Active NPI
Catherine E. Shanahan, M.D.
- Family Medicine Physician
- Orlando, FL
National Provider Identifier
1740205780
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 55955
- Practice address
- 8989 S Orange Ave
Orlando, FL 32824-7904 - Phone
- (707) 339-1976
- Fax
- (407) 386-7383
- NPI assigned
- Jul 12, 2006
- Last updated
- Feb 3, 2020
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD-11164 | HI | |
| Family Medicine Physician | 207Q00000X | C54747 | CA | |
| Family Medicine Physician | 207Q00000X | 0055110 | CO | |
| Family Medicine Physician | 207Q00000X | 55955 | CT | Primary |
Addresses
Primary practice location
8989 S Orange Ave
Orlando, FL 32824-7904
Mailing address
8989 S Orange Ave
Orlando, FL 32824-7904
Phone (707) 339-1976
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MD11164-01 | Other | LONGS/MDX | |
| P00071255 | Other | RAILROAD MEDICARE | |
| G48893 | Other | KAISER | |
| 99-0262194 | Other | HMAA | |
| 49577201 | Other | ALOHACARE | |
| 49577201 | Medicaid | HI | |
| 99-0262194 | Other | HMA | |
| 00A0224863 | Other | HMSA | |
| 2494488 | Other | UHA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0055110 | CO | MD | Family Medicine Physician |
| MD-11164 | HI | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nuvance Health | Current | Accepting new patients |
Locations
170 Mount Pleasant Rd
Newtown, CT 06470
Phone (203) 426-1818
Organizations & group practices 2
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.
-
- Clinic/Center
- Morrison, CO
- NPI 1225419807
-
- Adult Medicine Physician
- Newtown, CT
- NPI 1295479798
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1580688000000",
"number": "1740205780",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8989 S ORANGE AVE",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328247904",
"telephone_number": "707-339-1976",
"fax_number": "407-386-7383"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8989 S ORANGE AVE",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328247904",
"telephone_number": "707-339-1976",
"fax_number": "407-386-7383"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHANAHAN",
"first_name": "CATHERINE",
"middle_name": "E.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-12",
"last_updated": "2020-02-03",
"certification_date": "2020-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "HI",
"license": "MD-11164",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "C54747",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CO",
"license": "0055110",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CT",
"license": "55955",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LONGS/MDX",
"identifier": "MD11164-01",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00071255",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KAISER",
"identifier": "G48893",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HMAA",
"identifier": "99-0262194",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ALOHACARE",
"identifier": "49577201",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "49577201",
"state": "HI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HMA",
"identifier": "99-0262194",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HMSA",
"identifier": "00A0224863",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UHA",
"identifier": "2494488",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.