Shannon Scott Aiken, CPO
Individual provider Active NPI Prosthetist · Durham, NC
NPI 1871732016 · NPPES record last updated Jan 6, 2012
Key facts
- NPI
- 1871732016
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Prosthetist 224P00000X
- License
- CPO03081 (NC)
- Practice address
- Dumc M04 Davison Building
Durham, NC 27710-0001 - Phone
- (919) 684-2474
- Fax
- (919) 681-8496
- NPI assigned
- Feb 11, 2009
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CPO03081 | NC | MD | Orthotist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Center for Orthotic and Prosthetic Care of North Carolina Inc | Past | Accepting new patients | |
| Center for Orthotic and Prosthetic Care of North Carolina Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthotist | 222Z00000X | CPO03081 | NC | |
| Prosthetist | 224P00000X | CPO03081 | NC | Yes |
Addresses
Primary practice location
Dumc M04 Davison Building
Durham, NC 27710-0001
Mailing address
PO Box 3885
Dumc
Durham, NC 27710-0001
Phone (919) 684-2474
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7795429 | Medicaid | NC |
Other providers in Durham, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 6, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.