JOHN B SHANAHAN (NPI# 1164487252) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164487252 |
| Entity Type | Individual |
| Full Name | JOHN B SHANAHAN |
| Credential | CRNA |
| Practice Address |
2141 Boston Rd Wilbraham MA 01095 |
| Mailing Address |
Po Box 2608 Springfield MA 01101 |
| Practice Telephone | 4135994994 |
| Practice Fax Number | 4135994969 |
| Mailing Telephone | 4135994994 |
| Mailing Fax Number | 4135994969 |
| Enumeration Date | 2006-04-20 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 39123 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578598769 | John Edward Shanahan | Counselor | 111 Morton Ave, Petersburg, VA 23805-2749 | 2006-07-12 |
| Street Address |
2141 BOSTON RD |
| City | WILBRAHAM |
| State | MA |
| Zip Code | 01095 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316923659 | Lynn R. Lebel | Chiropractor | 2141 Boston Rd, Ste L, Wilbraham, MA 01095-1253 | 2005-12-19 |
| 1942434477 | Paula Jeanne Serafino-cross | Dietitian, Registered | 2141 Boston Rd, Wilbraham, MA 01095-1253 | 2009-05-12 |
| 1588860563 | Mona Swanson | Anesthesiology | 2141 Boston Rd, Wilbraham, MA 01095 | 2007-06-26 |
| 1659475903 | Anesthesia Associates of Springfield Inc | Anesthesiology | 2141 Boston Rd, Wilbraham, MA 01095 | 2006-09-08 |
| 1902912066 | Gary R Avanzato | Anesthesiology | 2141 Boston Rd, Wilbraham, MA 01095 | 2006-08-22 |
| 1538125604 | Carol Davis | Nurse Anesthetist, Certified Registered | 2141 Boston Rd, Wilbraham, MA 01095 | 2006-04-26 |
| 1063477156 | Young Soo Kim | Anesthesiology | 2141 Boston Rd, Wilbraham, MA 01095 | 2006-04-20 |
| 1154386522 | Patricia Stamm | Nurse Anesthetist, Certified Registered | 2141 Boston Rd, Wilbraham, MA 01095 | 2006-04-19 |
| 1114982402 | Syed Asad Rizvi | Anesthesiology | 2141 Boston Rd, Wilbraham, MA 01095 | 2006-04-19 |
| 1568427854 | Nasser M El Mallah | Anesthesiology | 2141 Boston Rd, Wilbraham, MA 01095 | 2006-04-19 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912436619 | Amanda M Bryant | Nurse Practitioner | 70 Pst Office Park, Wilbraham, MA 01095 | 2017-06-06 |
| 1568867539 | Michael Roy | Physical Therapist | 2301 Boston Rd, Wilbraham, MA 01095 | 2014-11-03 |
| 1588925440 | Jeziel Miguel Gonzalez | Physical Therapist | 6 Colonial Rd, Wilbraham, MA 01095 | 2012-06-06 |
| 1306117783 | Rosemary Wrona | Physical Therapist | 2 Lodge Ln, Wilbraham, MA 01095 | 2012-01-18 |
| 1356508584 | Big Y Foods Inc | Pharmacy | 2035 Boston Rd, Wilbraham, MA 01095 | 2008-05-16 |
| 1235315854 | Elizabeth L Rose | Pediatrics | Riverbend Medical Group, Inc, 70 Post Office Park, Wilbraham, MA 01095 | 2008-01-14 |
| 1346315140 | Mary Beth Laliberte | Physician Assistant | 2040 Boston Rd Ste 5, Wilbraham, MA 01095 | 2006-11-21 |
| 1003993668 | Anita Chopra | Dentist | 2141 Boston Road, Northeast Dental, Wilbraham, MA 01095 | 2006-11-01 |
| 1558461525 | Cynthia A Kennedy | Nurse Practitioner | 34 Sandalwood Dr, Wilbraham, MA 01095 | 2006-09-22 |
| 1063447357 | Susan W James | Social Worker | 919 Main St., Wilbraham, MA 01095 | 2006-07-12 |
| Find all providers in zip 01095 | ||||
| Taxonomy Code | 367500000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Anesthetist, Certified Registered |
| (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. |
| Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538125604 | Carol Davis | Nurse Anesthetist, Certified Registered | 2141 Boston Rd, Wilbraham, MA 01095 | 2006-04-26 |
| 1154386522 | Patricia Stamm | Nurse Anesthetist, Certified Registered | 2141 Boston Rd, Wilbraham, MA 01095 | 2006-04-19 |
| 1902861198 | Susan Vollrath | Nurse Anesthetist, Certified Registered | 2141 Boston Rd, Wilbraham, MA 01095 | 2006-04-19 |
| 1255396446 | Dorothy R Fisher | Nurse Anesthetist, Certified Registered | 2141 Boston Rd, Wilbraham, MA 01095 | 2006-04-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760015036 | Olivia Marie Mahoney | Nurse Anesthetist, Certified Registered | 163 Libbey Industrial Pkwy Ste 301, Weymouth, MA 02189-3137 | 2020-02-14 |
| 1679132906 | Michael Schinis | Nurse Anesthetist, Certified Registered | 15 Saint Marks Rd Apt 2, Boston, MA 02124-2986 | 2019-06-11 |
| 1154886810 | Pioneer Sedation Pllc | Nurse Anesthetist, Certified Registered | 3550 Main St Ste 103, Springfield, MA 01107-1077 | 2019-02-07 |
| 1457830515 | Jenna Fairlie | Nurse Anesthetist, Certified Registered | 181 Park Ave Ste 5, W Springfield, MA 01089-3365 | 2018-08-09 |
| 1972004695 | Natasha Nicole Pittman | Nurse Anesthetist, Certified Registered | 12 Aitchison St Apt A, Worcester, MA 01604-1636 | 2018-02-27 |
| 1609301472 | Rebecca J Prange | Nurse Anesthetist, Certified Registered | 2 Ladds Way, Scituate, MA 02066-1920 | 2017-04-28 |
| 1467804856 | Jobina Susannah Ruiz | Nurse Anesthetist, Certified Registered | 1486 Commonwealth Ave, Apt 6, Brighton, MA 02135-4526 | 2016-07-08 |
| 1831547611 | Christopher Gruber | Nurse Anesthetist, Certified Registered | 7 Riverbank Ave, Danvers, MA 01923-3208 | 2016-06-02 |
| 1063867802 | Gerald F. Finerty IIi | Nurse Anesthetist, Certified Registered | 163 Libbey Pkwy Ste 301, Weymouth, MA 02189 | 2016-04-29 |
| 1295193431 | David Pinkney | Nurse Anesthetist, Certified Registered | 82 N Main St Apt 3125, Natick, MA 01760-3474 | 2016-02-02 |
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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.