Gwendolyn Shelton
MD | Pediatrics | Female
Gwendolyn Shelton, MD is a Boonville, Indiana based Pediatric doctor with medical specialization in
General Pediatrics. Gwendolyn Shelton is also known as
Gwendolyn S Lattimore.
Current practice location of Gwendolyn Shelton is
1116 Millis Ave, Boonville, Indiana - 47601-2204. She can be contacted on phone at
.
Gwendolyn Shelton is a sole proprietor of her business.
NPI number (Unique professional ID) for Gwendolyn Shelton is
1285649749 which was assigned by NPPES on 30 Jul, 2006 and it was last updated on 16 Aug, 2022.
Gwendolyn Shelton license number is
0420012043 for Pediatrics (208000000X) in Vermont.
Gwendolyn Shelton is a pediatrician who 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 chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Gwendolyn Shelton basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Gwendolyn Shelton |
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| Other Name : | Gwendolyn S Lattimore |
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| Credential : | MD |
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| Gender : | Female |
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Business Address:
Gwendolyn Shelton address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 1116 Millis Ave
Boonville, IN, 47601-2204
United States |
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| Phone Number : | |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1285649749 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 30 Jul, 2006 |
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| Last Updated On : | 16 Aug, 2022 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Gwendolyn Shelton are as mentioned. Primary taxonomy code for Gwendolyn Shelton, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | No | 2002-0294 | NM |
| 208000000X | Pediatrics | Yes | 0420012043 | VT |
Legacy Identifiers:
Other legacy medical identifiers of Gwendolyn Shelton such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 001896501 | MEDICARE PIN | VT | |
| 1018027 | MEDICAID | VT | |
| 342707803 | MEDICARE PIN | | |
| 41835557 | MEDICAID | NM | |
| H68007 | MEDICARE UPIN | | |
Other Practice Locations:
| Practice Address | City, State | Phone Number |
|---|
246 GRANGER RD, SUITE 1
BERLIN, VT, 05602-0000
United States | BERLIN, VT | 802-371-5950 |
Endpoints:
Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).
| Endpoint Type | Endpoint | Affiliation | Use | Content | Address |
|---|
DIRECT
(Direct Messaging Address) | gwendolyn.shelton.1@7598.direct.athenahealth.com
| |
|
| 1116 Millis Ave,
Boonville, IN, 47601-2204
|
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 1116 Millis Ave
Boonville, IN, 47601-2204
United States |
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| Phone Number : | 812-897-7404 |
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Business Location:
Patients can refer following map for directions to
Gwendolyn Shelton practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.