JUSTIN SHANAHAN MD
NPI 1942049390
Radiology - Diagnostic Radiology in Philadelphia, PA
NPI Status: Active since May 23, 2024
Contact Information
3400 CIVIC CENTER BLVD
PHILADELPHIA, PA
ZIP 19104
Phone: (800) 789-7366
- Individual
- Male
- Radiology
- Diagnostic Radiology
About JUSTIN SHANAHAN
This page provides the complete NPI Profile along with additional information for Justin Shanahan, a provider established in Philadelphia, Pennsylvania with a medical specialization in Radiology, focusing in diagnostic radiology . The healthcare provider is registered in the NPI registry with number 1942049390 assigned on May 2024. The practitioner's primary taxonomy code is 2085R0202X with license number MT213777 (PA). The provider is registered as an individual and his NPI record was last updated June 2025.
- NPI
- 1942049390
- Provider Name
- JUSTIN SHANAHAN MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 3400 CIVIC CENTER BLVD PHILADELPHIA, PA 19104
- Location Phone
- (800) 789-7366
- Mailing Address
- 5501 OLD YORK RD STE 1 PHILADELPHIA, PA 19141
- Is Sole Proprietor?
- No
- Enumeration Date
- 05-23-2024
- Last Update Date
- 06-20-2025
- Code Navigator
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
Radiology Diagnostic Radiology
- Taxonomy Code
- 2085R0202X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- MT213777
- License State
- PA
- Taxonomy Description
- A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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 | 207R00000X | Allopathic & Osteopathic Physicians | Internal Medicine | MT231777 (PA) |
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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 | 9 | 4 | 2 | 0 | 4 | 9 | 3 | 9 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 9 | 8 | 2 | 0 | 4 | 18 | 3 | 18 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 9 + 8 + 2 + 0 + 4 + 1 + 8 + 3 + 1 + 8 + 24 = 70 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1942049390 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1417944844 | MS. LINDA MARGUERITA MILLER RN CRNP Individual | Nurse Practitioner (Pediatrics) | 3400 CIVIC CENTER BLVD ENT DEPT FIRST FLOOR WOOD BLDG PHILADELPHIA, PA 19104 (215) 590-3440 |
| 1669469573 | BELINDA K BIRNBAUM MD Individual | Internal Medicine (Rheumatology) | 3400 CIVIC CENTER BLVD PHILADELPHIA, PA 19104 (215) 662-2454 |
| 1194702688 | MR. STEPHEN HARVIE WALKER CRNP Individual | Nurse Practitioner (Pediatrics) | 3400 CIVIC CENTER BLVD CHILDREN'S HOSPITAL OF PHILADELPHIA, DIVISION OF CARDIO PHILADELPHIA, PA 19104 (215) 590-5248 |
| 1023064169 | MRS. JENNIFER M SIEGLE RN, CPNP Individual | Nurse Practitioner (Pediatrics) | 3400 CIVIC CENTER BLVD 5TH FLOOR WOOD BUILDING PHILADELPHIA, PA 19104 (215) 590-4075 |
| 1508804576 | MRS. JULIE R CHIAPPA CPNP Individual | Nurse Practitioner (Pediatrics) | 3400 CIVIC CENTER BLVD PHILADELPHIA, PA 19104 (215) 590-1000 |
| 1598705881 | MICHAEL DONAHUE C.R.N.P. Individual | Nurse Practitioner | 3400 CIVIC CENTER BLVD PHILADELPHIA, PA 19104 (215) 590-3749 |
| 1114968724 | MS. SHARON L BURT CRNP Individual | Nurse Practitioner (Family) | 3400 CIVIC CENTER BLVD PHILADELPHIA, PA 19104 (215) 590-4339 |
| 1871533406 | MS. MONICA E. CHURCH CRNP Individual | Nurse Practitioner (Family) | 3400 CIVIC CENTER BLVD 5 WOOD PHILADELPHIA, PA 19104 (215) 590-1346 |
| 1063454353 | NOREEN MCDANIEL-YAKSCOE MSN,CRNP Individual | Nurse Practitioner (Pediatrics) | 3400 CIVIC CENTER BLVD CHILDREN'S HOSPITAL OF PHILADELPHIA MAIN BUILDING PHILADELPHIA, PA 19104 (215) 590-7099 |
| 1083656003 | MRS. PATRICIA J SCHULTZ CRNP Individual | Nurse Practitioner (Pediatrics) | 3400 CIVIC CENTER BLVD PHILADELPHIA, PA 19104 (215) 590-2208 |
| 1275560112 | MARC S LEVINE MD Individual | Radiology (Diagnostic Radiology) | 3400 CIVIC CENTER BLVD PHILADELPHIA, PA 19104 (215) 662-3005 |
| 1891722799 | SUSAN HILTON MD Individual | Radiology (Diagnostic Radiology) | 3400 CIVIC CENTER BLVD PHILADELPHIA, PA 19104 (215) 662-3005 |
| 1063444875 | CHRISTINA M PREIS CRNP Individual | Nurse Practitioner (Pediatrics) | 3400 CIVIC CENTER BLVD CHOP/ DIVISION OF ENDOCRINOLOGY PHILADELPHIA, PA 19104 (215) 590-3860 |
| 1316979610 | DANIEL J RADER MD Individual | Internal Medicine | 3400 CIVIC CENTER BLVD EAST PAVILION 2ND FLOOR PHILADELPHIA, PA 19104 (215) 615-4949 |
| 1760417372 | ALAIN H ROOK MD Individual | Dermatology | 3400 CIVIC CENTER BLVD 1-330S PERELMAN CENTER PHILADELPHIA, PA 19104 (215) 662-2737 |
| 1437177417 | DR. ANN LAWRENCE OSULLIVAN PHD CRNP FAAN Individual | Nurse Practitioner (Pediatrics) | 3400 CIVIC CENTER BLVD PHILADELPHIA, PA 19104 (215) 590-5035 |
| 1982612529 | MRS. CAROL SCHUMACHER CRNP Individual | Registered Nurse | 3400 CIVIC CENTER BLVD PHILADELPHIA, PA 19104 (215) 590-7699 |
| 1013010511 | KEITH CENGEL MD, PHD Individual | Radiology (Radiation Oncology) | 3400 CIVIC CENTER BLVD CONCOURSE LEVEL PHILADELPHIA, PA 19104 (215) 662-2428 |
| 1669573614 | KELLI B YOUNG MSN,CRNP Individual | Nurse Practitioner (Critical Care Medicine) | 3400 CIVIC CENTER BLVD PHILADELPHIA, PA 19104 (215) 590-5657 |
| 1023194024 | MICHELE ANN AMBROSINO CRNP Individual | Nurse Practitioner (Neonatal, Critical Care) | 3400 CIVIC CENTER BLVD PHILADELPHIA, PA 19104 (215) 590-5657 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1942049390, enumerated in the NPI registry as an "individual" on May 23, 2024
The provider is located at 3400 Civic Center Blvd Philadelphia, Pa 19104 and the phone number is (800) 789-7366
The provider's speciality is Radiology with taxonomy code 2085R0202X with a focus in Diagnostic Radiology
This NPI record was last updated on May 23, 2024. 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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