SHANNON KLUPPEL MD (NPI# 1073149480) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073149480 |
| Entity Type | Organization |
| Organization Name | SHANNON KLUPPEL MD |
| Practice Address |
1000 E James St Baytown TX 77520-5820 |
| Practice Telephone | 2814225437 |
| Practice Fax Number | 2814274050 |
| Mailing Telephone | 2814225437 |
| Mailing Fax Number | 2814274050 |
| Enumeration Date | 2020-03-17 |
| Last Update Date | 2020-03-17 |
| Authorized Official Name | DR. SHANNON KLUPPEL (OWNER) |
| Authorized Official Telephone | 2814225437 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 114427204 | 05 |
| Street Address |
1000 E JAMES ST |
| City | BAYTOWN |
| State | TX |
| Zip Code | 77520-5820 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417062639 | Shannon Eugene Keith Kluppel | Pediatrics | 1000 E James St, Baytown, TX 77520-5820 | 2006-08-20 |
| 1558909739 | Regina Kay Pickering | Registered Nurse | 1000 E James St, Baytown, TX 77520-5820 | 2019-12-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841824828 | Stacy Duhe Jefferson | Counselor | 1009 Polly Ave., Baytown, TX 77520 | 2020-02-27 |
| 1194383745 | Keith A. Coburn | Dentist | 1224 Kilgore Rd., Baytown, TX 77520 | 2019-05-30 |
| 1427530856 | Domenique Roszette Gee | Specialist/Technologist | 2500 Market Street, Baytown, TX 77520 | 2018-09-01 |
| 1558793323 | Sasan Yadollahibastani | Dentist | 1105 E. James Ave., Baytown, TX 77520 | 2013-08-05 |
| 1346581931 | Trudy B Istre | Nurse Practitioner | 2610 N. Alexander Dr. Suite 201, Baytown, TX 77520 | 2013-03-07 |
| 1871816272 | Hyacynthia Mary Leonce-james | Counselor | 1610 James Bowie, Suite B108, Baytown, TX 77520 | 2010-03-12 |
| 1457507444 | Harbor Hospice of Baytown, Lp | Hospice Care, Community Based | 1610 James Bowie Dr., Suite D-111, Baytown, TX 77520 | 2008-08-11 |
| 1790982551 | Gregory Thomas Laliberte | Counselor | 401 West Texas Avenue, Cease Addiction Office, Baytown, TX 77520 | 2007-06-27 |
| 1942406012 | David Clayton Shaw | Occupational Therapy Assistant | 1145 Park St, Baytown, TX 77520 | 2007-06-25 |
| 1003943655 | Steven S Coggins Md | Anesthesiology | 9042 Northpoint Dr, Baytown, TX 77520 | 2007-02-28 |
| Find all providers in zip 77520 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962529602 | Cynthia L. Bureau | Pediatrics | 1610 James Bowie Dr Ste B101, Baytown, TX 77520-3367 | 2007-03-26 |
| 1417062639 | Shannon Eugene Keith Kluppel | Pediatrics | 1000 E James St, Baytown, TX 77520-5820 | 2006-08-20 |
| 1306874706 | John R Cochran | Pediatrics | 4301 Garth Rd., 302, 306 and 400, Baytown, TX 77521-3159 | 2006-06-28 |
| 1578046520 | Ut Physicians Specialty Services | Pediatrics | 1602 Garth Rd, Baytown, TX 77520-7752 | 2018-09-14 |
| 1659889558 | Hummingbird Pediatrics Pllc | Pediatrics | 2306 N Alexander Dr, Baytown, TX 77520-3455 | 2018-01-14 |
| 1174969307 | Hongmei Husted | Pediatrics | 4301 Garth Rd # 306400, Baytown, TX 77521 | 2013-05-15 |
| 1760724884 | Ashley E Garibaldi | Pediatrics | 7599 Garth Rd, Suite 600, Baytown, TX 77521-7721 | 2013-03-27 |
| 1144516766 | Arpita V Shah | Pediatrics | 4301 Garth Rd, Ste 400, Baytown, TX 77521-3153 | 2011-06-22 |
| 1669762662 | Autumn Pruette | Pediatrics | 7599 Garth Rd, Suite 600, Baytown, TX 77521-7721 | 2011-04-11 |
| 1669792198 | Elizabeth M Bentley | Pediatrics | 7599 Garth Rd, Suite 600, Baytown, TX 77521-7721 | 2010-06-07 |
| Find all providers in BAYTOWN | ||||
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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.