Shannon Jap MD LLC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

SHANNON JAP MD LLC

Practice address

571 High St Ste 11
Worthington, OH 43085-4132

Phone

(614) 226-5484

Fax

(937) 606-3077

NPI assigned

Sep 20, 2018

Organization subpart

No

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

Authorized official

Name

Shannon Nicole Jap, MDNPI 1508043118

Title

Owner

Phone

(614) 226-5484

Specialties & licenses 1

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shannon Nicole Jap, M.D.

  • Psychiatry Physician
  • Worthington, OH
  • NPI 1508043118
  NPD Authorized official
• Sophia Kassem, D.O.

  • Child & Adolescent Psychiatry Physician
  • Columbus, OH
  • NPI 1316199508
  NPD (past)
• Abra Lee Bates, M.D.

  • Psychiatry Physician
  • Ahoskie, NC
  • NPI 1235364977
  NPD (past)

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

{
    "created_epoch": "1537401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617062400000",
    "number": "1962986372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "571 HIGH ST STE 11",
            "city": "WORTHINGTON",
            "state": "OH",
            "postal_code": "430854132",
            "telephone_number": "614-226-5484",
            "fax_number": "937-606-3077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "571 HIGH ST STE 11",
            "city": "WORTHINGTON",
            "state": "OH",
            "postal_code": "430854132",
            "telephone_number": "614-226-5484",
            "fax_number": "937-606-3077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHANNON JAP MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-20",
        "last_updated": "2021-03-30",
        "certification_date": "2021-03-30",
        "status": "A",
        "authorized_official_last_name": "JAP",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "614-226-5484",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sherry Shaffer
• Ayishatu Shaibu
• Shalem Institute
• Shannan Chiropractic Care LLC
• Kevin J Shannan, D.C.
• Theodore Paul Shannon, PHD, MS
• Dylan Sharkey
• Carl E Sharp, DPM
• Danielle Sharp, PCC
• Jennifer Lynn Shawver

• Multi-Specialty Clinic/Center in Worthington, OH
• Providers in Worthington, OH by specialty
• Multi-Specialty Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2021; 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.