Timothy Ray Shann in Brookhaven - Pediatrics
Timothy Ray Shann - NPI 1477518793
Timothy Ray Shann is a Pediatrics in Brookhaven, Mississippi. Timothy Ray Shann practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Timothy Ray Shann is 1477518793. The last update date is 2016-10-25.
Timothy Ray Shann's current location address is 509 Brookman Dr, Brookhaven, Mississippi. You can contact this provider via phone number 6018235204 and fax number 6018331224. The mailing address for Timothy Ray Shann is 509 Brookman Dr, Brookhaven, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Timothy Ray Shann |
|---|---|
| Address | 509 Brookman Dr, Brookhaven, Mississippi |
| Phone Number | 6018235204 |
| Fax Number | 6018331224 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1477518793 |
|---|---|
| Provider Enumeration Date | 2006-04-19 |
| Last Updated Date | 2016-10-25 |
Provider Mailing Address Detail
| Address | 509 Brookman Dr |
|---|---|
| City | Brookhaven |
| State | Mississippi (MS) |
| Post Code | 396012326 |
| Phone Number | 6018235204 |
| Fax Number | 6018331224 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 208000000X |
| Licence No | 21817 |
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Definition: A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 731310891006 | OK | UNICARE | |
| 731310891028 | OK | TRICARE SOUTH | |
| 100253110A | OK | -- | |
| 100253110A | OK | SOONER PCP | |
| 74502A041 | OK | CHAMPUS (WPS) |
Post Comment/ Review Below
What is the unique identification code assigned to Timothy Ray Shann by the Centers for Medicare & Medicaid Services?
The Timothy Ray Shann has been issued the NPI (National Provider Identifier) 1477518793. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Timothy Ray Shann located?
The Timothy Ray Shann is located at 509 Brookman Dr, Brookhaven, MS 396012326.
What is Timothy Ray Shann's area of expertise and its corresponding taxonomy classification?
The Timothy Ray Shann's field of specialization is Pediatrics, and it falls under the taxonomy code 208000000X, which categorizes healthcare providers based on their areas of practice.
When did Timothy Ray Shann receive its 1477518793 assignment?
The Timothy Ray Shann was assigned its 1477518793 on 2006-04-19, which is the date when this unique identifier was issued to the organization.
When was the information pertaining to Timothy Ray Shann most recently updated or revised?
The details related to Timothy Ray Shann, including its address, specialty, and other relevant information, were last updated or revised on 2016-10-25.