SHANNON D MCQUEEN (NPI# 1255336632) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255336632 |
| Entity Type | Individual |
| Full Name | SHANNON D MCQUEEN |
| Credential | MD |
| Practice Address |
908 S Williamson Ave Elon NC 27244-9280 |
| Mailing Address |
1234 Huffman Mill Rd Burlington NC 27215-8700 |
| Practice Telephone | 3365382416 |
| Practice Fax Number | 3365382395 |
| Mailing Telephone | 3365381234 |
| Mailing Fax Number | 3365382390 |
| Enumeration Date | 2005-06-14 |
| Last Update Date | 2013-04-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 9501229 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 8929428 | 05 | |
| NC | BCBS | 29428 | 01 |
| NC | DEA | BD4019798 | 01 |
| Street Address |
908 S WILLIAMSON AVE |
| City | ELON |
| State | NC |
| Zip Code | 27244-9280 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003426107 | Celena Bounvilay | Physician Assistant | 908 S Williamson Ave, Elon, NC 27244-9280 | 2020-08-04 |
| 1467949438 | Jarred Fisher | Physician Assistant | 908 S Williamson Ave, Elon, NC 27244-9280 | 2018-04-16 |
| 1811428261 | Danielle Carter | Physician Assistant | 908 S Williamson Ave, Elon, NC 27244-9280 | 2017-03-27 |
| 1780072777 | Ashley Bennett Motley | Lactation Consultant, Non-RN | 908 S Williamson Ave, Elon, NC 27244-9280 | 2014-12-30 |
| 1902147440 | Private Diagnostic Clinic, Pllc | Family Medicine | 908 S Williamson Ave, Elon, NC 27244-9280 | 2013-03-08 |
| 1821385808 | Kernodle Clinic, Inc-elon | General Practice | 908 S Williamson Ave, Elon, NC 27244-9280 | 2011-06-29 |
| 1861706517 | Claudine Gerber | Social Worker | 908 S Williamson Ave, Elon, NC 27244-9280 | 2010-08-04 |
| 1023260064 | Susan D. Sander | Nurse Practitioner | 908 S Williamson Ave, Elon, NC 27244-9280 | 2008-10-22 |
| 1073633806 | Rowena S Crist | Physician Assistant | 908 S Williamson Ave, Elon, NC 27244-9280 | 2007-03-29 |
| 1720127566 | Marisa C Flores | Pediatrics | 908 S Williamson Ave, Elon, NC 27244-9280 | 2007-02-06 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144702846 | Eric Roman | Specialist/Technologist | Koury Field House 2500 Campus Box, Elon, NC 27244 | 2018-08-30 |
| 1457845489 | Hannah Daly | Specialist/Technologist | 104 E. Haggard Avenue, Elon, NC 27244 | 2018-06-22 |
| 1780113068 | Ewa W Czajkowska-jenkins | Physical Therapist | 106 Palladium Ct, Elon, NC 27244 | 2017-06-08 |
| 1003294059 | Adriana Cline | Pediatrics | 908 South Williamson Avenue, Elon, NC 27244 | 2015-05-11 |
| 1568859288 | Michelle Smith Flinchum | Nurse Practitioner | 301 O' Kelly Avenue, Elon, NC 27244 | 2015-04-21 |
| 1861890139 | Emily Williams | Specialist/Technologist | 301 S. O'kelly Ave, Elon, NC 27244 | 2014-12-18 |
| 1891100988 | Sarah Parker | Nurse Practitioner | 301 South O'kelly Avenue, Rn Ellington Center for Health and Wellness, Elon, NC 27244 | 2014-06-26 |
| 1194937698 | Robert Andrew Watson | General Practice | 311 Truitt Drive, Elon, NC 27244 | 2007-05-04 |
| 1487773909 | Robert Norwood Ellington | Obstetrics & Gynecology | 100 Campus Dr, 2040 Campus Box, Elon, NC 27244 | 2007-03-28 |
| 1164540225 | Elon Village Homes, Inc. | Assisted Living Facility | 715 E Haggard Ave., Elon, NC 27244 | 2007-03-27 |
| Find all providers in zip 27244 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003294059 | Adriana Cline | Pediatrics | 908 South Williamson Avenue, Elon, NC 27244 | 2015-05-11 |
| 1720127566 | Marisa C Flores | Pediatrics | 908 S Williamson Ave, Elon, NC 27244-9280 | 2007-02-06 |
| 1386661353 | Jasna S. Nogo | Pediatrics | 908 S Williamson Ave, Elon, NC 27244-9280 | 2006-07-16 |
| 1568489441 | Joseph R. Pringle Jr. | Pediatrics | 908 S Williamson Ave, Elon, NC 27244-9280 | 2006-07-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124627146 | Kidzcare Pediatrics, PC | Pediatrics | Kidzcare Pediatrics, PC, 312 South Mccaskey Road, Williamston, NC 27892-2150 | 2020-10-21 |
| 1619582343 | Carolinas Physicians Network Inc | Pediatrics | 9908 Couloak Dr Ste 103, Charlotte, NC 28216-8678 | 2020-09-10 |
| 1992310627 | Carolinas Physicians Network Inc | Pediatrics | 1585 Forney Creek Pkwy Ste 2100, Denver, NC 28037-9520 | 2020-09-10 |
| 1861004426 | Carolinas Physicians Network Inc | Pediatrics | 4501 Cameron Valley Pkwy Ste 200-b, Charlotte, NC 28211-4297 | 2020-08-17 |
| 1871114470 | Kidzcare Pediatrics, PC | Pediatrics | 327 W College Ave, Shelby, NC 28152-8111 | 2020-05-05 |
| 1568082212 | Kidzcare Pediatrics, PC | Pediatrics | 416 Mccullough Dr Ste 140, Charlotte, NC 28262-4390 | 2020-04-23 |
| 1881222404 | Victoria Marie Carvajal | Pediatrics | Cmc/levine's Children's Hospital 1000 Blythe Blvd, 4th Floor, Meb, Charlotte, NC 28203-8812 | 2020-03-30 |
| 1386271930 | Irina Maria Geiculescu | Pediatrics | 1000 Blythe Blvd Fl 4 Meb, Charlotte, NC 28203 | 2020-03-24 |
| 1689201568 | Mark Selna | Pediatrics | 13 Weybridge Pl, Chapel Hill, NC 27517-8938 | 2020-03-23 |
| 1407488349 | Beth A Scisciani | Pediatrics | 8654 Walsham Dr, Charlotte, NC 28277-1850 | 2020-02-09 |
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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.