DR. SHANNON ELIZABETH GIDLEY MD
NPI 1679260566
Student in an Organized Health Care Education/Training Program in Indianapolis, IN
About Dr. Shannon Elizabeth Gidley Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. SHANNON ELIZABETH GIDLEY MD (NPI 1679260566) is an individual student in an organized health care education/training program in Indianapolis, Indiana and active in the NPI registry since April 2023. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
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.
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Shannon Elizabeth Gidley Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
INDIANAPOLIS, IN 46202
INDIANAPOLIS, IN 46202
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1679260566, enumerated as an "individual" on April 20, 2023.
The provider is located at 1130 W MICHIGAN ST INDIANAPOLIS, IN 46202 and the phone number is (317) 274-0275.
Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
