Doctor profile · Federal record
Dr. Shannon Keisling, M.D.
Surgery Physician · Student in an Organized Health Care Education/Training Program · Bronx, NY
- NPI 1407387855
- 9 yrs on file
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
111 E 210Th St
Bronx, NY 104672401
(718) 696-2583
fax (718) 881-5074
Credentials & registration
- NPI registered
- March 2017 — 9 yrs on file
- Profile last updated
- May 8, 2025
- Specialty taxonomy
- 208600000X — NUCC code
- State license (1)
- New York #330631
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1407387855. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$188
Transactions
3
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Davol Inc. | 3 | $187.52 |
By nature of payment
Frequently asked questions
What is Dr. Shannon Keisling's medical specialty?
Dr. Shannon Keisling practices Surgery Physician in Bronx, NY.
Where does Dr. Shannon Keisling practice?
Dr. Shannon Keisling practices at 111 E 210Th St, Bronx, NY 104672401. Office phone: 7186962583.
What is Dr. Shannon Keisling's NPI?
Dr. Shannon Keisling's National Provider Identifier (NPI) is 1407387855, issued by NPPES.