Dr. Shannon Marie Bauman
Family Doctor - Sports Medicine
6500 Grand Ave
West Des Moines
, Iowa 50266-5357
Dr. Shannon Marie Bauman
Family Doctor - Sports Medicine
6500 Grand Ave
West Des Moines
, Iowa 50266-5357
(515) 300-7010
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About
Features
Specialties
- Family Doctor - Sports Medicine
Languages spoken
- English
Location
First Address
- Dr. Shannon Marie Bauman
- 500 S Bluestone Way
- West Des Moines, IA
- Zip : 50266-8705
- Phone : (515) 300-7010
Second Address
- Dr. Shannon Marie Bauman
- 6500 Grand Ave
- West Des Moines, IA
- Zip : 50266-5357
- Phone : (515) 440-4820
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207QS0010X | Family Doctor - Sports Medicine | MD-47914 | IA |
National Provider Identifier
| NPI | 1235802075 |
|---|---|
| Provider Name | Dr. Shannon Marie Bauman |
| First Address | West Des Moines, IA 50266-8705 |
| Second Address | West Des Moines, IA 50266-5357 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 28/07/2021 |
| Last Update Date | 28/07/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.