Shannon R Wesley
Shannon R Wesley is a Colorectal Surgery (Proctology) in Lima, Ohio. Qualified in 2011, 15 years ago. Practices with Lima Memorial Professional Corporation, a 169-clinician group and accepts Medicare assignment. Licensed in Ohio.
- Years since qualifying
- 15
- Licensed in
- OH
- In the registry since
- 2011
Practice location Address checks out
1003 Bellefontaine Ave Ste 125Lima, OH 45804-1867
Phone: (419) 998-8207
Fax: (419) 998-8216
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Colon & Rectal Surgery Physician (primary) | Taxonomy 208C00000X · Licence 34.011329 (OH) |
|---|
Record details
| NPI number | 1225320526 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | May 5, 2011 |
| Last updated in NPPES | January 4, 2021 |
| Certification date | January 4, 2021 |
| Mailing address | 1001 Bellefontaine Ave, Lima, OH 45804-2800 |
Medicare enrollment
| Medicare specialty | COLORECTAL SURGERY (PROCTOLOGY) |
|---|---|
| Medical school | OTHER |
| Graduated | 2011 (15 years in practice) |
| Group practice | Lima Memorial Professional Corporation — 169 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |