Shannon Fourtner in Batavia - Pediatric Endocrinology
Shannon Fourtner - NPI 1225111651
Shannon Fourtner is a Pediatric Endocrinology in Batavia, New York. Shannon Fourtner practices all healthcare services and medical treatments related to Pediatric Endocrinology. The NPI Number for Shannon Fourtner is 1225111651. The last update date is 2021-09-10.
Shannon Fourtner's current location address is 5762 E Main Street Rd Ste B, Batavia, New York. You can contact this provider via phone number 5852017112 and fax number 5852017128. The mailing address for Shannon Fourtner is 5762 E Main Street Rd Ste B, Batavia, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Shannon Fourtner |
|---|---|
| Address | 5762 E Main Street Rd Ste B, Batavia, New York |
| Phone Number | 5852017112 |
| Fax Number | 5852017128 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1225111651 |
|---|---|
| Provider Enumeration Date | 2006-10-21 |
| Last Updated Date | 2021-09-10 |
Provider Mailing Address Detail
| Address | 5762 E Main Street Rd Ste B |
|---|---|
| City | Batavia |
| State | New York (NY) |
| Post Code | 140209621 |
| Phone Number | 5852017112 |
| Fax Number | 5852017128 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Endocrinology |
|---|---|
| Taxonomy | 2080P0205X |
| Licence No | 35.14169 |
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Definition: A pediatrician who provides expert care to infants, children and adolescents who have diseases that result from an abnormality in the endocrine glands (glands which secrete hormones). These diseases include diabetes mellitus, growth failure, unusual |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2657463 | NY | -- | |
| 27224401 | UNIVERA | ||
| 1212950 | IHA | ||
| 528154001 | BC/BS | ||
| 50805000017 | FIDELIS | ||
| 1019564320001 | PA MEDICAID |
Post Comment/ Review Below
What is the Shannon Fourtner's unique identification number?
The Shannon Fourtner has been assigned the NPI (National Provider Identifier) Number 1225111651 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete street address where Shannon Fourtner is physically located?
The Shannon Fourtner is physically situated at the following address: 5762 E Main Street Rd Ste B, Batavia, NY, 140209621.
What is Shannon Fourtner's area of expertise and its corresponding taxonomy classification?
The Shannon Fourtner's field of specialization is Pediatric Endocrinology, and it falls under the taxonomy code 2080P0205X, which categorizes healthcare providers based on their areas of practice.
On what date did the Shannon Fourtner receive its 1225111651 assignment from the Centers for Medicare & Medicaid Services?
The Shannon Fourtner was assigned its 1225111651 by the Centers for Medicare & Medicaid Services on 2006-10-21.
When was the information regarding Shannon Fourtner most recently updated?
The details pertaining to the Shannon Fourtner, including its address, specialty, and other relevant information, were last refreshed on 2021-09-10.