Provider Demographics
NPI:1083694764
Name:LEPLEY, SHAWN MG (MD)
Entity Type:Individual
Prefix:
First Name:SHAWN
Middle Name:MG
Last Name:LEPLEY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1430
Mailing Address - Street 2:
Mailing Address - City:HARRISONBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22803-1430
Mailing Address - Country:US
Mailing Address - Phone:540-564-7300
Mailing Address - Fax:757-431-7100
Practice Address - Street 1:1661 S MAIN ST
Practice Address - Street 2:
Practice Address - City:HARRISONBURG
Practice Address - State:VA
Practice Address - Zip Code:22801-2728
Practice Address - Country:US
Practice Address - Phone:540-564-7300
Practice Address - Fax:757-431-7100
Is Sole Proprietor?:No
Enumeration Date:2006-01-19
Last Update Date:2019-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101-226870207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA1083694764Medicaid
VA302942OtherANTHEM
H19539Medicare UPIN
VA1083694764Medicaid
VA19804OtherOPTIMA
VA3810009738OtherWV MEDICAID
VA014566R54Medicare PIN
VA631719OtherSOUTHERN HEALTH
VA1000870001OtherDME PROVIDER