DR. LARRY ROLAND SHANNON II (NPI# 1275762429) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1275762429 |
Entity Type | Individual |
Full Name | DR. LARRY ROLAND SHANNON II |
Credential | MD |
Practice Address |
5771 Royal Mile Blvd Salisbury MD 21801-2326 |
Practice Telephone | 4108057039 |
Mailing Telephone | 4108057039 |
Enumeration Date | 2009-07-09 |
Last Update Date | 2014-11-21 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207T00000X | Neurological Surgery | D72508 | MD | Allopathic & Osteopathic Physicians |
N | 207T00000X | Neurological Surgery | 036.121453 | IL | Allopathic & Osteopathic Physicians |
Street Address |
5771 ROYAL MILE BLVD |
City | SALISBURY |
State | MD |
Zip Code | 21801-2326 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487263760 | Patricia Ann Nativio | Specialist/Technologist | University of Maryland University Eastern Shore, William P Hytche Athletic Center, Princess Anne, MD 21801 | 2020-07-23 |
1710516315 | Launa Duffy | Counselor | 1300 East Carroll St, Salisbury, MD 21801 | 2020-04-06 |
1275161960 | Zion Wellness Center | Psychiatry & Neurology | 2324 West Zion Road Unit 110, Salisbury, MD 21801 | 2020-03-30 |
1508404997 | Pridgett Harmon | Counselor | 2324 West Zion Road, Suite 112, Salisbury Md, MD 21801 | 2019-12-16 |
1821646324 | Diane Palmer | Counselor | 2324 West Zion Rd., Suit 112, Salisbury, MD 21801 | 2019-08-28 |
1558923672 | Oc Wellness LLC | Nurse Practitioner | 1410 S Salisbury Blvd Unit 1, Salisbury, MD 21801 | 2019-06-28 |
1033686670 | Megan Insley | Speech-Language Pathologist | 1213 Emeron Ave, Salisbury, MD 21801 | 2018-11-01 |
1811462831 | Kailyn Asbury | Registered Nurse | 100 E. Carroll St., Prmc Dept of Physical Medicine, Salisbury, MD 21801 | 2018-10-05 |
1750866380 | Marc Levin Mcdonald | Physical Therapist | 2420 North Salisbury Blvd Unit 5, Salisbury, MD 21801 | 2018-09-28 |
1891277695 | Lindsay Britt Stallings | Counselor | 116 West Main St. Suite 204, Salisbury, MD 21801 | 2018-08-29 |
Find all providers in zip 21801 |
Taxonomy Code | 207T00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Neurological Surgery |
A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639142763 | Julius David Zant | Neurological Surgery | 540 Snow Hill Rd, Salisbury, MD 21804-6031 | 2006-02-09 |
1205830221 | Ranjan Shanti Roy | Neurological Surgery | 330 Jake Alexander Blvd W, Ste 104, Salisbury, NC 28147-1385 | 2005-06-08 |
1487279337 | Tidalhealth Specialty Care, LLC | Neurological Surgery | 1630 Woodbrooke Dr, Salisbury, MD 21804-8501 | 2020-06-16 |
1336308071 | Sophia Shakur | Neurological Surgery | 540 Snow Hill Rd, Salisbury, MD 21804-6031 | 2008-06-06 |
1770771529 | Duane O Campbell | Neurological Surgery | 612 Mocksville Ave, Salisbury, NC 28144-2732 | 2007-10-05 |
1043320252 | Bothwell Graves Lee | Neurological Surgery | 1630 Woodbrooke Dr, Salisbury, MD 21804-8501 | 2006-08-30 |
1487683629 | Muneshwar Devendra Tiwari | Neurological Surgery | 100 E Carroll St, Salisbury, MD 21801-5493 | 2006-07-01 |
1255370011 | Curtis Norman Nelson | Neurological Surgery | 540 Snow Hill Rd, Salisbury, MD 21804-6031 | 2006-06-06 |
1871566935 | Peninsula Neurosurgical Associates Pa | Neurological Surgery | 540 Snow Hill Rd, Salisbury, MD 21804-6031 | 2006-02-09 |
1972576981 | Andy Hugo Pierre | Neurological Surgery | 1630 Woodbrooke Dr, Salisbury, MD 21804-8501 | 2006-02-09 |
Find all providers in SALISBURY |
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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.