Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1720548951 Individual Practitioner Female Practitioner

Dr. Shannan Roddy , DO

General Practice • Pensacola, FL

Professional Overview & Biography Verified Profile Summary

Dr. Shannan Roddy, DO is a registered healthcare professional specializing in General Practice in Pensacola, FL. Practice services are available at 340 HULSE RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

340 Hulse Rd

Pensacola, FL 325081089

Telephone 8504522933

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Pensacola, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 25.0 Yrs
State Avg: 26.1 Yrs
Regional Practice Density
40 Specialists

Practicing in Pensacola, FL (2490 Statewide)

Telehealth Adoption Rate
5.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-06-01
General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License VA 0101276252

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners
Dr. Scotland Kemper , DO

Military Health Care Provider

NPI 1326833500

Doctor of Osteopathic Medicine (D.O.)

Haley Vering , PA

Physician Assistant - Medical

NPI 1366017238

Physician Assistant

Dr. Mary Hessert , DO, MPH

Emergency Medicine

NPI 1477695823

Doctor of Osteopathic Medicine (D.O.), Master of Public Health

Dr. Michael Kaselis , MD

Radiology - Diagnostic Radiology

NPI 1548374226

Doctor of Medicine (M.D.)

Dr. Conor Willis , DO

Military Health Care Provider

NPI 1649029745

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
📍
Updated Practice Location June 01, 2023

Registered at 340 HULSE RD, PENSACOLA, FL 325081089 (Tel: 8504522933)

📍
Updated Business Mailing Address June 01, 2023

Registered at 340 HULSE RD, PENSACOLA, FL 325081089 (Tel: 8504522933)

👤
Provider Name / Credentials Updated June 01, 2023

Recorded as SHANNAN RODDY, DO

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 01, 2023

General Practice (License #0101276252 in VA)

👤
Provider Name / Credentials Updated June 08, 2020

Recorded as SHANNAN RODDY, OMS IV, ENS, MC, USN

NPI Profile Active March 22, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location March 22, 2019

Registered at 200 MULLINS DR, LEBANON, OR 973553983 (Tel: 5412590200)

📍
Updated Business Mailing Address March 22, 2019

Registered at 200 MULLINS DR, LEBANON, OR 973553983 (Tel: 5412590200)

👤
Provider Name / Credentials Updated March 22, 2019

Recorded as SHANNAN RODDY, OMS II

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 22, 2019

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration March 22, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1720548951
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 22, 2019
Last Update: June 01, 2023
Sole Proprietor: No

Mailing Address

340 Hulse Rd

Pensacola, FL 325081089

Phone: 8504522933

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.