Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Lisa Katherine Theobald Shanahan, DO

Individual provider Obstetrics & Gynecology Physician · NPI 1871943837

Lisa Katherine Theobald Shanahan, DO practises Obstetrics/Gynecology in New York, New York. Graduated from University of Kentucky College of Medicine in 2016, 10 years ago. Practices with New York University, a 5,884-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
10
Trained at
University of Kentucky College of Medicine
Licensed in
NY
In the registry since
2016
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

530 1st Ave Ste 10Q
New York, NY 10016-6402
Phone: (631) 376-4060
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence 303994-01 (NY)

Record details

NPI number1871943837
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedJune 20, 2016
Last updated in NPPESMarch 31, 2021
Certification dateMarch 31, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOBSTETRICS/GYNECOLOGY
Medical schoolUNIVERSITY OF KENTUCKY COLLEGE OF MEDICINE
Graduated 2016 (10 years in practice)
Group practice New York University — 5884 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

Colleagues at New York University

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 5884 clinicians in the practice; 12 are shown here.

Other providers in New York