Active NPIIndividual provider

Shannon M Hogan, DO

Pediatrics in Burlington, Vermont

NPI Number1265613426
Practice location
1 S Prospect St, Burlington, VT 05401-3456
Fax
—
Last updated
September 7, 2023

Shannon M. Hogan is a Pediatrics based in Burlington, VT. Shannon M. Hogan practices in Burlington, VT and has the professional credentials of DO. The NPI Number for Shannon M. Hogan is 1265613426 and holds a License No. 0102203586 (VA). The current practice location address for Shannon M. Hogan is 1 S Prospect St, Burlington, VT 05401-3456 and can be reached out via phone at 802-847-4696.

Provider Profile Details

NPI Number
1265613426
Provider Name
Shannon M. Hogan
Credential
DO
Provider Entity Type
Individual
Gender
Female
Address
1 S Prospect St, Burlington, VT 05401-3456
Phone Number
802-847-4696
Primary Taxonomy
Pediatrics · 208000000X
Sole Proprietor
No
Provider Enumeration Date
November 16, 2007
Last Update Date
September 7, 2023
Certification Date
September 7, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
1 S Prospect St
Burlington, VT 05401-3456
State
Vermont
Zip
05401-3456
Phone Number
802-847-4696
Burlington, VT 05401Get directions →

Provider Business Mailing Address Details

Address
601 Childrens Ln
Norfolk, VA 23507-1910
City
Norfolk
State
VA
Zip
23507-1910

License Information

License Number (1)
0102203586
License State (1)
VA
Taxonomy (1)
Hospitalist · 208M00000X
License Number (2)
032.0131584
License State (2)
VT
Taxonomy (2)
Pediatrics · 208000000X · Primary
License Number (3)
2070
License State (3)
ME
Taxonomy (3)
Pediatrics · 208000000X
License Number (4)
045744
License State (4)
CT
Taxonomy (4)
Pediatrics · 208000000X
License Number (5)
234618
License State (5)
MA
Taxonomy (5)
Pediatrics · 208000000X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Shannon M Hogan, DO?

The NPI number of Shannon M Hogan, DO is 1265613426. It was assigned on November 16, 2007 and is currently active in the NPPES registry.

What is the specialty of Shannon M Hogan, DO?

Shannon M Hogan, DO is registered under the primary taxonomy Pediatrics (code 208000000X), licensed in VA under license number 0102203586.

Where does Shannon M Hogan, DO practice?

The practice location is 1 S Prospect St, Burlington, VT 05401-3456. The office can be reached at 802-847-4696 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1265613426 directly on the NPPES registry website.

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