Shannon L Grubb is a Family Medicine in Mason, Ohio. Shannon L Grubb practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Shannon L Grubb is 1427040534. The last update date is 2014-06-23.
Shannon L Grubb's current location address is 4201 Aero Dr, Mason, Ohio. You can contact this provider via phone number 5137704122 and fax number 5134599468. The mailing address for Shannon L Grubb is 4201 Aero Dr, Mason, Ohio. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Shannon L Grubb |
|---|---|
| Address | 4201 Aero Dr, Mason, Ohio |
| Phone Number | 5137704122 |
| Fax Number | 5134599468 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1427040534 |
|---|---|
| Provider Enumeration Date | 2005-08-16 |
| Last Updated Date | 2014-06-23 |
Provider Mailing Address Detail
| Address | 4201 Aero Dr |
|---|---|
| City | Mason |
| State | Ohio (OH) |
| Post Code | 450408818 |
| Phone Number | 5137704122 |
| Fax Number | 5134599468 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 35057544G |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 728672 | OH | -- | |
| GR4124482 | OH | MEDICARE PTAN |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Shannon L Grubb by the Centers for Medicare & Medicaid Services?
The Shannon L Grubb has been issued the NPI (National Provider Identifier) 1427040534, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Shannon L Grubb?
The Shannon L Grubb is physically situated at 4201 Aero Dr, in the city of Mason, state of OH, with the postal code 450408818.
What is Shannon L Grubb's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Shannon L Grubb's specialized field of practice is Family Medicine, and the corresponding taxonomy code that categorizes this area of specialization is 207Q00000X.
When was the Shannon L Grubb's 1427040534 issued?
The Shannon L Grubb's 1427040534 was issued on 2005-08-16.
When was the Shannon L Grubb's information last updated?
The Shannon L Grubb's information was last updated on 2014-06-23.
NPI Number: 1699778829
Address: 1200 Oakleaf Way, Altoona, WI