SHANNON ALTAZAN DO – NPI #1477057883
Emergency Medicine

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Health Care Provider Taxonomy Code for Emergency Medicine

SHANNON ALTAZAN is a physician located in MARIETTA, OH. NPPES has assigned the NPI number 1477057883 to SHANNON ALTAZAN on March 20, 2018. It is a Type-1 NPI, indicating this NPI number is associated with an individual. According to the NPI data, there are 6 additional location(s) assigned to this provider which are listed below. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207P00000X from the Health Care Provider Taxonomy code set, which is classified as Emergency Medicine.

The NPI profile was last updated on Feb 19, 2026. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SHANNON ALTAZAN below.

NPI Profile for
SHANNON ALTAZAN

NPI Number
1477057883
Enumeration Date

(more than 8 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
SHANNON ALTAZAN
Credentials
DO
Primary location
401 MATTHEW ST
MARIETTA, OH 45750-1635
Phone: (740) 376-1939 Fax: (740) 374-1693
6 Other location(s):
206 Columbus Rd
Athens, OH 45701-1316
Phone: (740) 885-4064
Fax: (740) 885-4027
1006 Washington Blvd Ste G
Belpre, OH 45714-4005
Phone: (740) 423-3240
Fax: (740) 401-0440
799 Farson St
Belpre, OH 45714-1082
Phone: (740) 401-1157
Fax: (740) 401-1155
1106 Colegate Dr
Marietta, OH 45750-1323
Phone: (740) 568-2000
Fax: (740) 568-2096
224 Pike ST
Marietta, OH 45750-3319
Phone: (740) 373-3960
Fax: (740) 373-3965
800 Wheeling Ave
Glen Dale, WV 26038-1660
Phone: (304) 843-3313
Mailing address
1467 TORNES RD
LOWELL, OH 45744-7187
Phone: (225) 802-2197 Fax:
Sole Proprietor
Yes
Updated
Certification Date
Feb 19, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for SHANNON ALTAZAN

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
medicaidOH0485813
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207P00000X
- Emergency Medicine (Primary)		 OH 34.015793
207Q00000X
- Family Medicine		 OH 34.015793

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

View All Endpoint(s)
Endpoint
[email protected]
Endpoint type
Direct Messaging Address
Endpoint Description
Content Type
Affiliation
N
Endpoint Location
1006 WASHINGTON BLVD STE G,
BELPRE, OH 77025-1669
Endpoint
[email protected]
Endpoint type
Direct Messaging Address
Endpoint Description
Content Type
Affiliation
N
Endpoint Location
1106 COLEGATE DR,
MARIETTA, OH 77025-1669
Endpoint
[email protected]
Endpoint type
Direct Messaging Address
Endpoint Description
Content Type
Affiliation
N
Endpoint Location
206 COLUMBUS RD,
ATHENS, OH 77025-1669
Endpoint
[email protected]
Endpoint type
Direct Messaging Address
Endpoint Description
Content Type
Affiliation
N
Endpoint Location
224 PIKE ST,
MARIETTA, OH 77025-1669
Endpoint
[email protected]
Endpoint type
Direct Messaging Address
Endpoint Description
Content Type
Affiliation
N
Endpoint Location
401 MATTHEW ST,
MARIETTA, OH 77025-1669
Endpoint
[email protected]
Endpoint type
Direct Messaging Address
Endpoint Description
Content Type
Affiliation
N
Endpoint Location
799 FARSON ST,
BELPRE, OH 77025-1669
Endpoint
[email protected]
Endpoint type
Direct Messaging Address
Endpoint Description
Content Type
Affiliation
N
Endpoint Location
800 PIKE ST STE 2,
MARIETTA, OH 77025-1669

Additional Information

Education
WILLIAM CAREY UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE - Graduated 2018
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
SHANNON ALTAZAN is affiliated with the following medical group(s):
  • HOSPITAL
    • GREENBRIER VALLEY MEDICAL CENTER
      1320 MAPLEWOOD AVENUE
      RONCEVERTE, WV 24970
    • TRINITY MEDICAL CTR EAST &TRINITY MEDICAL CTR WEST
      380 SUMMIT AVENUE
      STEUBENVILLE, OH 43952

Why is my NPI data (personal information) being displayed publicly?
If you have an active NPI profile, your profile is required to be disclosed according to the FOIA and eFOIA. HIPAA also requires covered providers to share their NPI with other providers, health plans, clearinghouses and any entity that may need it for billing purposes.

How do I correct or change the NPI data displayed here?
At any time, providers can make changes to their NPI profile at NPPES. Login to NPPES to make changes online or call (800) 465-3203 for assistance. Changes made at NPPES will be reflected on this web site within a few days.

Can I hide my NPI profile from the public?
Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.