Shannon L Burnham, MD
Family Medicine in Pembroke, Massachusetts
1912385915- Practice location
- 15 Corporate Park Dr, Pembroke, MA 02359-1966
- Phone
- 781-826-8065
- Fax
- 781-826-8043
- Last updated
- February 25, 2020
Shannon Leigh Burnham is a Family Medicine based in Pembroke, MA. Shannon Leigh Burnham practices in Pembroke, MA and has the professional credentials of MD. The NPI Number for Shannon Leigh Burnham is 1912385915 and holds a License No. 274468 (MA). The current practice location address for Shannon Leigh Burnham is 15 Corporate Park Dr, Pembroke, MA 02359-1966 and can be reached out via phone at 781-826-8065 and via fax at 781-826-8043.
Provider Profile Details
- NPI Number
- 1912385915
- Provider Name
- Shannon Leigh Burnham
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 15 Corporate Park Dr, Pembroke, MA 02359-1966
- Phone Number
- 781-826-8065
- Fax Number
- 781-826-8043
- Primary Taxonomy
- Family Medicine · 207Q00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- May 11, 2015
- Last Update Date
- February 25, 2020
- Certification Date
- February 25, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 15 Corporate Park Dr
Pembroke, MA 02359-1966 - City
- Pembroke
- State
- Massachusetts
- Zip
- 02359-1966
- Phone Number
- 781-826-8065
- Fax Number
- 781-826-8043
Provider Business Mailing Address Details
- Address
- 77 Accord Park Dr Ste D4
Norwell, MA 02061-1652 - City
- Norwell
- State
- MA
- Zip
- 02061-1652
- Phone Number
- 781-826-8065
- Fax Number
- 781-826-8043
License Information
- Taxonomy (1)
- Student in an Organized Health Care Education/Training Program · 390200000X
- License Number (2)
- 274468
- License State (2)
- MA
- Taxonomy (2)
- Family Medicine · 207Q00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Family Medicine providers near Pembroke, MA
View all Family Medicine providers in Pembroke →- Dr. Alison M Walker, MDFamily Medicine · NPI 1548792716
- Cierra CarringtonPharmacist · NPI 1215837661
- Jessica L Robertson, NPNurse Practitioner, Family · NPI 1922578467
- Dr. David C Dibenedetto, DMDDentist, General Practice · NPI 1134167323
- Aisling ZylbermanNurse Practitioner · NPI 1962959205
- Mrs. Kimberly L Thornton, PA-CPhysician Assistant · NPI 1669720736
Frequently Asked Questions
What is the NPI number of Shannon L Burnham, MD?
The NPI number of Shannon L Burnham, MD is 1912385915. It was assigned on May 11, 2015 and is currently active in the NPPES registry.
What is the specialty of Shannon L Burnham, MD?
Shannon L Burnham, MD is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in MA under license number 274468.
Where does Shannon L Burnham, MD practice?
The practice location is 15 Corporate Park Dr, Pembroke, MA 02359-1966. The office can be reached at 781-826-8065 (phone) or 781-826-8043 (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 1912385915 directly on the NPPES registry website.