Thomas H Shannon, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

3709 Issued in SD

Practice address

113 Comanche Rd
Fort Meade, SD 57741-1002

Phone

(605) 720-7449

NPI assigned

Oct 18, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Thomas H Simonds Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1730260555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 280",
            "city": "FORT MEADE",
            "state": "SD",
            "postal_code": "577410280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 COMANCHE RD",
            "city": "FORT MEADE",
            "state": "SD",
            "postal_code": "577411002",
            "telephone_number": "605-720-7449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHANNON",
        "first_name": "THOMAS",
        "middle_name": "H",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "SD",
            "license": "3709",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "THOMAS",
            "last_name": "SIMONDS",
            "middle_name": "H",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Bridget Marie Secrest, LMSW
• Shelley Sedivy, RN
• Makayla Selzler
• Kamaria Lynn Serfling, O.D.
• Peter Serrano, RRT
• Olivia Sharp, PHARMD
• Patricia Ann Shaver, RN CNP
• Tia Marie Sheesley
• Courtney Sheets
• Karen Simms, RN

• Psychiatry Physician in Fort Meade, SD
• Providers in Fort Meade, SD by specialty
• Psychiatry Physician in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.