1801901368 NPI number — ANNE M SHRINER MD

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1801901368 NPI number — ANNE M SHRINER MD

Employer Identification Number (EIN):

Provider Organization Name:

Provider Last Name:

SHRINER

Provider First Name:

ANNE

Provider Middle Name:

M

Provider Name Prefix Text:

Provider Name Suffix Text:

Provider Credential Text:

MD

Provider Gender Code:

F

Provider Other Organization Name:

Provider Other Organization Name Type Code:

Provider Other Last Name:

Provider Other First Name:

Provider Other Middle Name:

Provider Other Name Prefix Text:

Provider Other Name Suffix Text:

Provider Other Credential Text:

Provider Other Last Name Type Code:

NPI Number:

1801901368

Entity Type Code:

Individual

Replacement NPI:

Last Update Date:

05/04/2022

NPI Deactivation Reason Code:

NPI Deactivation Date:

NPI Reactivation Date:

Provider First Line Business Mailing Address:

2000 PERIMETER PARK DR STE 200

Provider Second Line Business Mailing Address:

Provider Business Mailing Address City Name:

MORRISVILLE

Provider Business Mailing Address State Name:

NC

Provider Business Mailing Address Postal Code:

27560-8442

Provider Business Mailing Address Country Code:

US

Provider Business Mailing Address Telephone Number:

984-215-4110

Provider Business Mailing Address Fax Number:

Provider First Line Business Practice Location Address:

7540 MIDDLESEX CORPORATE PKWY

Provider Second Line Business Practice Location Address:

Provider Business Practice Location Address City Name:

MIDDLESEX

Provider Business Practice Location Address State Name:

NC

Provider Business Practice Location Address Postal Code:

27557-8654

Provider Business Practice Location Address Country Code:

US

Provider Business Practice Location Address Telephone Number:

252-235-2298

Provider Business Practice Location Address Fax Number:

252-235-3362

Provider Enumeration Date:

08/21/2006

Authorized Official Last Name:

Authorized Official First Name:

Authorized Official Middle Name:

Authorized Official Title or Position:

Authorized Official Telephone Number:

• Taxonomy code: 207V00000X , with the licence number:  OH35072083S , registered in the state of OH ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
• Taxonomy code: 207V00000X , with the licence number: 2019-02717 , registered in the state of NC ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

• Identifier: 5771751 . This is a "AETNA ID" identifier , issued by the state of ( OH ) . This identifiers is of the category "OTHER".
• Identifier: CH02406 . This is a "NATIONWIDE ID" identifier , issued by the state of ( OH ) . This identifiers is of the category "OTHER".
• Identifier: 000000330291 . This is a "BC/BS ID" identifier , issued by the state of ( OH ) . This identifiers is of the category "OTHER".
• Identifier: 2109220 , issued by the state of ( OH ) . This identifiers is of the category "MEDICAID".
• Identifier: 8115880 . This is a "CIGNA ID" identifier , issued by the state of ( OH ) . This identifiers is of the category "OTHER".
• Identifier: 201060120028 . This is a "CARESOURCE ID" identifier , issued by the state of ( OH ) . This identifiers is of the category "OTHER".
• Identifier: 311537968 . This is a "TAX ID" identifier , issued by the state of ( OH ) . This identifiers is of the category "OTHER".
• Identifier: 341166111AS . This is a "SUMMA ID" identifier , issued by the state of ( OH ) . This identifiers is of the category "OTHER".
• Identifier: 730027 . This is a "BUCKEYE ID" identifier , issued by the state of ( OH ) . This identifiers is of the category "OTHER".