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Shannon Altazan, DO

NPI 1477057883ActiveIndividual· Emergency Medicine· Marietta, OH

Emergency Medicine (DO) in Marietta, Ohio, trained at William Carey University College of Osteopathic Medicine (class of 2018). 432 Medicare patients in 2024, $55,476 paid; nearly all of their 422 Part D prescriptions were generic (96%).

Overview

NPI1477057883
StatusActive
Entity typeIndividual
CredentialDO
Sole proprietorYes
NPI issuedMar 20, 2018
Last updated in NPPESOct 26, 2026
Certified by providerOct 26, 2026

Specialties and licenses

TaxonomyCodeLicenseState
Emergency Medicine Primary207P00000X34.015793OH
Emergency Medicine207P00000X3742WV
Family Medicine207Q00000X34.015793OH

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 4, 2026No match—
New York OMIG · Nov 4, 2026No match—
Ohio Medicaid · Nov 4, 2026No match—
Pennsylvania Medicheck · Nov 4, 2026No match—
Washington HCA · Nov 4, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Emergency Medicine (OH); Practitioner - Emergency Medicine (WV)
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients432
Services billed547 across 20 procedure codes
Paid by Medicare$55,476

Part D prescriptions in 2024

Prescriptions (claims)422 · 422 30-day fills
Patients266
Total drug cost$3,369
Generic share96% of claims

Medicare sources and data years

Education and affiliations

Medical schoolWilliam Carey University College of Osteopathic Medicine
Graduation year2018
Medicare specialtyEmergency Medicine

Medical group

Hospital affiliations

Source: CMS Care Compare

Industry payments (Open Payments)

None reported for 2025 or 2024.

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

Other Emergency Medicine providers in Marietta

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