SHANNON FOSTER (NPI# 1245462787) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245462787 |
| Entity Type | Individual |
| Full Name | SHANNON FOSTER |
| Credential | D.O. |
| Practice Address |
300 W Hospital Rd Family Medicine Clinic Fort Gordon GA 30905-5741 |
| Mailing Address |
4301 Wilson St Family Medicine Clinic Fort Sill OK 73503-4472 |
| Practice Telephone | 7067879355 |
| Enumeration Date | 2009-08-18 |
| Last Update Date | 2013-05-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 65258 | GA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043775950 | Shannon Monique Foster | In Home Supportive Care | 884 Dana St Ne, Warren, OH 44483-3914 | 2019-02-05 |
| 1003274846 | Shannon Gayle Foster | Technician, Other | 2960 W Adams Rd, Pentwater, MI 49449-8579 | 2016-02-08 |
| 1528440864 | Shannon Foster | Physical Therapy Assistant | 426 Coventry Ct, Shreveport, LA 71115-2950 | 2015-06-23 |
| 1528363165 | Shannon Foster | Hearing Instrument Specialist | 1609 Judson Rd, Longview, TX 75601-3663 | 2011-01-12 |
| 1174849889 | Shannon Marie Foster | Physician Assistant | 1020 N Highland Ave Ste C, Murfreesboro, TN 37130-2494 | 2010-04-20 |
| 1699755496 | Shannon M Foster | Surgery | 6th Ave and Spruce Street, West Reading, PA 19611-1428 | 2006-01-18 |
| 1750996625 | Shannon Clare Foster | Physical Medicine & Rehabilitation | 1260 B St Ste 250, Hayward, CA 94541-2971 | 2020-09-09 |
| 1659886109 | Shannon Leanne Foster | Occupational Therapist | 400 Ann St Nw, Grand Rapids, MI 49504-2052 | 2017-12-06 |
| 1063885150 | Shannon Foster | Physical Therapist | 137 S Main St, Eufaula, OK 74432-2875 | 2015-11-11 |
| 1831444900 | Shannon N Foster | Occupational Therapist | 10668 Lydia Ln, Danville, AR 72833-6890 | 2012-07-16 |
| Street Address |
300 W HOSPITAL RD FAMILY MEDICINE CLINIC |
| City | FORT GORDON |
| State | GA |
| Zip Code | 30905-5741 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922007467 | John Keenan Wilson | Internal Medicine | 300 W Hospital Rd, Building 300, Fort Gordon, GA 30905-5741 | 2005-07-18 |
| 1629687751 | Benjamin Lee Tigges | Nurse Anesthetist, Certified Registered | 300 W Hospital Rd, Fort Gordon, GA 30905-5741 | 2020-07-24 |
| 1104441179 | Gia-thien H Nguyen | Student in an Organized Health Care Education/Training Program | 300 W Hospital Rd, Fort Gordon, GA 30905-5741 | 2020-06-15 |
| 1184249765 | Roman Avila | Student in an Organized Health Care Education/Training Program | 300 W Hospital Rd, Fort Gordon, GA 30905-5741 | 2020-06-10 |
| 1417572116 | Francesco Anthony Biolzi | Student in an Organized Health Care Education/Training Program | 300 W Hospital Rd, Fort Gordon, GA 30905-5741 | 2020-06-09 |
| 1114568268 | Ryan Sever | Psychologist | 300 W Hospital Rd, Fort Gordon, GA 30905-5741 | 2019-09-30 |
| 1801446497 | Seth Randall | Nurse Practitioner | 300 W Hospital Rd, Fort Gordon, GA 30905-5741 | 2019-09-16 |
| 1275188179 | Jason Celestino | Nurse Anesthetist, Certified Registered | 300 W Hospital Rd, Fort Gordon, GA 30905-5741 | 2019-08-07 |
| 1467011668 | Angelina Kathleen Trush | Student in an Organized Health Care Education/Training Program | 300 W Hospital Rd, Fort Gordon, GA 30905-5741 | 2019-06-11 |
| 1790271989 | Joshua Orszag | Nurse Anesthetist, Certified Registered | 300 W Hospital Rd, Fort Gordon, GA 30905-5741 | 2018-07-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417508995 | Priscilla Denise Brown | Prosthetic/Orthotic Supplier | 38200 3rd Ave, Fort Gordon, GA 30905 | 2019-09-25 |
| 1740754308 | Patricia Lynn Blevins | Nurse Practitioner | 300 E Hospital Dr, Augusta, GA 30905 | 2019-01-17 |
| 1861971335 | Isabella Anderson | Dentist | Usa Dental Activity, Hospital Dental Clinic, Bldg 38801 Academic, Ste B&c, Ft Gordon, GA 30905 | 2018-08-07 |
| 1972097426 | Cortney Wolfley | Student in an Organized Health Care Education/Training Program | Orthopaedics Ddeamc, 300 East Hospital Road, Fort Gordon, GA 30905 | 2018-06-19 |
| 1003337536 | David Jonathon Sabovich | Dentist | 38801 Academic Dr Ste B&cactivity, Suite B & C, Ft Gordon, GA 30905 | 2017-07-06 |
| 1437689411 | Marcos Aranda | Student in an Organized Health Care Education/Training Program | General Surgery, Eisenhower Army Medical Center, 300 East Hospital Road, Fort Gordon, GA 30905 | 2017-06-13 |
| 1659809846 | Brian Kevin Burke | Student in an Organized Health Care Education/Training Program | 300 East Hosptial Road, Fort Gordon, GA 30905 | 2017-06-01 |
| 1902334469 | Jacqueline Renee Mulhall | Student in an Organized Health Care Education/Training Program | Ddeamc, 300 E Hospital Rd, General Surgery, Fort Gordon, GA 30905 | 2017-05-30 |
| 1750837456 | Amanda R Bailey | Internal Medicine | 300 E. Hospital Dr., Fort Gordon, GA 30905 | 2016-09-01 |
| 1689120016 | Thomas S Moffitt | Internal Medicine | Im, Dwight D Eisenhower Army Medical Center, 300 East Hospital Road, Fort Gordon, GA 30905 | 2016-08-26 |
| Find all providers in zip 30905 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003290511 | Daniel Jason Frasca | Family Medicine | 300 E. Hospital Rd., Fort Gordon, GA 30905 | 2015-07-14 |
| 1902206907 | Elizabeth Ashley Suniega | Family Medicine | Connelly Health Clinic, Building 29709, B Street, Fort Gordon, GA 30905 | 2014-08-26 |
| 1073778866 | Amayi Maria Bloodsaw | Family Medicine | 301 East Hospital Road, Fort Gordon, GA 30905-5650 | 2008-07-22 |
| 1730177965 | Jason Seton Lanham | Family Medicine | 300 Hospital Drive, Family Medicine Clinic, Fort Gordon, GA 30905-5650 | 2005-10-12 |
| 1881695328 | Carolynn Marie Warner | Family Medicine | 300 East Hospital Drive, Ddeamc, Virtual Health, Fort Gordon, GA 30905 | 2005-08-09 |
| 1063412500 | Virginia Yates | Family Medicine | 300 East Hospital Rd, Credentials Coordinator, Fort Gordon, GA 30905 | 2005-07-27 |
| 1275535593 | Thomas Philip Garigan Jr. | Family Medicine | Bldg 300 East Hospital Road, Ddeamc (attn: Dfcm-fmc), Fort Gordon, GA 30905-3851 | 2005-06-01 |
| 1902323538 | Jameika Crawford-dicks | Family Medicine | 300 W Hospital Rd, Fort Gordon, GA 30905-5741 | 2017-08-24 |
| 1841727047 | Michal Poplawski | Family Medicine | 300 W Hospital Rd, Fort Gordon, GA 30905-5741 | 2017-05-18 |
| 1053847178 | Anthony Bieck | Family Medicine | 300 East Hospital Road, Dwight David Eisenhower Army Medical Center, Fort Gordon, GA 30905-5650 | 2017-05-10 |
| Find all providers in FORT GORDON | ||||
| City | FORT GORDON |
| Zip Code | 30905 |
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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.