Dr. Kristopher Ryan Shannon, MD
Dr. Kristopher Ryan Shannon, MD is an Emergency Medicine in Pocatello, Idaho. Qualified in 2015, 11 years ago. Practices with Fremont Emergency Services Scherr Ltd, a 141-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Idaho, Nevada and Utah.
- Years since qualifying
- 11
- Licensed in
- ID, NV, UT
- In the registry since
- 2015
- Specialties on file
- 4
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
850 Yellowstone AvePocatello, ID 83201-4415
Phone: (208) 239-8065
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 98 Poplar St, Blackfoot, ID 83221-1799 — (208) 785-3813
Specialties & licences
| Emergency Medicine Physician (primary) | Taxonomy 207P00000X · Licence M-16351 (ID) |
|---|---|
| Emergency Medicine Physician | Taxonomy 207P00000X · Licence 12009729-1205 (UT) |
| Emergency Medicine Physician | Taxonomy 207P00000X · Licence 17765 (NV) |
| Urgent Care Clinic/Center | Taxonomy 261QU0200X · Licence M-16351 (ID) |
Record details
| NPI number | 1063807022 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | Yes |
| NPI enumerated | April 6, 2015 |
| Last updated in NPPES | October 17, 2025 |
| Certification date | October 17, 2025 |
| Mailing address | 98 Poplar St, Blackfoot, ID 83221-1799 |
Medicare enrollment
| Medicare specialty | EMERGENCY MEDICINE |
|---|---|
| Medical school | OTHER |
| Graduated | 2015 (11 years in practice) |
| Group practice | Fremont Emergency Services Scherr Ltd — 141 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 5 on file with Medicare |
Other providers in Pocatello
-
Pebble Creek Emergency Physicians PLLC
777 Hospital Way, Pocatello, ID 83201-5175 · (469) 401-2386
-
Rocky Mountain Physician Group LLC
777 Hospital Way, Pocatello, ID 83201-5175 · (480) 421-9700
-
Kenneth Ryan, MD
651 Memorial Dr, Pocatello, ID 83201-4071 · (208) 239-1000
-
Curtis C Sandy, MD
777 Hospital Way, Pocatello, ID 83201-5175 · (208) 239-1000
-
James Shaw, MD
651 Memorial Dr, Pocatello, ID 83201-4071 · (208) 239-1000
-
Dr. Andrew Lee Vincent, DO
777 Hospital Way, Pocatello, ID 83201-5175 · (208) 417-7569
-
Morgan Yost, DO
777 Hospital Way, Pocatello, ID 83201-5175 · (208) 239-1920