SHANNON R. PANDA (NPI# 1184146995) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1184146995 |
Entity Type | Individual |
Full Name | SHANNON R. PANDA |
Credential | CNS |
Practice Address |
2050 Kenny Rd Fl 8 Columbus OH 43221-3502 |
Mailing Address |
700 Ackerman Rd Ste 570 Columbus OH 43202-1579 |
Practice Telephone | 6142933230 |
Practice Fax Number | 6142934030 |
Mailing Telephone | (614) 293-3230 |
Mailing Fax Number | 6142934030 |
Enumeration Date | 2017-07-13 |
Last Update Date | 2017-09-27 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 163W00000X | Registered Nurse | RN.389793 | OH | Nursing Service Providers |
Y | 364SA2200X |
Clinical Nurse Specialist Specialization: Adult Health |
APRN.CNS.019349 | OH | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
2050 KENNY RD FL 8 |
City | COLUMBUS |
State | OH |
Zip Code | 43221-3502 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891984563 | Abby L Williams | Pharmacist | 2050 Kenny Rd Fl 8, Martha Morehouse Medical Plaza, Columbus, OH 43221-3502 | 2007-10-18 |
1225568827 | Danielle Dawn Duncan | Nurse Practitioner | 2050 Kenny Rd Fl 8, Columbus, OH 43221-3502 | 2017-06-15 |
1750819298 | Jessica Ann Wygant | Registered Nurse | 2050 Kenny Rd Fl 8, Columbus, OH 43221 | 2017-05-29 |
1629521513 | Audrey J Sleesman | Registered Nurse | 2050 Kenny Rd Fl 8, Columbus, OH 43221-3502 | 2016-07-27 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760089627 | Leora A Sales | Behavior Technician | 3070 Riverside Dr, Ste 200, Columbus, Oh, Columbus, OH 43221 | 2020-10-05 |
1215405691 | Mary E Altiero | Registered Nurse | 3041 Mountview Rd, Columbus, OH 43221 | 2018-11-05 |
1396157228 | Heavenly Help LLC | Home Health | 2903 Brandon Road, Columbus, OH 43221 | 2014-05-27 |
1679824767 | Danielle Leigh Prater | Occupational Therapy Assistant | 5222 York County Rd., Columbus, OH 43221 | 2012-09-28 |
1669745279 | James Francis Hamilton | Dermatology | 1710 Essex Rd, Columbus, OH 43221 | 2012-02-13 |
1033494125 | Katherine Ann Friz | Mechanotherapist | 1840 Zollinger Rd Suite A, Columbus, OH 43221 | 2011-10-20 |
1942513908 | Adelaide Wilma Koestner | Pathology | 3175 Tremont Rd., #410, Columbus, OH 43221 | 2010-07-20 |
1003006909 | Julia Ann Pinkham | Acupuncturist | 2170 Riverside Dr, Columbus, OH 43221 | 2007-07-26 |
1750592796 | Christopher Scott Mckenzie | Physical Therapist | The Ohio State University Sports Medicine Center, 2050 Kenny Rd. Morehouse Building, Columbus, OH 43221 | 2007-05-24 |
1538379169 | Melissa Shearer Kidder | Physical Therapist | Osu Sports Medicine Center, 2050 Kenny Road, Columbus, OH 43221 | 2007-05-23 |
Find all providers in zip 43221 |
Taxonomy Code | 364SA2200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Clinical Nurse Specialist |
Specialization | Adult Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750410510 | Barbara Ann Nash | Clinical Nurse Specialist | 1 College and Main, Capital University Campus Health Center, Columbus, OH 43209-7812 | 2007-03-05 |
1083257604 | Bonetta Lou Coulter | Clinical Nurse Specialist | 1601 W Broad St, Columbus, OH 43222-1054 | 2019-10-27 |
1477194835 | Timothy Brooks Phillips | Clinical Nurse Specialist | 300 W 10th Ave, Columbus, OH 43210-1280 | 2019-10-07 |
1518469857 | Kathleen M Kerrigan | Clinical Nurse Specialist | 6150 E Broad St, Columbus, OH 43213-1574 | 2018-03-02 |
1093199408 | Sherri Harkless | Clinical Nurse Specialist | 1492 E Broad St, North 121, Columbus, OH 43205-1546 | 2015-07-15 |
1235533894 | Cheryal Haas | Clinical Nurse Specialist | 5131 Beacon Hill Rd, Suite 120, Columbus, OH 43228-4442 | 2014-10-10 |
1578966347 | Colleen P Zombek | Clinical Nurse Specialist | 111 S Grant Ave, Columbus, OH 43215-4701 | 2014-10-07 |
1114340775 | Brandy Stinson | Clinical Nurse Specialist | 6001 E Broad St, Columbus, OH 43213-1502 | 2014-01-31 |
1609209451 | Tabitha Kelker | Clinical Nurse Specialist | 6001 E Broad St, Columbus, OH 43213-1502 | 2013-08-15 |
1558605857 | Michelle J Rubertino | Clinical Nurse Specialist | 3535 Olentangy River Rd, Columbus, OH 43214-3908 | 2012-11-27 |
Find all providers in COLUMBUS |
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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.