Thomas Shannon Jr., D.P.M.
Podiatrist, Foot & Ankle Surgery in Shillington, PA. Individual provider (NPI-1).
NPI number1821079864
StatusActive
Last updated in NPPESFeb 25, 2010
Details
- NPI
- 1821079864
- Entity type
- Individual (NPI-1)
- Name
- Thomas Shannon Jr.
- Credential
- D.P.M.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Nov 8, 2005
- Last updated
- Feb 25, 2010
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - PODIATRY
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility No · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 213ES0103X | Podiatrist, Foot & Ankle Surgery | SC-00567 | PA | Yes |
Practice location
654 Philadelphia AveShillington, PA 19607-2769
Phone 610-796-9522 · Fax 610-796-0105
Mailing address
654 Philadelphia AveShillington, PA 19607-2769
Phone 610-796-9522 · Fax 610-796-0105
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Other Foot & Ankle Surgery Podiatrist providers in Shillington, PA
- Berks Foot And Ankle Surgical Associates, INCNPI 1245309319
- Ryan Henry Lazar, DPMNPI 1457975807
- Remi Minh Khang LeNPI 1346803236
- Kevin Todd Naugle, D.P.M.NPI 1811978844
- Megan Evans Shannon, D.P.M.NPI 1790766327
- Joseph Christopher Smith, D.P.M.NPI 1780665307
- Joseph B Watson, DPMNPI 1154623304
All 8 Foot & Ankle Surgery Podiatrist providers in Shillington · All 191 providers in Shillington
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