Shannon A Mcenerney, PA-C
Physician Assistant in Oxford, Connecticut
1831931112- Practice location
- 220 Main St Ste 1A, Oxford, CT 06478-1065
- Phone
- 203-888-5527
- Fax
- 203-888-3727
- Last updated
- March 4, 2025
Shannon A Mcenerney is a Physician Assistant based in Oxford, CT. Shannon A Mcenerney practices in Oxford, CT and has the professional credentials of PA-C. The NPI Number for Shannon A Mcenerney is 1831931112 and holds a License No. 7013 (CT). The current practice location address for Shannon A Mcenerney is 220 Main St Ste 1A, Oxford, CT 06478-1065 and can be reached out via phone at 203-888-5527 and via fax at 203-888-3727.
Provider Profile Details
- NPI Number
- 1831931112
- Provider Name
- Shannon A Mcenerney
- Credential
- PA-C
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 220 Main St Ste 1A, Oxford, CT 06478-1065
- Phone Number
- 203-888-5527
- Fax Number
- 203-888-3727
- Primary Taxonomy
- Physician Assistant · 363A00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- June 10, 2024
- Last Update Date
- March 4, 2025
- Certification Date
- March 4, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 220 Main St Ste 1A
Oxford, CT 06478-1065 - City
- Oxford
- State
- Connecticut
- Zip
- 06478-1065
- Phone Number
- 203-888-5527
- Fax Number
- 203-888-3727
Provider Business Mailing Address Details
- Address
- 67 Maple Ave
Derby, CT 06418-1328 - City
- Derby
- State
- CT
- Zip
- 06418-1328
- Phone Number
- 203-888-5527
- Fax Number
- 203-888-3727
License Information
- License Number
- 7013
- License State
- CT
- Taxonomy
- Physician Assistant · 363A00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 A Mcenerney, PA-C?
The NPI number of Shannon A Mcenerney, PA-C is 1831931112. It was assigned on June 10, 2024 and is currently active in the NPPES registry.
What is the specialty of Shannon A Mcenerney, PA-C?
Shannon A Mcenerney, PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in CT under license number 7013.
Where does Shannon A Mcenerney, PA-C practice?
The practice location is 220 Main St Ste 1A, Oxford, CT 06478-1065. The office can be reached at 203-888-5527 (phone) or 203-888-3727 (fax).
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 1831931112 directly on the NPPES registry website.