SHANNON D. FULLERTON MD – NPI #1821099110
Obstetrics & Gynecology

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

SHANNON FULLERTON is a physician located in WEYMOUTH, MA. NPPES has assigned the NPI number 1821099110 to SHANNON FULLERTON on August 09, 2005. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207V00000X from the Health Care Provider Taxonomy code set, which is classified as Obstetrics & Gynecology.

The NPI profile was previously updated about 12 years ago on Jan 08, 2014. 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 FULLERTON below.

NPI Profile for
SHANNON D. FULLERTON

NPI Number
1821099110
Enumeration Date

(about 21 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
SHANNON D. FULLERTON
Credentials
MD
Primary location
51 PERFORMANCE DR
ENTRY 2
WEYMOUTH, MA 02189-3141
Phone: (781) 682-8000 Fax: (781) 335-1412
Mailing address
141 LONGWATER DR
NORWELL, MA 02061-1632
Phone: (781) 878-5200 Fax:
Sole Proprietor
No
Updated
Identifiers

Identifiers for SHANNON FULLERTON

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.

See identifiers
DescriptionIssuerStateIdentifier
OTHERAETNA7151128
OTHERBCBSMASS0128
OTHERCIGNA9034507
OTHERFALLON1821099110
OTHERGIC/UNICARE042297845
OTHERHARVARD PILGRIMAA279482
OTHERHCVM/FIRST HEALTH/COVENTRY042297845
OTHERMULTI-PLAN/PHCS042297845
OTHERNEIGHBORHOOD HEALTH PLAN1821099110
OTHERNETWORK HEALTH976196 08
OTHERTRICARE042297845
OTHERTUFTS/TMP205500
OTHERUNITED HEALTH CARE042297845
MEDICAIDMA1821099110
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
207V00000X
- Obstetrics & Gynecology (Primary)
MA 205500

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.