DR. SHANNON LEIGH CARPENTER


Address: 12 Kanawha Ter, Saint Albans, WV 25177
Phone: 3042011130

DR. SHANNON LEIGH CARPENTER (NPI# 1770727836) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1770727836
Entity Type Individual
Full Name DR. SHANNON LEIGH CARPENTER
Credential M.D.
Practice Address 12 Kanawha Ter
Saint Albans
WV 25177
Mailing Address 3200 Maccorkle Ave Se
Suite B16
Charleston
WV 25304
Practice Telephone 3042011130
Practice Fax Number 3042011134
Mailing Telephone 3043885848
Mailing Fax Number 3043889654
Enumeration Date 2009-04-20
Last Update Date 2018-08-03
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine 24882 WV Allopathic & Osteopathic Physicians
N 208M00000X Hospitalist 24882 WV Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
WV 3810024872 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
3200 Maccorkle Ave Se, Suite 502, Charleston, WV 253041227 3043885848 3043889654

Other Providers SHANNON CARPENTER

NPI Name Taxonomy Address Enumeration
1639225907 Shannon Larae Carpenter Specialist 518 S Tobin St, Renton, WA 98055-1303 2007-01-26
1306331574 Shannon Grace Carpenter Physical Therapist 200 1st St Sw, Rochester, MN 55905 2018-06-28
1912446642 Shannon Carpenter Technician, Other 41521 W 11 Mile Rd, Novi, MI 48375-1803 2017-02-14
1366762023 Shannon Renea' Carpenter Orthopaedic Surgery 4801 E Linwood Blvd, Kansas City, MO 64128-2226 2010-06-04
1891876405 Shannon Kay Carpenter Chiropractor 4505 Woodgate Dr, Janesville, WI 53546-8203 2006-10-18
1730296716 Shannon Carpenter Pediatrics 2401 Gillham Rd, Kansas City, MO 64108-4619 2006-08-24

Office Location

Street Address 12 KANAWHA TER
City SAINT ALBANS
State WV
Zip Code 25177

Providers in the same location

NPI Name Taxonomy Address Enumeration
1326001801 Kimberly T. Lough Dentist 12 Kanawha Ter, Suite B, Saint Albans, WV 25177-2750 2006-04-07
1083147375 Blaire Smith Pediatrics 12 Kanawha Ter, Saint Albans, WV 25177-2750 2017-04-04
1356748404 Sarah Smith Counselor 12 Kanawha Ter, Saint Albans, WV 25177 2014-12-04
1497195374 Rita Ramesh Patel Family Medicine 12 Kanawha Ter, Saint Albans, WV 25177-2750 2013-06-25
1215284492 Jennifer Lynn Ranson Nurse Practitioner 12 Kanawha Ter, Saint Albans, WV 25177-2750 2012-08-07
1902166945 Womencare Inc Clinic/Center 12 Kanawha Ter, Saint Albans, WV 25177-2750 2012-05-24
1790087187 Bernard Dean Grose II Physician Assistant 12 Kanawha Ter, Saint Albans, WV 25177-2750 2010-11-17
1922241520 John Kent Jackfert Dentist 12 Kanawha Ter, Suite B, Saint Albans, WV 25177-2750 2009-04-13
1528208774 Lucy Kara Shamblin Family Medicine 12 Kanawha Ter, Saint Albans, WV 25177-2750 2009-03-01
1740476357 Erica R Frye Physician Assistant 12 Kanawha Ter, Saint Albans, WV 25177-2750 2007-09-18
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1366043655 Lauren E. Anderson Technician 414 Lore Street, St. Albans, WV 25177 2020-11-04
1235730433 Laura Crist Technician 1400 Highland Dr. Apt. #104, St. Albans, WV 25177 2020-11-04
1750982070 Kathy Carden Technician 2734 Knox. Ave., St. Albans, WV 25177 2020-11-03
1245837012 Donald Troy Blum Pharmacist 201 Maccorkle Avenue, St. Albans, WV 25177 2020-10-05
1073022067 Comprehensive Occupational Med, Physicals, Acad, & Surveillance Sol. Preventive Medicine 175 Smiley Drive, St. Albans, WV 25177 2017-09-22
1104291608 Melinda K. Henline, Ma, Pllc Psychologist 200 Kanawha Terrrace, Suite 103, St. Albans, WV 25177 2015-12-09
1285075796 Brandon Tincher Physical Therapy Assistant 2501 Mountain View Drive, St. Albans, WV 25177 2013-07-12
1104129329 Larry N Pethtel Pharmacist 1439 Maccorkle Ave., Saint Albans, WV 25177 2010-12-09
1952580698 Behavioral Health Solutions LLC Community/Behavioral Health 235 Woods Dr, St Albans, WV 25177 2007-10-30
1336284520 Lagrimas Babiera Sadorra Family Medicine 200 Kanawha Terrace, St Albans, WV 25177 2007-02-21
Find all providers in zip 25177

Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy 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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1003391483 Ann-marie Civil Family Medicine 19432 111th Ave, Saint Albans, NY 11412-2014 2018-10-01
1881096329 Janelle Applewhaite Family Medicine 20016 Hollis Ave, Saint Albans, NY 11412-1712 2014-09-16
1588974885 Yvonnecris Smith Veal Family Medicine 11230 Farmers Blvd, Saint Albans, NY 11412-2363 2010-10-20
1417274663 Northwestern Medical Center, Inc. Family Medicine 133 Fairfield St Ste 103, Saint Albans, VT 05478-1726 2010-04-28
1275667099 Alicia T. Guilford Family Medicine 74 Sunrise Ln, Saint Albans, VT 05478-4414 2007-03-15
1659408383 Joseph Pierre Family Medicine 20003 Linden Blvd, Saint Albans, NY 11412-3223 2007-02-28
1255489936 Amy Dale Casto Family Medicine 612 5th St., Saint Albans, WV 25177 2007-01-08
1053473116 Anthony W Graham Family Medicine 509 4th Ave, Saint Albans, WV 25177-2824 2006-12-15
1083636377 I. Elaine Moore Family Medicine 311 8th Ave, Saint Albans, WV 25177 2006-07-24
1124066766 Eustace A. Huggins Family Medicine 20017 Linden Blvd, Saint Albans, NY 11412-3200 2006-06-04
Find all providers in SAINT ALBANS

Competitor

Search similar providers

City SAINT ALBANS
Zip Code 25177

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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