Active NPI
Kevin J Shannon, M.D.
- Hematology & Oncology Physician
- Findlay, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- D0053829
- Practice address
- 15990 Medical Dr S
Findlay, OH 45840-8894 - Phone
- (419) 422-9898
- Fax
- (419) 429-0805
- NPI assigned
- May 23, 2005
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Hematology & Oncology Physician | 207RH0003X | D0053829 | MD | Primary |
Addresses
Primary practice location
15990 Medical Dr S
Findlay, OH 45840-8894
Mailing address
1900 S Main St
Managed Care Dept
Findlay, OH 45840-1214
Phone (419) 423-5262
Electronic endpoints 4
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kshannon124309@direct.wvuhsdirect.com | Health Information Exchange (HIE) | |
| Direct Messaging Address | kshannon124309@direct.wvuhsdirect.com | Health Information Exchange (HIE) | |
| Direct Messaging Address | kshannon124309@direct.wvuhsdirect.com | Health Information Exchange (HIE) | |
| Direct Messaging Address | kshannon124309@direct.wvuhsdirect.com | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD, WV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- University of Maryland School of Medicine, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Medical Ctr Dr
Morgantown, WV 26506-1200
Phone (304) 293-4500
117 Hospital Dr
Petersburg, WV 26847-9566
Phone (304) 257-1026
251 N 4TH St
Oakland, MD 21550-1375
Phone (304) 598-4865
Hospital & facility affiliations
- Hospice of Garrett County
- Garrett Regional Medical Center
- Potomac Valley Hospital
- Grant Memorial Hospital
- West Virginia University Hospitals, Inc
- Western Maryland Regional Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.34 of 100
- Quality
- 79.86
- Promoting interoperability
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.34 of 100
- Quality
- 79.86
- Promoting interoperability
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.34 of 100
- Quality
- 79.86
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0053829 | MD | MD | Hematology & Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grant Memorial Hospital | Current | Accepting new patients | |
| Grant Memorial Hospital Inc | Hematology & Oncology | Current | Accepting new patients |
| Grant Memorial Hospital | Current | Accepting new patients | |
| Potomac Valley Hospital of WV, Inc. | Current | Accepting new patients | |
| Potomac Valley Hospital of W VA , Inc | Current | Accepting new patients | |
| Potomac Valley Hospital of W VA , Inc | Current | Accepting new patients | |
| Grant Memorial Hospital Inc | Current | Accepting new patients | |
| Lima Memorial Joint Operating Company | Past | Accepting new patients |
Locations
100 Pin Oak Ln
Ste 3
Keyser, WV 26726
Phone (304) 597-3790
100 Pin Oak Ln
Keyser, WV 26726
Phone (304) 597-3500
65 Hospital Dr
Ste 103
Petersburg, WV 26847
Phone (304) 257-4331
117 Hospital Dr
Petersburg, WV 26847
Phone 30497450009312
Interoperability endpoints
- kshannon124309@direct.wvuhsdirect.com
- kshannon@yourcarecommunity.org
Organizations & group practices 9
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.
-
- Critical Access Hospital
- Petersburg, WV
- NPI 1013603919
-
- Family Medicine Physician
- Morgantown, WV
- NPI 1275504508
MD
-
- Emergency Medicine Physician
- Keyser, WV
- NPI 1316054919
-
- Critical Access Hospital
- Keyser, WV
- NPI 1912979873
-
- Critical Access Hospital
- Petersburg, WV
- NPI 1598763666
-
- Family Medicine Physician
- Petersburg, WV
- NPI 1801592126
-
- Family Medicine Physician
- Petersburg, WV
- NPI 1679269583
Hematology & Oncology
-
- Internal Medicine Physician
- Keyser, WV
- NPI 1578305256
-
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
Hospital & facility affiliations 9
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Petersburg, WV
- NPI 1013603919
-
- General Acute Care Hospital
- Oakland, MD
- NPI 1598417412
-
- Community Based Hospice Care Agency
- Oakland, MD
- NPI 1942362207
-
- Critical Access Hospital
- Keyser, WV
- NPI 1912979873
-
- Mental Illness Community Based Residential Treatment Facility
- Cumberland, MD
- NPI 1174141592
Hospital
-
- General Acute Care Hospital
- Cumberland, MD
- NPI 1609831247
-
- Hearing and Speech Clinic/Center
- Cumberland, MD
- NPI 1740969245
Hospital
-
- General Acute Care Hospital
- Morgantown, WV
- NPI 1841271459
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1116806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1650240000000",
"number": "1881697894",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1900 S MAIN ST",
"address_2": "MANAGED CARE DEPT",
"city": "FINDLAY",
"state": "OH",
"postal_code": "458401214",
"telephone_number": "419-423-5262",
"fax_number": "419-423-5550"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15990 MEDICAL DR S",
"city": "FINDLAY",
"state": "OH",
"postal_code": "458408894",
"telephone_number": "419-422-9898",
"fax_number": "419-429-0805"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHANNON",
"first_name": "KEVIN",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-05-23",
"last_updated": "2022-04-18",
"certification_date": "2022-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "MD",
"license": "D0053829",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kshannon124309@direct.wvuhsdirect.com",
"affiliation": "N",
"endpointDescription": "Direct Address",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "251 N 4th St",
"city": "Oakland",
"state": "MD",
"country_code": "US",
"postal_code": "215501375",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kshannon124309@direct.wvuhsdirect.com",
"affiliation": "N",
"endpointDescription": "Direct Address",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "251 N 4th St",
"city": "Oakland",
"state": "MD",
"country_code": "US",
"postal_code": "215501375",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kshannon124309@direct.wvuhsdirect.com",
"affiliation": "N",
"endpointDescription": "Direct Address",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "251 N 4th St",
"city": "Oakland",
"state": "MD",
"country_code": "US",
"postal_code": "215501375",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kshannon124309@direct.wvuhsdirect.com",
"affiliation": "N",
"endpointDescription": "Direct Address",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "251 N 4th St",
"city": "Oakland",
"state": "MD",
"country_code": "US",
"postal_code": "215501375",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Findlay, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.