SHANNON L. SMITH MAXEY M.D. – NPI #1669403093
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.

SHANNON SMITH MAXEY is a physician located in HUNTINGTON, WV. NPPES has assigned the NPI number 1669403093 to SHANNON SMITH MAXEY on July 05, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. She is also known by her former name SHANNON LEA SMITH. 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 10 years ago on Mar 16, 2016. 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 SMITH MAXEY below.

NPI Profile for
SHANNON L. SMITH MAXEY

NPI Number
1669403093
Enumeration Date

(about 20 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
SHANNON L. SMITH MAXEY
Former Name: SHANNON LEA SMITH
Credentials
M.D.
Primary location
2585 3RD AVENUE
HUNTINGTON, WV 25703
Phone: (304) 781-5138 Fax: (304) 697-2086
Mailing address
2585 3RD AVE
HUNTINGTON, WV 25703-1642
Phone: (304) 697-1396 Fax: (304) 697-2086
Sole Proprietor
No
Updated
Identifiers

Identifiers for SHANNON SMITH MAXEY

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
MEDICAIDOH2667038
MEDICAIDWV3810005791
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)
WV 22344

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.