DR. SHANNON K ALSOP (NPI# 1003043803) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003043803 |
| Entity Type | Individual |
| Full Name | DR. SHANNON K ALSOP |
| Credential | DO |
| Practice Address |
150 S Warner Rd Ste 310 King of Prussia PA 19406-2860 |
| Mailing Address |
1340 S Damen Ave Suite 400 Chicago IL 60608-1169 |
| Practice Telephone | 7732924800 |
| Practice Fax Number | 3125644059 |
| Mailing Telephone | 7732924800 |
| Mailing Fax Number | 3125644059 |
| Enumeration Date | 2009-06-18 |
| Last Update Date | 2020-10-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QA0505X |
Family Medicine Specialization: Adult Medicine |
OS016023 | PA | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | OT012985 | PA | Student, Health Care |
| Street Address |
150 S WARNER RD STE 310 |
| City | KING OF PRUSSIA |
| State | PA |
| Zip Code | 19406-2860 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770573883 | Deborah A Swider | Family Medicine | 150 S Warner Rd Ste 310, King of Prussia, PA 19406-2860 | 2005-10-28 |
| 1275042004 | Lesley Marie Gehring | Registered Nurse | 150 S Warner Rd Ste 310, King of Prussia, PA 19406-2860 | 2017-09-25 |
| 1568981165 | Elizabeth Ashley Circle | Registered Nurse | 150 S Warner Rd Ste 310, King of Prussia, PA 19406-2860 | 2017-09-14 |
| 1922400852 | Edward Jelesiewicz | Nurse Practitioner | 150 S Warner Rd Ste 310, King of Prussia, PA 19406-2860 | 2014-09-23 |
| 1548511017 | Alegis Care - Pennsylvania PC | Family Medicine | 150 S Warner Rd Ste 310, King of Prussia, PA 19406-2860 | 2012-09-25 |
| 1023375573 | Jennifer Black | Internal Medicine | 150 S Warner Rd Ste 310, King of Prussia, PA 19406-2860 | 2012-04-20 |
| 1992833743 | Bess Abramowitz Koenigsberg | Internal Medicine | 150 S Warner Rd Ste 310, King of Prussia, PA 19406-2860 | 2007-03-02 |
| 1932268802 | Bridget A Walker | Internal Medicine | 150 S Warner Rd Ste 310, King of Prussia, PA 19406-2860 | 2006-12-07 |
| 1184677742 | Cheryl A Hilton | Internal Medicine | 150 S Warner Rd Ste 310, King of Prussia, PA 19406-2860 | 2006-05-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346887296 | Optical World Nj Corp | Optometrist | Optical World, 160 N. Gulph Rd King of Prussia Plaza Suite #2377, King of Prussia, PA 19406 | 2019-12-10 |
| 1194213694 | Compass Recovery Center | Clinic/Center | 901 E 8th Ave Ste 203, King of Prussia, PA 19406 | 2018-04-30 |
| 1154858520 | Recovery Centers of America At Ventnor Nj Medicaid Only | Clinic/Center | 2701 Renaissance Boulevard, 4th Floor, King of Prussia, PA 19406 | 2017-05-17 |
| 1568913192 | Luke Gillespie | Counselor | 680 American Avenue, Suite 320, King of Prussia, PA 19406 | 2016-10-19 |
| 1932652906 | Bayada Home Health Care, Inc. | Home Health | 700 American Ave Ste 103, King of Prussia, PA 19406 | 2016-07-26 |
| 1912357690 | Barsha Moktan | Dentist | 357 S Gulph Road, #110, King of Prussia, PA 19406 | 2016-06-14 |
| 1588057756 | National Counseling Group, Inc | Counselor | 1150 1st Avenue, #501, King of Prussia, PA 19406 | 2015-03-12 |
| 1184020174 | Dr. Jeanvickey Lusk, M.d. & Co. P.C. | Family Medicine | 315 Gypsy Lane, King of Prussia, PA 19406 | 2014-11-18 |
| 1912303033 | Masuma Bahora | Obstetrics & Gynecology | 210 Mall Blvd Ste 220, King of Prussia, PA 19406 | 2014-11-17 |
| 1942612486 | Delphi Medical Group | Durable Medical Equipment & Medical Supplies | 1600 First Avenue Ste 400, King of Prussia, PA 19406 | 2014-06-02 |
| Find all providers in zip 19406 | ||||
| Taxonomy Code | 207QA0505X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Adult Medicine |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972036515 | Hussein Safa | Family Medicine | 1300 W Tabor Rd Bldg 1, Philadelphia, PA 19141 | 2017-04-11 |
| 1639625809 | Gina Slobogin | Family Medicine | 400 Cherry Tree Rd, Upper Chichester, PA 19014-2406 | 2016-08-28 |
| 1134536238 | Kristina Marie Newcomer | Family Medicine | 496 Shelleys Ln, Etters, PA 17319-9412 | 2014-07-21 |
| 1811317886 | Paul Nweze Madubuonwu | Family Medicine | 4 Foster Plz, 501 Holiday Drive, Pittsburgh, PA 15220-2749 | 2014-04-17 |
| 1861735037 | Harold David Thomas Jr. | Family Medicine | 104 Brookhaven Dr, Aliquippa, PA 15001-1565 | 2013-04-05 |
| 1275896383 | Louis Bell | Family Medicine | 322 Linden Drive, Elkins Park, PA 19027-1342 | 2012-06-22 |
| 1538433040 | Ramona Chube, M.d.,p.c. | Family Medicine | 7700-a Stenton Ave, Philadelphia, PA 19118-3103 | 2012-03-01 |
| 1578835799 | Gordon Thomas Fletcher | Family Medicine | 128 Guillard Rd, Prospect, PA 16052-2702 | 2012-02-03 |
| 1548568157 | Philip Edward Shoaf | Family Medicine | 4074 Market St, Birmingham, PA 16686-5004 | 2011-03-06 |
| 1316257884 | Theodore P. Burger | Family Medicine | 3370 Woodbridge Cir, Bethlehem, PA 18017-1736 | 2010-10-18 |
| Find all providers with the same taxonomy | ||||
| City | KING OF PRUSSIA |
| Zip Code | 19406 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.