Active NPI
Shannon M Deschenes, DO
- Family Medicine Physician
- Leeds, ME
National Provider Identifier
1831178458
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 1533
- Practice address
- 180 Church Hill Rd
Suite 1
Leeds, ME 04263-3418 - Phone
- (207) 524-3501
- Fax
- (207) 524-2093
- NPI assigned
- Jan 12, 2006
- Last updated
- Jan 10, 2018
- 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 | 1533 | ME | Primary |
Addresses
Primary practice location
180 Church Hill Rd
Suite 1
Leeds, ME 04263-3418
Mailing address
180 Church Hill Rd
Suite 1
Leeds, ME 04263-3418
Phone (207) 524-3501
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831178458 | Medicaid | ME |
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)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1533 | ME | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Maine Medical Center | Past | Accepting new patients | |
| Central Maine Medical Center | Past | Accepting new patients |
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/4517c430-03bf-4e32-b324-1387cc4e73f3/
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.
-
dba CMMC Specialty Pharmacy
- Community/Retail Pharmacy
- Lewiston, ME
- NPI 1033874458
-
- General Acute Care Hospital
- Lewiston, ME
- NPI 1689653487
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137024000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1515542400000",
"number": "1831178458",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "180 CHURCH HILL RD",
"address_2": "SUITE 1",
"city": "LEEDS",
"state": "ME",
"postal_code": "042633418",
"telephone_number": "207-524-3501",
"fax_number": "207-524-2093"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "180 CHURCH HILL RD",
"address_2": "SUITE 1",
"city": "LEEDS",
"state": "ME",
"postal_code": "042633418",
"telephone_number": "207-524-3501",
"fax_number": "207-524-2093"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DESCHENES",
"first_name": "SHANNON",
"middle_name": "M",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-12",
"last_updated": "2018-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "ME",
"license": "1533",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1831178458",
"state": "ME"
}
],
"endpoints": [],
"other_names": []
}Other providers in Leeds, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.