DR. MARY KELLY SHANAHAN MD
NPI 1588661359
Obstetrics & Gynecology in South Lake Tahoe, CA
NPI Status: Active since July 07, 2005
Contact Information
1154 EMERALD BAY RD
SOUTH LAKE TAHOE, CA
ZIP 96150
Phone: (530) 542-4961
Fax: (530) 542-4964
- Individual
- Female
- Obstetrics & Gynecology
About MARY SHANAHAN
This page provides the complete NPI Profile along with additional information for Mary Shanahan, a women's health care provider established in South Lake Tahoe, California with a medical specialization in Obstetrics & Gynecology. The healthcare provider is registered in the NPI registry with number 1588661359 assigned on July 2005. The practitioner's primary taxonomy code is 207V00000X with license number G78582 (CA). The provider is registered as an individual and her NPI record was last updated 10 years ago.
- NPI
- 1588661359
- Provider Name
- DR. MARY KELLY SHANAHAN MD
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 1154 EMERALD BAY RD SOUTH LAKE TAHOE, CA 96150
- Location Phone
- (530) 542-4961
- Location Fax
- (530) 542-4964
- Mailing Address
- 1154 EMERALD BAY RD SOUTH LAKE TAHOE, CA 96150
- Mailing Phone
- (530) 542-4961
- Mailing Fax
- (530) 542-4964
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 07-07-2005
- Last Update Date
- 04-03-2015
- Code Navigator
Women's health care providers like Mary Shanahan treat and diagnose diseases and conditions that affect a woman's physical and emotional health. Women's health professionals come from a variety of different specialties, including obstetrician/gynecologists, general surgeons, perinatologists, physician assistants, nurse practitioners or nurse midwives. A women's health provider might help you with family planning, breast care, pregnancy and child birth, osteoporosis, menopause, heart disease, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Obstetrics & Gynecology
- Taxonomy Code
- 207V00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- G78582
- License State
- CA
- Taxonomy Description
- An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207V00000X | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology | 7055 (NV) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 00G785820 | MEDICARE PIN (08) | CA | |
| CO776Z | MEDICARE PIN (08) | NV | |
| CO775Z | MEDICARE PIN (08) | CA | |
| E98143 | MEDICARE UPIN (02) | ||
| 1588661359 | MEDICAID (05) | CA | |
| 1588661359 | MEDICAID (05) | NV |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 5 | 8 | 8 | 6 | 6 | 1 | 3 | 5 | 9 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 5 | 16 | 8 | 12 | 6 | 2 | 3 | 10 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 5 + 1 + 6 + 8 + 1 + 2 + 6 + 2 + 3 + 1 + 0 + 24 = 61 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 61 = 9 | 9 | ||||||||
The NPI number 1588661359 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 3 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1093055675 | JORGE PEREZ MD LTD Organization | Internal Medicine (Hematology & Oncology) | 1154 EMERALD BAY RD SOUTH LAKE TAHOE, CA 96150 (775) 883-3336 |
| 1164679940 | EMERALD BAY CENTER FOR WOMEN'S HEALTH, INC. Organization | Obstetrics & Gynecology | 1154 EMERALD BAY RD SOUTH LAKE TAHOE, CA 96150 (530) 542-4961 |
| 1124238548 | MS. PATIENCE WENCK FNP Individual | Nurse Practitioner (Family) | 1154 EMERALD BAY RD SOUTH LAKE TAHOE, CA 96150 (530) 542-4961 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1588661359, enumerated in the NPI registry as an "individual" on July 07, 2005
The provider is located at 1154 Emerald Bay Rd South Lake Tahoe, Ca 96150 and the phone number is (530) 542-4961
The provider's speciality is Obstetrics & Gynecology with taxonomy code 207V00000X
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on July 07, 2005. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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