Patrick Robert Shannon · Emergency Medicine Physician

835 Hospital Road, Emergency Department, Indiana, PA 15701-0788

Overview

Patrick Robert Shannon is a Emergency Medicine Physician practicing in Indiana, Pennsylvania. The National Provider Identifier (NPI) is #1528090172, which was assigned on July 6, 2006, and the registration record was last updated on April 14, 2025. The practitioner's main practice location is at 835 Hospital Road, Emergency Department, Indiana, PA 15701-0788; the contact telephone number is 7243577121, and the fax number is 7243577479. The primary taxonomy of Patrick Robert Shannon is Emergency Medicine Physician (207P00000X). Patrick Robert Shannon is licensed to practice in the state of Pennsylvania (#OS13700), Pennsylvania (#OS-013700).

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Provider Information

NPI 1528090172
Entity Type Individual
Provider Name DR. PATRICK ROBERT SHANNON
Gender Male
Credential DO
Practice Address 835 Hospital Road
Emergency Department
Indiana
PA 15701-0788
Practice Telephone 7243577121
Practice Fax Number 7243577479
Mailing Address 835 Hospital Road
Po Box 788
Indiana
PA 15701-0788
Mailing Telephone 7243577009
Mailing Fax Number 7243577414
Certification Date 2025-04-14
Enumeration Date 2006-07-06
Last Update Date 2025-04-14
Is Sole Proprietor N

Doctor and Clinician Information

PAC ID 7113936402
Medicare Provider Enrollment and Chain/Ownership System (PECOS) Associate Control (PAC) ID
Full Name PATRICK ROBERT SHANNON
Medical School LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE, ERIE
Primary Specialty EMERGENCY MEDICINE
Organization Legal Name INDIANA HEALTHCARE PHYSICIAN SERVICES INC
Address 879 Hospital Rd
Indiana
PA 15701-3629

Taxonomy and Licenses

PrimaryCodeClassificationSpecializationTaxonomy GroupLicense NumberLicense State
N207Q00000XFamily MedicineOS13700PA
Y207P00000XEmergency MedicineOS-013700PA

Other Provider Identifiers

Other IdentifierIssuing StateIssuerIdentifier Type
101693968 0001PAMEDICAID
1878424PAHIGHMARKOther

Taxonomy Information

Primary Taxonomy

Code 207P00000X
Taxonomy Emergency Medicine Physician
Classification Emergency Medicine
Grouping Allopathic & Osteopathic Physicians
Definition: An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification
Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine.

Other Taxonomy

Code 207Q00000X
Taxonomy Family Medicine Physician
Classification Family Medicine
Grouping Allopathic & Osteopathic Physicians
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 is not limited by age, sex, organ system, or disease entity.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification
Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.

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Location Information

Street Address 835 HOSPITAL ROAD
EMERGENCY DEPARTMENT
City INDIANA
State PA
Zip Code 15701-0788
Country US

Providers in the same location

Provider NameAddressTaxonomyEnumeration Date
Kwang Ho Chung 835 Hospital Road, Emergency Department, Indiana, PA 15701-0788Emergency Medicine Physician2005-10-27
Arie Kandel 835 Hospital Road, Indiana, PA 15701-3629Anesthesiology Physician2006-03-09

Providers in the same zip code

Provider NameAddressTaxonomyEnumeration Date
Kristin Williams Po Box 788, Indiana, PA 15701-0788Emergency Registered Nurse2025-08-08

Providers in the same zip code

Provider NameAddressTaxonomyEnumeration Date
Deanna Catherine Villanueva · Deanna Catherine Rezk 793 Old Route 119 Hwy N., Indiana, PA 15701-1372Psychiatric/Mental Health Nurse Practitioner2015-10-07
Frank Edward Zbignewich 101 Heritage Run Rd, Suite2, Indiana, PA 15701-1584Optometrist2005-07-07
Indiana Pediatric Associates, P C A 2255 Philadelphia St, Ste A and Ste B, Indiana, PA 15701-1595Rural Health Clinic/Center2026-03-06
Kristi Lynn Manners · Kristi Lynn Halliwell 850 Hospital Rd, Ste 3200, Indiana, PA 15701Family Nurse Practitioner2017-01-03
Madison D. Arotin 793 Old Route 119 Highway North, Indiana, PA 15701Mental Health Counselor2026-01-21
Bethany Krystek 450 N 5th St, Indiana, PA 15701-1271Athletic Trainer2022-10-03
Kathryn Bonach 793 Old Route 119 Hwy N, Indiana, PA 15701-1372Professional Counselor2005-10-07
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Dataset Information

This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.

Subject Transparency and Disclosure
Jurisdiction Federal
Data Provider National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS)
Source download.cms.gov

Dataset Details

The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number).

All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid).

Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008.

This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information.