DR. MICHAEL CAROLL SHANNON


Address: 1101 Madison St Ste 800, Swedish Pediatric Specialty Care, Seattle, WA 98104-1307
Phone: 2062152700

DR. MICHAEL CAROLL SHANNON (NPI# 1164531497) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1164531497
Entity Type Individual
Full Name DR. MICHAEL CAROLL SHANNON
Credential MD
Practice Address 1101 Madison St Ste 800
Swedish Pediatric Specialty Care
Seattle
WA 98104-1307
Practice Telephone 2062152700
Practice Fax Number 2062152702
Mailing Telephone 2062152700
Mailing Fax Number 2062152702
Enumeration Date 2006-08-30
Last Update Date 2013-08-26
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2080P0203X Pediatrics
Specialization: Pediatric Critical Care Medicine
MD60096471 WA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
WA 8549958 05
NM L6647 05

Other Providers MICHAEL SHANNON

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1235762345 Michael E Shannon Private Vehicle 7928 Brown Mountain Rd, Jewell Ridge, VA 24622-8640 2020-02-17
1578005898 Michael J. Shannon Hearing Instrument Specialist 4911 Warner Ave # 217, Huntington Beach, CA 92649-5177 2016-11-17
1538461520 Michael Anthony Shannon Home Health Aide 4821 Highway 19 W, Bryson City, NC 28713-8575 2010-11-23
1629301486 Michael Shannon Rehabilitation Practitioner 13457 Vanowen St, Van Nuys, CA 91405-4385 2009-09-11
1326225160 Michael James Shannon Radiology 702 Brougham Ln, Oak Brook, IL 60523-2677 2008-01-23
1912103946 Michael Shannon Dentist 13360 Coursey Blvd Ste D, Baton Rouge, LA 70816-4970 2007-06-26
1467542852 Michael E Shannon Dentist 800 N Center Pkwy, Kennewick, WA 99336-7118 2006-10-13
1538119607 Michael Brendan Shannon Internal Medicine 325 9th Ave # 359606, Seattle, WA 98104-2420 2006-05-11
1043210727 Michael B Shannon Neurological Surgery 2809 Bell St, Zanesville, OH 43701-2861 2005-07-26
1871105213 Michael Shannon Licensed Practical Nurse 1015 E 6th Ave, Anchorage, AK 99501-2748 2020-08-18

Office Location

Street Address 1101 MADISON ST STE 800
SWEDISH PEDIATRIC SPECIALTY CARE
City SEATTLE
State WA
Zip Code 98104-1307

Providers in the same location

NPI Name Taxonomy Address Enumeration
1275599631 John Pilgrim Osborn Pediatrics 1101 Madison St Ste 800, Seattle, WA 98104-1306 2006-04-25
1073064473 Brynn Fuller Specialist/Technologist 1101 Madison St Ste 800, Seattle, WA 98104-1307 2016-10-20
1043636194 Danielle M Magrini Pediatrics 1101 Madison St Ste 800, Seattle, WA 98104-1307 2014-03-13
1265722789 Ranita Sana Patel Pediatrics 1101 Madison St Ste 800, Seattle, WA 98104-1307 2011-04-18
1902034028 Cindy Chunshin Tai Surgery 1101 Madison St Ste 800, Seattle, WA 98104-1307 2009-06-26
1376787366 Richy Lee Surgery 1101 Madison St Ste 800, Seattle, WA 98104 2009-04-22
1578753802 Dinesh Thekke Karumathil Pediatrics 1101 Madison St Ste 800, Seattle, WA 98104-1307 2007-08-01
1235200239 Gregory K. Sorensen Pediatrics 1101 Madison St Ste 800, Seattle, WA 98104-1307 2006-11-13
1144391145 Laurie S. Fouser Transplant Surgery 1101 Madison St Ste 800, Seattle, WA 98104-1307 2006-11-13
1053482059 Thomas N. Swanson Pediatrics 1101 Madison St Ste 800, Seattle, WA 98104-1307 2006-11-13
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1699394312 Richard Charles Harruff Pathology King County Medical Examiners Office, 325 Ninth Avenue, Seattle, WA 98104 2020-04-13
1558999474 Nathan Richard Benner Student in an Organized Health Care Education/Training Program Uw Medicine-harborview Medical Center Orthopaedics, 325 Ninth Avenue, Seattle, WA 98104 2020-03-27
1063058493 Brook, LLC. Health Educator 311 1/2 Occidental Ave South, Suite 210, Seattle, WA 98104 2019-11-20
1609418813 Stephanie Amanda Ann Mason Student in an Organized Health Care Education/Training Program 325 9th Avenue, Mail Stop #359796, Seattle, WA 98104 2019-10-09
1013480250 Robert Kenneth Lozier Pedorthist Norm Maleng Building, 410 9th Ave, 4th Floor, Seattle, WA 98104 2019-01-10
1548739576 Lee Hanses Physical Therapist 1124 Columbia Street, Level P1, Suite P100, Seattle, WA 98104 2018-11-20
1821579095 Karissa Lin Lee Pharmacist 401 Broadway #2075, Seattle, WA 98104 2018-08-27
1477042091 Maham Jehangir Student in an Organized Health Care Education/Training Program 325 9th Ave Department of Radiology, Seattle, WA 98104 2018-05-09
1740786581 Philip Daniel Tolley Student in an Organized Health Care Education/Training Program 325 9th Ave. Mail Stop#359796, 7th Floor Center Tower Rm #73.1, Seattle, WA 98104 2018-04-02
1528564242 Vanessa Dawn Leonhard Student in an Organized Health Care Education/Training Program 325 9th Ave, 7th Floor Center Tower Room 73.1, Mail Stop #359796, Seattle, WA 98104 2018-04-02
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Taxonomy Information

Taxonomy Code 2080P0203X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics
Specialization Pediatric Critical Care Medicine

Taxonomy Definition

A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. ACGME Accredited Residency Program Requirements: 2 years of training with 3 years Pediatrics plus 1 year Pediatric Critical Care for certification for a total of 6 years. ABMS Approved Subspecialty Certificate (Pediatrics)

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1306378278 Pliceliany Perez Pediatrics 4800 Sand Point Way Ne, Seattle, WA 98105-3901 2017-03-30
1710276761 Emily Berkman Pediatrics 4800 Sand Point Way Ne, A-5950, Seattle, WA 98105 2011-03-30
1003077025 Leslie Ann Dervan Pediatrics 4800 Sand Point Way Ne, Mb.10.620, Seattle, WA 98105-3901 2008-06-23
1861651929 Silvia Hartmann Pediatrics 4800 Sand Point Way Ne, Seattle, WA 98105-3901 2008-06-04
1538338975 Amelie Olga-marie Von Saint Andre - Von Arnim Pediatrics 4800 Sand Point Way Ne, M/s W-8866, Seattle, WA 98105-3901 2008-02-28
1508921024 Ofer Yanay Pediatrics 4800 Sand Point Way Ne, Seattle, WA 98105-3901 2006-12-26
1275607913 Thomas V. Brogan Pediatrics 4800 Sand Point Way Ne, Seattle, WA 98105-3901 2006-11-17
1972672491 Kenneth A Schenkman Pediatrics 4800 Sand Point Way Ne, Seattle, WA 98105-3901 2006-11-07
1841376522 Harris P Baden Pediatrics 4800 Sand Point Way Ne, Seattle, WA 98105-3901 2006-10-27
1730265414 David S Jardine Pediatrics 4800 Sand Point Way Ne, Seattle, WA 98105-3901 2006-10-27
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Competitor

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City SEATTLE
Zip Code 98104

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Dataset Information

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.

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