Shannon F.r. Small, MD
Shannon F.r. Small, MD is a General Surgery in New London, Connecticut. Graduated from Wake Forest University School of Medicine in 2008, 18 years ago. Practices with Yale University, a 2,618-clinician group and accepts Medicare assignment. Licensed in Connecticut, Illinois and Virginia.
- Years since qualifying
- 18
- Trained at
- Wake Forest University School of Medicine
- Licensed in
- CT, IL, VA
- In the registry since
- 2008
- Specialties on file
- 3
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
365 Montauk AveNew London, CT 06320-4700
Phone: (860) 443-3147
Fax: (860) 865-2395
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Surgical Critical Care Physician (primary) | Taxonomy 2086S0102X · Licence 79645 (CT) |
|---|---|
| Surgical Critical Care Physician | Taxonomy 2086S0102X · Licence 036143686 (IL) |
| Surgical Critical Care Physician | Taxonomy 2086S0102X · Licence 0101249001 (VA) |
Record details
| NPI number | 1932360161 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | June 20, 2008 |
| Last updated in NPPES | November 11, 2024 |
| Certification date | November 11, 2024 |
Medicare enrollment
| Medicare specialty | GENERAL SURGERY |
|---|---|
| Medical school | WAKE FOREST UNIVERSITY SCHOOL OF MEDICINE |
| Graduated | 2008 (18 years in practice) |
| Group practice | Yale University — 2618 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in New London
-
Abby Wong, MD
365 Montauk Ave Dept OF Surgery, New London, CT 06320 · (860) 443-3147