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NPI Code Detail

MEDICARE: CRISTIN NEALON SHAUGHNESSY

MEDICARE: CRISTIN NEALON SHAUGHNESSY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207N00000XDermatology Physician35.139572OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1649624438
Entity Type Code : Individual
Provider Name (Legal Business Name) : CRISTIN NEALON SHAUGHNESSY
Provider Business Mailing Address
First Line : 3200 BURNET AVE
Second Line :
City : CINCINNATI
State : OH
Zip : 45229-3019
Country : US
Telephone Number : 513-475-7630
Fax Number : 513-585-5511
Provider Business Practice Location Address
First Line : 222 PIEDMONT AVE
Second Line :
City : CINCINNATI
State : OH
Zip : 45219-4231
Country : US
Telephone Number : 513-475-7630
Fax Number : 513-475-7636
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/18/2016
Last Update Date : 05/20/2026

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Directions to “ CRISTIN NEALON SHAUGHNESSY ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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