SHANNON LEIGH WALLACE (NPI# 1205102092) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205102092 |
| Entity Type | Individual |
| Full Name | SHANNON LEIGH WALLACE |
| Credential | M.D. |
| Practice Address |
Cleveland Clinic 9500 Euclid Avenue Cleveland OH 44195-1705 |
| Mailing Address |
1470 Franks Ln Menlo Park CA 94025-5960 |
| Practice Telephone | 2166368926 |
| Mailing Telephone | 3038807809 |
| Enumeration Date | 2012-03-27 |
| Last Update Date | 2020-03-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VF0040X |
Obstetrics & Gynecology Specialization: Female Pelvic Medicine and Reconstructive Surgery |
A149644 | CA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 300 Pasteur Dr # S285, Stanford, CA 943052200 | 6504978753 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588142574 | Shannon Wallace | Specialist | 8777 254th St, Bellerose, NY 11426-2329 | 2018-08-01 |
| 1891223293 | Shannon May Wallace | Nurse Practitioner | 700 Childrens Dr Fl Hall1, Columbus, OH 43205-2664 | 2017-05-30 |
| 1538609847 | Shannon Wallace | Behavior Technician | 841 Hughes Ln, Highlands Ranch, CO 80126-4746 | 2017-03-06 |
| 1750757340 | Shannon Wallace | Home Health Aide | 636 Candyce Ave, Lakeland, FL 33815-1202 | 2015-08-18 |
| 1730328840 | Shannon D Wallace | Behavioral Analyst | 3954 Murphy Canyon Rd, Suite D105, San Diego, CA 92123-4418 | 2009-02-12 |
| 1437707452 | Shannon Wallace | Physical Therapy Assistant | 3108 Circle Dr, White Pine, TN 37890-3306 | 2019-09-03 |
| 1598103111 | Shannon R Wallace | Physician Assistant | 5818 D Harbour View Blvd, Suite 150, Suffolk, VA 23435-3327 | 2013-06-05 |
| 1326290982 | Shannon Mcnally Wallace | Social Worker | 3010 Falstaff Rd, Raleigh, NC 27610-1813 | 2008-10-15 |
| 1851481584 | Shannon L Wallace | Nurse Practitioner | 1001 W 10th St, Er/uvc, Indianapolis, IN 46202-2859 | 2006-10-13 |
| Street Address |
CLEVELAND CLINIC 9500 EUCLID AVENUE |
| City | CLEVELAND |
| State | OH |
| Zip Code | 44195-1705 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518578384 | Roshan Bhattarai | Student in an Organized Health Care Education/Training Program | Cleveland Clinic 9500 Euclid Avenue, Cleveland, OH 44195-0001 | 2020-08-13 |
| 1467070615 | Reza Reyaldeen | Student in an Organized Health Care Education/Training Program | Cleveland Clinic 9500 Euclid Avenue, Cleveland, OH 44195-0001 | 2020-07-13 |
| 1902435258 | Madeline Howrey Lederer | Student in an Organized Health Care Education/Training Program | Cleveland Clinic 9500 Euclid Avenue, Cleveland, OH 44195-0001 | 2020-04-07 |
| 1306491626 | Tasadooq Hussain | Surgery | Cleveland Clinic 9500 Euclid Avenue, Cleveland, OH 44195-0001 | 2019-08-04 |
| 1649769563 | Anas Minkara | Student in an Organized Health Care Education/Training Program | Cleveland Clinic 9500 Euclid Avenue, Cleveland, OH 44195-0001 | 2018-05-07 |
| 1568959526 | Joshua Santucci | Student in an Organized Health Care Education/Training Program | Cleveland Clinic 9500 Euclid Avenue, Cleveland, OH 44195-0001 | 2018-04-16 |
| 1770020885 | Sonia Mukhdomi | Physician Assistant | Cleveland Clinic 9500 Euclid Avenue, Cleveland, OH 44195 | 2017-01-26 |
| 1568825644 | Stefan Roman Trela | Anesthesiology | Cleveland Clinic 9500 Euclid Avenue, Cleveland, OH 44195-0001 | 2016-04-05 |
| 1023493368 | Ravkiran Khurana | Internal Medicine | Cleveland Clinic 9500 Euclid Avenue, Cleveland, OH 44195 | 2015-07-28 |
| 1598155939 | Trisha Ann Mcginnis | Anesthesiology | Cleveland Clinic 9500 Euclid Avenue, Cleveland, OH 44195-0001 | 2015-01-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265041107 | Rachael Kaplan | Nurse Practitioner | Cleveland Clinic Anesthesia Institute, 9500 Euclid Ave, Cleveland, OH 44195 | 2020-07-27 |
| 1831707967 | Sarah Mcgee | Genetic Counselor, MS | 9500 Euclid Ave R4, Cleveland, OH 44195 | 2020-07-15 |
| 1578192134 | Cassandra Garraud | Student in an Organized Health Care Education/Training Program | 9500 Euclid Avenue Na-23, Cleveland, OH 44195 | 2020-04-06 |
| 1184271520 | Moska Hamidi | Surgery | 9500 Euclid Ave F20, Cleveland, OH 44195 | 2019-08-21 |
| 1326527961 | Varinder Kaur Randhawa | Internal Medicine | Cleveland Clinic - Main Campus, 9500 Euclid Avenue, Cleveland, OH 44195 | 2018-08-13 |
| 1487148029 | Larissa Caitlin Combs | Anesthesiology | 9500 Euclid Avenue/na-23, Cleveland, OH 44195 | 2018-06-18 |
| 1306335237 | Sarah Elizabeth Mazzola | Genetic Counselor, MS | 9500 Euclid Ave Ne 50, Genomic Medicine Institute, Cleveland, OH 44195 | 2018-05-07 |
| 1841788593 | Yirka Vacca | Orthopaedic Surgery | Cleveland Clinic 9500 Euclid Avenue A-40, Cleveland, OH 44195 | 2018-04-27 |
| 1174010144 | Natalie W. Weigand | Nurse Practitioner | 9500 Euclid Avenue A81, Cleveland, OH 44195 | 2018-04-16 |
| 1164924114 | Baha'eddin Ahmad Ibrahim Muhsen | Neurological Surgery | 10201 Carnegie Ave, Ca Building, Cleveland, OH 44195 | 2018-03-06 |
| Find all providers in zip 44195 | ||||
| Taxonomy Code | 207VF0040X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Female Pelvic Medicine and Reconstructive Surgery |
| A subspecialist in Female Pelvic Medicine and Reconstructive Surgery is a physician in Urology or Obstetrics and Gynecology who, by virtue of education and training, is prepared to provide consultation and comprehensive management of women with complex benign pelvic conditions, lower urinary tract disorders, and pelvic floor dysfunction. Comprehensive management includes those diagnostic and therapeutic procedures necessary for the total care of the patient with these conditions and complications resulting from them. |
| Notes: Source: American Board of Medical Specialties, 2011. [1/1/2012: new] Resources: www.abms.org |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932561032 | Megan Abrams | Obstetrics & Gynecology | 11100 Euclid Ave, Cleveland, OH 44106-1716 | 2016-03-28 |
| 1790809010 | Bogdan Orasanu | Obstetrics & Gynecology | 11100 Euclid Ave, Cleveland, OH 44106-1716 | 2007-03-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487737698 | Steven D Kleeman | Obstetrics & Gynecology | 3301 Mercy Health Blvd Ste 285, Cincinnati, OH 45211-1106 | 2006-10-23 |
| 1548668619 | Summa Physicians Inc | Obstetrics & Gynecology | 1305 Corporate Dr, Suite A, Hudson, OH 44236-4344 | 2014-12-05 |
| 1417290339 | Lisa Caronia Hickman | Obstetrics & Gynecology | 1800 Zollinger Rd Fl 4, Columbus, OH 43221-2800 | 2013-03-28 |
| 1013256981 | Alliance Physicians Inc | Obstetrics & Gynecology | 7756 Washington Village Dr, Suite 135, Centerville, OH 45459-3999 | 2013-02-12 |
| 1629337241 | Sana Hussain Ansari | Obstetrics & Gynecology | 2139 Auburn Ave, Cincinnati, OH 45219-2906 | 2012-05-16 |
| 1235444050 | Summa Physicians Inc | Obstetrics & Gynecology | 201 5th St Ne, Suite 6, Barberton, OH 44203-3017 | 2010-08-17 |
| 1023347499 | William M. Quirk, M.d., Facog, Obstetrics and Gynecology, LLC. | Obstetrics & Gynecology | 5533 Mahoning Ave, Suite D, Austintown, OH 44515-2366 | 2009-12-15 |
| 1700020138 | Costas A Apostolis | Obstetrics & Gynecology | 3009 Smith Rd Ste 400, Fairlawn, OH 44333 | 2009-04-29 |
| 1215195144 | Christopher Joseph Strauchon | Obstetrics & Gynecology | 5701 Far Hills Ave, Dayton, OH 45429-2207 | 2008-05-28 |
| 1578621611 | Christopher M. Rooney | Obstetrics & Gynecology | 95 Arch St, Ste 220, Akron, OH 44304-1437 | 2006-12-04 |
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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.