National Provider Identifier

Shannon Brown Routhouska, MD

Shannon Brown Routhouska, MD is listed in the NPPES registry with a primary specialty of Dermatology Physician in Rochester, NY and a listed phone number of (585) 383-4420.

NPI 1720282163Rochester, NYDermatology Physician

Profile Overview

NPI
1720282163
Provider Type
Individual
Primary Specialty
Dermatology Physician
Enumeration Date
June 11, 2007
Last Updated
October 20, 2022

Practice Location

  • 220 Linden Oaks Ste 300
  • Rochester, NY 14625-2839

Phone: (585) 383-4420

Specialties

  • Dermatology Physician (207N00000X)
  • Dermatology Physician (207N00000X)
Full Record
NPI
1720282163
Entity Type
Individual
Last Name
Routhouska
First Name
Shannon
Middle Name
Brown
Name Prefix
Dr.
Credential
MD
Mailing Street Address
220 Linden Oaks Ste 300
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14625-2839
Mailing Country
US
Mailing Phone
(585) 383-4420
Mailing Fax
(585) 383-4515
Practice Street Address
220 Linden Oaks Ste 300
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14625-2839
Practice Country
US
Practice Phone
(585) 383-4420
Practice Fax
(585) 383-4515
Enumeration Date
June 11, 2007
Last Updated
October 20, 2022
Sex
Female
Sole Proprietor
No
Certification Date
October 20, 2022
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Dermatology Physician (207N00000X), Dermatology Physician (207N00000X)
Other Identifiers
233098 (NY, Medical License), 03135811 (NY)