SHANNON MARY JONES (NPI# 1255659637) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255659637 |
| Entity Type | Individual |
| Full Name | SHANNON MARY JONES |
| Other Name | SHANNON MARY FULLER |
| Credential | MD |
| Practice Address |
507 Main St Johnson City NY 13790-1810 |
| Practice Telephone | 6077638008 |
| Practice Fax Number | 6077638019 |
| Mailing Telephone | 6077638008 |
| Mailing Fax Number | 6077638019 |
| Enumeration Date | 2010-05-11 |
| Last Update Date | 2014-05-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 271464 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 03726212 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780219139 | Shannon Renique Jones | Counselor | 18237 Swiss Cir Apt 1, Germantown, MD 20874-5853 | 2020-03-05 |
| 1568898930 | Shannon Marie Jones | Dental Hygienist | 91-1023 Kai Kukuma St, Ewa Beach, HI 96706-6253 | 2013-09-17 |
| 1699069831 | Shannon Marie Jones | Pediatrics | 3401 Civic Center Blvd., Children's Hospital of Philadelphia, Philadelphia, PA 19104-4319 | 2011-06-06 |
| 1215262332 | Shannon Jones | Pharmacist | 2531 Cuthbertson Road, Waxhaw, NC 28173 | 2009-10-07 |
| 1710091541 | Shannon R Jones | Psychiatry & Neurology | 1 North Barker Avenue, Evansville, IN 47712 | 2006-08-18 |
| 1174152623 | Shannon Marie Jones | Counselor | 1118 F St # B, Lewiston, ID 83501-1930 | 2020-04-06 |
| 1053979641 | Shannon Faith Jones | Physical Therapist | 1 Healthcare Dr, Philippi, WV 26416-9405 | 2019-05-30 |
| 1518439777 | Shannon Jean Jones | Counselor | 2202 N 1st St, San Jose, CA 95131-2007 | 2018-12-27 |
| 1245731090 | Shannon Lekay Jones | Adult Companion | 4850 W Flamingo Rd, Las Vegas, NV 89103-3705 | 2018-02-27 |
| 1821503624 | Shannon Jones | Case Manager/Care Coordinator | 4400 Euclid Ave, Cleveland, OH 44103-3734 | 2017-12-04 |
| Street Address |
507 MAIN ST |
| City | JOHNSON CITY |
| State | NY |
| Zip Code | 13790-1810 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831190867 | Roy D Gill | Internal Medicine | 507 Main St, Johnson City, NY 13790-1810 | 2005-08-01 |
| 1437760311 | Lindsay Dunlop | Nurse Practitioner | 507 Main St, Johnson City, NY 13790-1810 | 2020-08-13 |
| 1417566324 | Emily Chao | Student in an Organized Health Care Education/Training Program | 507 Main St, Johnson City, NY 13790-1810 | 2020-07-27 |
| 1063030401 | Nayantara Sharma | Student in an Organized Health Care Education/Training Program | 507 Main St, Johnson City, NY 13790-1810 | 2020-07-13 |
| 1972121614 | Rehan Azeem | Student in an Organized Health Care Education/Training Program | 507 Main St, Johnson City, NY 13790-1810 | 2020-07-09 |
| 1366060394 | Brahmjot Parhar | Student in an Organized Health Care Education/Training Program | 507 Main St, Johnson City, NY 13790-1810 | 2020-07-07 |
| 1265059653 | Mark Makar | Student in an Organized Health Care Education/Training Program | 507 Main St, Johnson City, NY 13790-1810 | 2020-07-01 |
| 1568083236 | Richard Webster | Student in an Organized Health Care Education/Training Program | 507 Main St, Johnson City, NY 13790-1810 | 2020-05-04 |
| 1821627043 | James Docherty | Student in an Organized Health Care Education/Training Program | 507 Main St, Johnson City, NY 13790-1810 | 2020-04-08 |
| 1518596725 | Sushmita Kasireddy | Student in an Organized Health Care Education/Training Program | 507 Main St, Johnson City, NY 13790-1810 | 2020-04-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578107645 | Thomas William Sorber | Occupational Therapist | 33 Harrison St, Johnson City, Johnson City, NY 13790 | 2019-11-01 |
| 1326534116 | Silver Linings Golden Memory Care | Clinic/Center | 4416 Watson Blvd, Johnson City, NY 13790 | 2018-07-05 |
| 1508308545 | Irene Mukeli Nzasi | Registered Nurse | 156 Corliss Ave Suite 107, Johnson City, NY 13790 | 2016-11-08 |
| 1053867754 | Tabitha Rae Toman | Physical Therapist | 34 Harrison St, Johnson City, NY 13790 | 2016-09-01 |
| 1235685066 | Dianne Brunner | Physical Therapist | 33-55 Harrison Street, Wilson Hospital, Johnson City, NY 13790 | 2016-08-31 |
| 1578982682 | Tracy Lynn Brown | Optometrist | 223 Reynolds Road, Johnson City, NY 13790 | 2014-04-16 |
| 1083041495 | Maryann Serbonich | Pharmacist | 52 Harrison Street, Johnson City, NY 13790 | 2013-09-30 |
| 1134464399 | Kasey Connor Folger | Speech-Language Pathologist | 3 Laurel St., Johnson City, NY 13790 | 2012-11-29 |
| 1467797571 | Bodyworks Physical Therapy LLC | Clinic/Center | 765 Harry L Drive, Johnson City, NY 13790 | 2012-11-29 |
| 1548518400 | Melissa L Korosec | Nurse Practitioner | 30 Harrison St., Suite 250, Johnson City, NY 13790 | 2012-08-27 |
| Find all providers in zip 13790 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821519364 | Mahmoud El Iskandarani | Internal Medicine | 1084 W Oakland Avenue, 748, Johnson City, TN 37604 | 2017-07-06 |
| 1376074385 | Jonesborough Medical Center | Internal Medicine | 2811 W Market St Ste 1, Johnson City, TN 37604-5127 | 2017-03-22 |
| 1922463470 | Integrated Health Transitions, Pllc | Internal Medicine | 3107 W Market St, Suite 5, Johnson City, TN 37604-9347 | 2015-12-29 |
| 1689933301 | Jeremy Vincent Pinyard | Internal Medicine | 516 W Oakland Ave, Suite 106, Johnson City, TN 37604-1676 | 2012-05-15 |
| 1538397328 | Sirisha Jasti | Internal Medicine | 32-36 Harrison Street, Johnson City, NY 13790-2122 | 2009-06-30 |
| 1003057068 | Alan Cox | Internal Medicine | 2603 Avondale Dr, Johnson City, TN 37604-1902 | 2009-03-20 |
| 1528226016 | Mihir Patel | Internal Medicine | 408 N State of Franklin Rd Ste 24, Johnson City, TN 37604-6048 | 2008-05-30 |
| 1548481955 | Yamini Banerjee | Internal Medicine | 1403 E Oakland Ave, Johnson City, TN 37601-2655 | 2007-05-01 |
| 1013062421 | E Paul Getaz | Internal Medicine | 5 Saint Annes Ct, Johnson City, TN 37604-2279 | 2007-01-24 |
| 1841367919 | Jo G. Sweet | Internal Medicine | 415 State of Franklin Rd, Johnson City, TN 37604-6034 | 2006-11-30 |
| Find all providers in JOHNSON CITY | ||||
| City | JOHNSON CITY |
| Zip Code | 13790 |
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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.