Shannon Fourtner
MD | Pediatric Endocrinology | Female
Shannon Fourtner, MD is a Batavia, New York based Pediatric doctor with medical specialization in
Pediatric Endocrinology.
Current practice location of Shannon Fourtner is
5762 E Main Street Rd Ste B, Batavia, New York - 14020-9621. She can be contacted on phone at
585-201-7112 and fax number 585-201-7128.
Shannon Fourtner is a sole proprietor of her business.
NPI number (Unique professional ID) for Shannon Fourtner is
1225111651 which was assigned by NPPES on 21 Oct, 2006 and it was last updated on 10 Sep, 2021.
Shannon Fourtner license number is
236427 for Pediatrics Pediatric Endocrinology (2080P0205X) in New York.
Shannon Fourtner 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 size for age, early or late pubertal development, birth defects, the genital region and disorders of the thyroid, the adrenal and pituitary glands.
Complete Profile:
Shannon Fourtner basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Pediatric Endocrinology |
|---|
| Provider Name : | Shannon Fourtner |
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| Credential : | MD |
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| Gender : | Female |
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Business Address:
Shannon Fourtner 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 : | 5762 E Main Street Rd Ste B
Batavia, NY, 14020-9621
United States |
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| Phone Number : | 585-201-7112 |
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| Fax Number : | 585-201-7128 |
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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 : | 1225111651 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 21 Oct, 2006 |
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| Last Updated On : | 10 Sep, 2021 |
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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 Shannon Fourtner are as mentioned. Primary taxonomy code for Shannon Fourtner, MD is
2080P0205X (Pediatrics Pediatric Endocrinology).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 2080P0205X | Pediatrics Pediatric Endocrinology | No | 35.141690 | OH |
| 2080P0205X | Pediatrics Pediatric Endocrinology | Yes | 236427 | NY |
| 2080P0205X | Pediatrics Pediatric Endocrinology | No | MD2017-1044 | NM |
Legacy Identifiers:
Other legacy medical identifiers of Shannon Fourtner such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 1212950 | Other | | IHA |
| 000528154001 | Other | | BC/BS |
| 02657463 | MEDICAID | NY | |
| 050805000017 | Other | | FIDELIS |
| 1019564320001 | Other | | PA MEDICAID |
| 00027224401 | Other | | UNIVERA |
Other Practice Locations:
| Practice Address | City, State | Phone Number |
|---|
2100 W CENTRAL AVE STE 100A,
TOLEDO, OH, 43606-3817
United States | TOLEDO, OH | 419-291-8400 |
7 EVANS ST,
BATAVIA, NY, 14020
United States | BATAVIA, NY | 585-201-7112 |
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 : | 5762 E Main Street Rd Ste B
Batavia, NY, 14020-9621
United States |
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| Phone Number : | 585-201-7112 |
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| Fax Number : | 585-201-7128 |
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Business Location:
Patients can refer following map for directions to
Shannon Fourtner practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.