Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. SHANNON ALTAZAN, DO
Active Sole ProprietorDR. SHANNON ALTAZAN, DO is a Emergency Medicine healthcare provider located in MARIETTA, Ohio. NPI 1477057883 is currently active in the NPPES registry. Verify at CMS.
Emergency Medicine · MARIETTA, OH
Registration Details
- NPI Number
- 1477057883
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 20, 2018 (8.4049593413256 yrs)
- Last Updated
- Feb 19, 2026
- Licenses
-
34.015793 (OH)3742 (WV)34.015793 (OH)
- Sole Proprietor
- Yes
Practice Information
- Address
-
401 MATTHEW STMARIETTA, OH, 457501635Browse OH providers · Browse ZIP 45750
- Phone
- 7403761939
- Fax
- 7403741693
- Primary Specialty
-
Emergency Medicine
207P00000X
- Additional Specialty
- Emergency Medicine
- Additional Specialty
- Family Medicine
Other Emergency Medicine Providers in MARIETTA, OH
| Name | Credential | NPI |
|---|---|---|
| CAROL DAWSON | D.O. | 1417959016 |
| STEPHEN R MOSBERG | MD | 1619979291 |
| DR. JALAJ CHANDNA | MD | 1710963947 |
| DAN CHARLES BREECE | DO | 1215916275 |
| DR. GARY CHARLES GELESH | DO | 1730169822 |
| SIVA R MURTHY | MD | 1104890920 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.