Shannondell, Inc.
NPI 1043927338ActiveOrganization· Internal Medicine, Geriatric Medicine· Audubon, PA
Internal Medicine, Geriatric Medicine in Audubon, Pennsylvania, registered in NPPES in November 2022, part of Shannondell, Inc. The authorized official on file is Daniel Freed, Vice President Of Health Services.
Overview
| NPI | 1043927338 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Shannondell, Inc. |
| NPI issued | Nov 4, 2022 |
| Last updated in NPPES | Mar 10, 2023 |
| Certified by provider | Mar 9, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Geriatric Medicine Primary | 207RG0300X | — | — |
| Family Medicine, Geriatric Medicine | 207QG0300X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other geriatricians in Audubon
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