Shannon Maude

M.D. | Pediatric Hematology-Oncology | Female

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Complete Profile:

Shannon Maude basic information including her official name, gender, specialization, credentials etc. are as mentioned below.

Specialization :	Pediatrics Pediatric Hematology-Oncology
Provider Name :	Shannon Maude
Credential :	M.D.
Gender :	Female

Business Address:

Shannon Maude 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 :	3401 Civic Center Blvd, Children's Hospital Of Philadelphia - Hem/onc Philadelphia, PA, 19104-4319 United States
Phone Number :	215-590-3535
Fax Number :	215-590-3992

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 :	1750581237
NPI Entity Type :	Individual
First Enrolment Date :	23 Jul, 2007
Last Updated On :	16 May, 2013

Medicare Participation:

Shannon Maude participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.

Medicare PECOS ID :	6204099112
Medicare Enrollment ID :	I20120511000377
Primary Specialty :	Pediatric Medicine
Medical School :	Perelman School Of Med At The University Of Pennsylvania
Graduation Year :	2006
Accepts Medicare?	Yes. Shannon Maude accepts medicare insurance.

Group Practice Association:

Shannon Maude is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Shannon Maude is associated with along with the number of members in that group. She may also accept medicare indirectly via these group practices.

Organisation Name :	Group Practice ID	No. of Members	Practice Address	Group Accepts Medicare
Childrens Health Care Associates Inc	1355253527	172	3401 Civic Ctr Blvd Philadelphia, PA - 191044319	Yes

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 Maude are as mentioned. Primary taxonomy code for Shannon Maude, M.D. is 2080P0207X (Pediatrics Pediatric Hematology-Oncology).

Taxonomy Code	Speciality	Primary	License No.	State
208000000X	Pediatrics	No	MT188295	PA
2080P0207X	Pediatrics Pediatric Hematology-Oncology	Yes	MD434697	PA

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 :	100 E Penn Sq, 9th Floor Philadelphia, PA, 19107-3323 United States
Phone Number :	267-425-9232
Fax Number :	267-425-9299

Business Location:

Patients can refer following map for directions to Shannon Maude practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.