PENNY L. SHELTON (NPI# 1205877826) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205877826 |
| Entity Type | Individual |
| Full Name | PENNY L. SHELTON |
| Credential | M.D. |
| Practice Address |
2131 E State St Athens OH 45701-2138 |
| Mailing Address |
90 Jackson Pike Gallipolis OH 45631-1560 |
| Practice Telephone | 7405893100 |
| Practice Fax Number | 7405893127 |
| Mailing Telephone | 7405893100 |
| Mailing Fax Number | 7405893127 |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2015-02-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | 22917 | WV | Allopathic & Osteopathic Physicians |
| Y | 207Q00000X | Family Medicine | 35-08-3516 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | CARESOURCE MEDICAID | 310917085132 | 01 |
| ANTHEM BCBS | 000000328527 | 01 | |
| MOUNTAIN STATE BCBS | 001714156 | 01 | |
| OH | MOLINA MEDICAID | 2467781 | 01 |
| WV | 1811329000 | 05 | |
| RR MEDICARE | P00175244 | 01 | |
| OH | UNISON MEDICAID | 000000182413 | 01 |
| OH | 2467781 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881617116 | Penny Shelton | Internal Medicine | 1008 N Main St, Sikeston, MO 63801-5044 | 2006-07-26 |
| Street Address |
2131 E STATE ST |
| City | ATHENS |
| State | OH |
| Zip Code | 45701-2138 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831192020 | Catherine A Coats | Obstetrics & Gynecology | 2131 E State St, Athens, OH 45701-2138 | 2005-05-23 |
| 1902412422 | Casey Puckett | Nurse Practitioner | 2131 E State St, Athens, OH 45701-2138 | 2020-09-21 |
| 1770108862 | Jason Andrew Thompson | Nurse Anesthetist, Certified Registered | 2131 E State St, Athens, OH 45701-2138 | 2020-06-15 |
| 1255983995 | Gabriela Prieto | Physician Assistant | 2131 E State St, Athens, OH 45701-2138 | 2019-07-12 |
| 1053978007 | Megan R Radcliff | Nurse Practitioner | 2131 E State St, Athens, OH 45701 | 2019-05-24 |
| 1801387154 | Kyle Klein | Physical Therapist | 2131 E State St, Athens, OH 45701-2138 | 2018-05-22 |
| 1477052066 | Rosanna Dillard | Nurse Practitioner | 2131 E State St, Athens, OH 45701-2138 | 2018-02-08 |
| 1073961678 | Tiffany R. Boggs | Nurse Practitioner | 2131 E State St, Athens, OH 45701-2138 | 2016-05-25 |
| 1669852604 | Megan Weiss | Nurse Anesthetist, Certified Registered | 2131 E State St, Athens, OH 45701-2138 | 2015-06-04 |
| 1609279363 | Bobbi J. Lundy | Nurse Practitioner | 2131 E State St, Athens, OH 45701-2138 | 2014-10-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912508797 | Vince R Koping | Pharmacist | 929 East State St, Athens, OH 45701 | 2020-11-06 |
| 1164051926 | Rachel Staker | Student in an Organized Health Care Education/Training Program | 86 Circle Drive, Suite 203, Athens, OH 45701 | 2020-04-03 |
| 1932736709 | Maria Augusta Suarez-hamman | Student in an Organized Health Care Education/Training Program | 86 Columbus Circle, Suite 203, Athens, OH 45701 | 2020-03-23 |
| 1831746882 | Justin Joseph Moakler | Specialist/Technologist | Ohio University Athens Training Facility, Grover Center E 187, Athens, OH 45701 | 2019-08-23 |
| 1275186991 | Barry Brady | Psychologist | Hudson Health Center, 3rd Floor 1 Ohio University, Athens, OH 45701 | 2019-07-22 |
| 1821559691 | Mary N Lee | Student in an Organized Health Care Education/Training Program | 1 Ohio Univerisity Dept of Psychology, Porter Hall Room 002, Athens, OH 45701 | 2019-03-26 |
| 1275007692 | Gabrielle Ruth Wesemeyer | Student in an Organized Health Care Education/Training Program | 6 South Congress Street, Athens, OH 45701 | 2019-01-18 |
| 1528551918 | Bradford Thomas Meyers | Psychologist | 1 University Ave, Ohio University, Athens, Oh 45701, Athens, OH 45701 | 2018-06-11 |
| 1912499344 | William Monopoli | Student in an Organized Health Care Education/Training Program | 1 Ohio University Department of Psychology, Porter Hall Room 002, Athens, OH 45701 | 2018-06-01 |
| 1477044113 | 59 Green Ltd. | Taxi | 14 Cook Drive, Athens, OH 45701 | 2018-05-29 |
| Find all providers in zip 45701 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164023529 | Aderholt Medical, LLC | Family Medicine | 320 Old Us-31 N, Athens, AL 35611 | 2020-11-03 |
| 1497371496 | Summit Medical Group, Pllc | Family Medicine | 1031 W Madison Ave Ste 1, Athens, TN 37303-3496 | 2020-06-25 |
| 1821558305 | Physician Management Services of Georgia II, LLC | Family Medicine | 1010 Prince Ave Ste 183, Athens, GA 30606-5805 | 2019-03-21 |
| 1649777152 | Ohio University | Family Medicine | 1 Ohio University Fl 5, Athens, OH 45701-2942 | 2018-04-11 |
| 1508392267 | Boulevard Family Practice | Family Medicine | 1010 Prince Ave Ste 184, Athens, GA 30606-5815 | 2017-05-02 |
| 1225585391 | Advantage Health Solutions,llc | Family Medicine | 707 West Market St Ste A, Athens, AL 35611 | 2016-09-07 |
| 1356736417 | Brett Magner | Family Medicine | 855 W Broad St Ste 1, Athens, GA 30601 | 2015-04-05 |
| 1538580121 | Oconee Weight and Wellness, LLC | Family Medicine | 455 Epps Bridge Pkwy Ste 102, Athens, GA 30606-3347 | 2013-12-27 |
| 1306110150 | Charles Russell Fisher | Family Medicine | 86 Columbus Cir Ste 203, Athens, OH 45701-1371 | 2012-02-25 |
| 1801123104 | Paul J Michiels | Family Medicine | 5313 Fm 2494, Athens, TX 75751 | 2009-11-06 |
| Find all providers in ATHENS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.