 - Phone
- (919) 235-6505
- NPI assigned
- Mar 31, 2014
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 2017-01255 | NC | Primary |
Addresses
Primary practice location
204 Medspring Dr
Clayton, NC 27520-9293
Mailing address
2920 Highwoods Blvd
Raleigh, NC 27604-0010
Other practice location 1
2406 Blue Ridge Rd Ste 100
Raleigh, NC 27607-6692
Phone (919) 786-5001
Other names 1
- Dr. Erin McGloin
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2017-01255 | NC | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wakemed Specialists Group LLC | Current | Accepting new patients | |
| Wake Specialty Physicians, LLC | Pediatrics | Current | Accepting new patients |
| Wake Specialty Physicians, LLC | Pediatrics | Current | Accepting new patients |
| Wake Specialty Physicians LLC | Pediatrics | Current | Accepting new patients |
| Wakemed Specialists Group, LLC | Current | Accepting new patients |
Locations
204 Medspring Dr
Clayton, NC 27520
Phone (910) 775-3130
3024 New Bern Ave
Raleigh, NC 27610
Phone (919) 350-5318
2406 Blue Ridge Rd
Ste 100
Raleigh, NC 27607
Phone (919) 786-5001
3000 New Bern Ave
Raleigh, NC 27610
Phone (919) 350-7000
10000 Falls of Neuse Rd
Raleigh, NC 27614
Phone (919) 350-1300
Interoperability endpoints
- emcgloinshanahan152584@directhisp.wakemed.org
Organizations & group practices 5
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.
-
- Cardiovascular Disease Physician
- Raleigh, NC
- NPI 1588227839
-
dba WakeMed Childrens Pediatric Primary Care - Fuquay-Varina Medical Park
- Pediatrics Physician
- Fuquay Varina, NC
- NPI 1578334892
-
dba WakeMed Childrens Pediatrics Clayton
- Pediatrics Physician
- Clayton, NC
- NPI 1588216253
-
dba WakeMed - Virtual Cardiac Rehab
- Cardiac Rehabilitation Registered Nurse
- Raleigh, NC
- NPI 1063304228
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1396224000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1720406473",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2920 HIGHWOODS BLVD",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276040010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "204 MEDSPRING DR",
"city": "CLAYTON",
"state": "NC",
"postal_code": "275209293",
"telephone_number": "919-235-6505"
}
],
"practiceLocations": [
{
"address_1": "2406 Blue Ridge Rd Ste 100",
"address_purpose": "LOCATION",
"city": "Raleigh",
"state": "NC",
"postal_code": "276076692",
"country_code": "US",
"telephone_number": "919-786-5001",
"fax_number": "919-786-5051",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCGLOIN SHANAHAN",
"first_name": "ERIN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-03-31",
"last_updated": "2022-07-21",
"certification_date": "2021-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NC",
"license": "2017-01255",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ERIN",
"last_name": "MCGLOIN",
"prefix": "DR.",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Clayton, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.