National Provider Identifier Database

SHANNON M MEREDITH, DPM – NPI #1407897614
Podiatrist

A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.


Contact Information

SHANNON M MEREDITH, DPM
195 FORE RIVER PKWY
SUITE 210
PORTLAND, ME04102-2780
Phone: 207-553-6682
Fax: 207-553-6681
Website:
Specialty Taxonomy Code
* Podiatrist 213E00000X

* Indicates primary specialty

NPI Profile & details for SHANNON M MEREDITH

NPI Number 1407897614
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 06/09/2006
Last updated 08/18/2008 - About 18 years ago
Sole proprietor1 No
Identifiers
  • ME License #: 1000
  • ME Medicaid: 127440000
  • Other: 100429800 DEPT OF LABOR
  • Other: 14284 FEDERAL BLUE SHIELD
  • ME Other: 104104 AETNA
  • ME Other: 014284 ANTHEM BLUE CROSS
  • ME Other: U47765 HARVARD PILGRIM
  • ME Other: 001299 MARTINS POINT
  • ME Other: 480016606 RAILROAD MEDICARE
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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