Basic Information
| Provider Information | |||||||||
| NPI: | 1801901368 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | SHRINER | ||||||||
| FirstName: | ANNE | ||||||||
| MiddleName: | M | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2000 PERIMETER PARK DR STE 200 | ||||||||
| Address2: | |||||||||
| City: | MORRISVILLE | ||||||||
| State: | NC | ||||||||
| PostalCode: | 275608442 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9842154110 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 7540 MIDDLESEX CORPORATE PKWY | ||||||||
| Address2: | |||||||||
| City: | MIDDLESEX | ||||||||
| State: | NC | ||||||||
| PostalCode: | 275578654 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2522352298 | ||||||||
| FaxNumber: | 2522353362 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/21/2006 | ||||||||
| LastUpdateDate: | 05/04/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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| NPICertificationDate: | 05/04/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207V00000X | OH35072083S | OH | N | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology | 207V00000X | 2019-02717 | NC | Y | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology |
ID Information
| ID | Type | State | Issuer | Description | 5771751 | 01 | OH | AETNA ID | OTHER | CH02406 | 01 | OH | NATIONWIDE ID | OTHER | 000000330291 | 01 | OH | BC/BS ID | OTHER | 2109220 | 05 | OH | MEDICAID | 8115880 | 01 | OH | CIGNA ID | OTHER | 201060120028 | 01 | OH | CARESOURCE ID | OTHER | 311537968 | 01 | OH | TAX ID | OTHER | 341166111AS | 01 | OH | SUMMA ID | OTHER | 730027 | 01 | OH | BUCKEYE ID | OTHER |