Active NPI
Shannon Elizabeth Klingman, M.D.
- Obstetrics & Gynecology Physician
- Minnetonka, MN
National Provider Identifier
1992701593
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 46469
- Practice address
- 14001 Ridgedale Dr
Ste 200
Minnetonka, MN 55305-1753 - Phone
- (952) 249-2000
- Fax
- (952) 249-2099
- NPI assigned
- Jun 28, 2005
- 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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 46469 | MN | Primary |
Addresses
Primary practice location
14001 Ridgedale Dr
Ste 200
Minnetonka, MN 55305-1753
Mailing address
14001 Ridgedale Dr
Ste 200
Minnetonka, MN 55305-1753
Phone (952) 249-2000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 659403400 | Medicaid | MN |
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 Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Metropolitan Obstetrics & Gynecology | Obstetrics & Gynecology | Past | Accepting new patients |
| Premier OBGYN of Minnesota PLLC | Obstetrics & Gynecology | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Obstetrics & Gynecology Physician
- St Paul, MN
- NPI 1659355741
-
- Obstetrics & Gynecology Physician
- Edina, MN
- NPI 1801946223
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119916800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1209513600000",
"number": "1992701593",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14001 RIDGEDALE DR",
"address_2": "STE 200",
"city": "MINNETONKA",
"state": "MN",
"postal_code": "553051753",
"telephone_number": "952-249-2000",
"fax_number": "952-249-2099"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14001 RIDGEDALE DR",
"address_2": "STE 200",
"city": "MINNETONKA",
"state": "MN",
"postal_code": "553051753",
"telephone_number": "952-249-2000",
"fax_number": "952-249-2099"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KLINGMAN",
"first_name": "SHANNON",
"middle_name": "ELIZABETH",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-06-28",
"last_updated": "2008-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "MN",
"license": "46469",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "659403400",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Minnetonka, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.