DR. MICHAEL SHANNON TODD (NPI# 1922158997) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922158997 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL SHANNON TODD |
| Credential | DO |
| Practice Address |
3125 S Scatterfield Rd Ste 210 Anderson IN 46013 |
| Mailing Address |
6626 E 75th St Ste 500 Indianapolis IN 46250-2890 |
| Practice Telephone | 7652984311 |
| Practice Fax Number | 7652984312 |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2020-10-20 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgery | 34010782 | OH | Allopathic & Osteopathic Physicians |
| N | 207X00000X | Orthopaedic Surgery | 47118 | CO | Allopathic & Osteopathic Physicians |
| N | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
34010782 | OH | Allopathic & Osteopathic Physicians |
| Y | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
02002715A | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 300014911 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3727 Friendsville Rd, Suite 5, Wooster, OH 446917131 | 3302023420 | |
| 3727 Friendsville Rd Unit 5, Wooster, OH 446917131 | 3302023420 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730494774 | Michael Brooks Todd | Occupational Therapy Assistant | 325 Windsor Estates Dr, Davenport, FL 33837-9606 | 2010-08-14 |
| 1023253218 | Michael David Todd | Counselor | 4942 E Yale Ave Ste 103, Fresno, CA 93727-1572 | 2008-12-03 |
| 1467623678 | Michael Wesley Todd Sr. | Chiropractor | 1711 Sheepshead Bay Rd Lowr Level, Brooklyn, NY 11235-3651 | 2008-03-14 |
| 1831133628 | Michael Anthony Todd | Optometrist | 788 White Horse Pike, Absecon, NJ 08201-1416 | 2006-06-15 |
| 1831136456 | Michael A Todd | Surgery | 4100 Lake Otis Pkwy Ste 302, Anchorage, AK 99508-5230 | 2006-06-01 |
| 1902883937 | Michael Ulland Todd | Family Medicine | 4600 Mcauley Pl Ste 112, Blue Ash, OH 45242-4765 | 2005-12-30 |
| 1124016282 | Michael A Todd | Pathology | 200 Hwy 30 W, New Albany, MS 38652-3112 | 2005-10-12 |
| 1437151750 | Michael Sean Todd | Dentist | 1500 Vandiver, Suite 104, Columbia, MO 65202 | 2005-06-01 |
| 1942823653 | Michael James Todd | Student in an Organized Health Care Education/Training Program | 1250 E Marshall St, Richmond, VA 23298-5051 | 2020-05-28 |
| 1861955288 | Michael Todd | Technician | 8290 W Sahara Ave Ste 260, Las Vegas, NV 89117-8933 | 2019-04-11 |
| Street Address |
3125 S SCATTERFIELD RD STE 210 |
| City | ANDERSON |
| State | IN |
| Zip Code | 46013 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063405371 | Brett Thomas Krepps | Orthopaedic Surgery | 3125 S Scatterfield Rd Ste 210, Anderson, IN 46013-1802 | 2005-08-23 |
| 1588149538 | Amanda Pearl Andrews | Specialist/Technologist | 3125 S Scatterfield Rd Ste 210, Anderson, IN 46013-1804 | 2018-09-26 |
| 1750647608 | Kyle Stephenson | Orthopaedic Surgery | 3125 S Scatterfield Rd Ste 210, Anderson, IN 46013 | 2012-04-04 |
| 1285952382 | Alicia Lysiuk | Specialist/Technologist | 3125 S Scatterfield Rd Ste 210, Anderson, IN 46013-1804 | 2010-05-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932639929 | John Till | Optometrist | 5535 South Scatterfield Road, Anderson, IN 46013 | 2017-06-13 |
| 1053595843 | Vidya Ramesh Bettagere | Dentist | 3819 Fairview Drive, Anderson, IN 46013 | 2007-12-28 |
| 1003978586 | Chris D Kinney | Dentist | 3825 Fairview Dr, Anderson, IN 46013 | 2006-12-14 |
| 1841350550 | Deena M Heller | Social Worker | 3125 S Scatterfield Rd Ste 200, Anderson, IN 46013 | 2006-12-11 |
| 1447320668 | Kregg Koons O.d., Inc. | Optometrist | 5535 Scatterfield Rd., Anderson, IN 46013 | 2006-11-08 |
| 1982261269 | Eloquence Therapy Services, P.C. | Speech-Language Pathologist | 3320 Main St, Suite J, Anderson, IN 46013 | 2019-05-22 |
| 1063977825 | Rachael Lauren Hartley | Nurse Practitioner | 3125 S Scatterfield Rd Ste 100, Anderson, IN 46013 | 2019-02-06 |
| 1710473194 | Myeyedr Optometry of Indiana, LLC | Optometrist | 1921 E 53rd St, Anderson, IN 46013 | 2018-07-09 |
| 1508356643 | Matthew M Miller | Physical Therapist | 4227 S Scatterfield Rd, Anderson, IN 46013 | 2018-05-15 |
| 1073040655 | Ashley Smith | Nurse Practitioner | 3125 S Scatterfield Rd Ste 300, Anderson, IN 46013 | 2017-05-15 |
| Find all providers in zip 46013 | ||||
| Taxonomy Code | 207XX0005X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Sports Medicine |
| An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton changed, source changed] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. ACGME Accredited Program Requirements: 1 year GME in the specialty + 5 years of Orthopaedic Surgery for a total of 6 years |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649285305 | Nirmal K Surtani | Orthopaedic Surgery | 2610 Enterprise Dr, Anderson, IN 46013-9684 | 2006-07-30 |
| 1376569343 | Blue Ridge Orthopaedic Assoc, Pa | Orthopaedic Surgery | 100 Healthy Way, Suite 1200, Anderson, SC 29621-7916 | 2006-07-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235404526 | Eric Philip Tannenbaum | Orthopaedic Surgery | 940 N Marr Rd Ste C, Columbus, IN 47201 | 2012-03-20 |
| 1326213109 | Steven K Ahlfeld Md, PC | Orthopaedic Surgery | 9302 N Meridian St Ste 110, Indianapolis, IN 46260-1818 | 2008-04-23 |
| 1780707265 | New Hope Orthopaedics and Sports Medicine PC | Orthopaedic Surgery | 325 Westfield Rd, Suite A, Noblesville, IN 46060-1497 | 2007-04-09 |
| 1740313071 | Atlas Orthopedics & Sports Medicine Inc PC | Orthopaedic Surgery | 3660 Guion Rd Ste 230, Indianapolis, IN 46222-1691 | 2007-03-14 |
| 1780723122 | Jeffrey S Staron | Orthopaedic Surgery | 8141 Calumet Ave Unit 1, Munster, IN 46321-1701 | 2007-02-05 |
| 1376622936 | Lorin Merrill Brown | Orthopaedic Surgery | 1950 45th St Ste 200, Munster, IN 46321-3958 | 2006-11-03 |
| 1033214366 | Rivercross Orthopaedics & Sports Medicine PC | Orthopaedic Surgery | 18051 River Ave Ste 100, Noblesville, IN 46062-7093 | 2006-09-13 |
| 1366489338 | Dale S Snead | Orthopaedic Surgery | 201 Pennsylvania Parkway Suite 200, Indianapolis, IN 46280-2301 | 2006-05-31 |
| 1407859051 | Daniel C Eby | Orthopaedic Surgery | 600 W. 13th St, Suite 200, Jasper, IN 47546-1883 | 2005-05-27 |
| 1639782907 | Jenna Renee Sparks | Orthopaedic Surgery | 1801 N Senate Blvd Ste 400, Indianapolis, IN 46202-1245 | 2020-08-26 |
| Find all providers with the same taxonomy | ||||
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| 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.