COLLEEN MORAN SHANNON MD - NPI 1114383775 - Pediatrics in Philadelphia, PA

Q: What is Colleen Shannon's NPI number?

The NPI number for Colleen Shannon is 1114383775. It was assigned to this individual provider in the NPPES registry on January 12, 2016.

Q: What is Colleen Shannon's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Colleen Shannon was last updated on June 3, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Colleen Moran Shannon Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COLLEEN MORAN SHANNON MD (NPI 1114383775) is an individual pediatrics provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MT217671) and active in the NPI registry since January 2016. She maintains a secondary practice location in Baltimore.

NPPES Registry Identity

NPI1114383775

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameCOLLEEN MORAN SHANNONCredential: MD

Location Address3401 CIVIC CENTER BLVD RM 55Philadelphia, PA 19104-4319

Mailing Address3401 Civic Center Blvd Rm 55Philadelphia, PA 19104-4319 · (215) 590-1220

Phone(215) 590-1220

Sole ProprietorNo

Enumeration DateJanuary 12, 2016

Last NPPES UpdateJune 3, 20192 updates tracked since enumeration

✔ NPI 1114383775 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in PA · MT217671

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License M-650-122-792-658 (MD)

3401 CIVIC CENTER BLVD RM 55, Philadelphia, PA 19104

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Other Names 1

Other Name (5)Colleen Shannon

Secondary Practice Location 1

Location 1600 N Wolfe StBaltimore, MD 21287-0005 · Phone (410) 955-5000

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HELEN MARIE STANLEY MD

Pediatrics