COLLEEN M. SHANNON MD – NPI #1114383775
Pediatrics

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.

COLLEEN SHANNON is a physician located in PHILADELPHIA, PA. NPPES has assigned the NPI number 1114383775 to COLLEEN SHANNON on January 12, 2016. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 208000000X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics.

The NPI profile was previously updated about 7 years ago on Jun 03, 2019. 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 COLLEEN SHANNON below.

NPI Profile for
COLLEEN M. SHANNON

NPI Number
1114383775
Enumeration Date

(more than 10 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
COLLEEN M. SHANNON
Other Name: COLLEEN SHANNON
Credentials
MD
Primary location
3401 CIVIC CENTER BLVD RM 55
PHILADELPHIA, PA 19104-4319
Phone: (215) 590-1220 Fax:
1 Other location(s):
600 N Wolfe St
Baltimore, MD 21287-0005
Phone: (410) 955-5000
Mailing address
Same as primary location
Sole Proprietor
No
Updated
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
208000000X
- Pediatrics (Primary)
PA MT217671
390200000X
- Student in an Organized Health Care Education/Training Program
MD M-650-122-792-658

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.