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SHANNON MCCOWN MD
NPI 1235710617
Student in an Organized Health Care Education/Training Program in Scott Afb, IL

Active since April 18, 2021PECOS Enrolled
310 W LOSEY ST, SCOTT AFB, IL 62225(618) 256-3322 Get Directions Write a Review

NPPES record last updated: May 16, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 16, 2024, Sep 20, 2022, Apr 18, 2021 (3 updates tracked since 2021).

About Shannon Mccown Md NPPES

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

SHANNON MCCOWN MD (NPI 1235710617) is an individual student in an organized health care education/training program in Scott Afb, Illinois and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1235710617
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameSHANNON MCCOWNCredential: MD
Location Address310 W LOSEY STScott Afb, IL 62225-5250
Mailing AddressPsc 2 Unit 2022Apo, AP 96264
Phone(618) 256-3322
Sole ProprietorNo
Enumeration DateApril 18, 2021
Last NPPES UpdateMay 16, 20243 updates tracked since enumeration
NPPES CertifiedMay 16, 2024
✔ NPI 1235710617 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Also ListedGeneral PracticeTaxonomy 208D00000X · License 0101275762 (VA)
310 W LOSEY ST, Scott Afb, IL 62225
Open in Google Maps ↗

Secondary Practice Locations 3

Location 1PSC 2 Unit 2022APO, AP 96264 · Phone (315) 782-9503
Location 21201 S Grand BlvdSaint Louis, MO 63104-1016 · Phone (314) 257-8000
Location 33551 Roger Brooke Dr.JBSA Fort Sam Houston, TX 78234 · Phone (210) 539-5545

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shannon Mccown Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

DR. ROBERT F GAMBLE DDS
Dentist (General Practice)
310 W LOSEY ST
SCOTT AFB, IL 62225
St. Clair County (618) 256-6667
DR. ROBERT GEORGE CATES III MD
Specialist
310 W LOSEY ST
SCOTT AFB, IL 62225
St. Clair County (618) 256-7669
MS. HELEN M HORN WHNP
Nurse Practitioner (Women's Health)
310 W LOSEY ST
SCOTT AFB, IL 62225
St. Clair County (618) 256-7600
DR. LORA D. GRAVES DDS
Dentist (General Practice)
310 W LOSEY ST
SCOTT AFB, IL 62225
St. Clair County (618) 256-6831
DR. DANIEL PAUL NAUGHTON DPM
Podiatrist (Foot & Ankle Surgery)
310 W LOSEY ST
SCOTT AFB, IL 62225
St. Clair County (618) 256-7409
DR. ALFRED J. OZANIAN PH.D
Social Worker (Clinical)
310 W LOSEY ST
SCOTT AFB, IL 62225
St. Clair County (618) 256-7368
MRS. CYNTHIA CAIN LCSW
Social Worker (Clinical)
310 W LOSEY ST, 375 MDOS/SHOHF
SCOTT AIR FORCE BASE, IL 62225
St. Clair County (618) 256-7203
DR. JOHN M YACCINO DDS
Dentist (Endodontics)
310 W LOSEY ST, 375 DENTAL SQUADRON
SCOTT AFB, IL 62225
St. Clair County (618) 256-6667

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shannon Mccown's NPI number?

The NPI number for Shannon Mccown is 1235710617. It was assigned to this individual provider in the NPPES registry on April 18, 2021.

Where is Shannon Mccown located?

Shannon Mccown practices at 310 W Losey St, Scott Afb, IL 62225. The listed phone number is (618) 256-3322.

What is Shannon Mccown's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Shannon Mccown enrolled in Medicare?

Yes. Shannon Mccown is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Shannon Mccown was last updated on May 16, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.