LYNWOOD PAGE SHANNON (NPI# 1295709459) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295709459 |
| Entity Type | Individual |
| Full Name | LYNWOOD PAGE SHANNON |
| Credential | P.A. |
| Practice Address |
1120 Se Cary Pkwy Suite 100 Cary NC 27511-7413 |
| Practice Telephone | 9194674992 |
| Practice Fax Number | 9192325150 |
| Mailing Telephone | 9194674992 |
| Mailing Fax Number | 9192325150 |
| Enumeration Date | 2006-02-15 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
104126 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UNITED HEALTHCARE | 2525753 | 01 | |
| NC | 7936164 | 05 | |
| BCBS | 36164 | 01 |
| Street Address |
1120 SE CARY PKWY SUITE 100 |
| City | CARY |
| State | NC |
| Zip Code | 27511-7413 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184622052 | Raymond Mckay Carroll | Orthopaedic Surgery | 1120 Se Cary Pkwy, Suite 100, Cary, NC 27518-7413 | 2005-07-13 |
| 1861926800 | Justin Akllen Meekins | Physical Therapist | 1120 Se Cary Pkwy, Suite 101, Cary, NC 27518-7413 | 2017-04-17 |
| 1275083974 | Kristen Michelle Mundy | Physician Assistant | 1120 Se Cary Pkwy, Suite 100, Cary, NC 27518-7413 | 2016-10-06 |
| 1437603941 | Molly M Mazich | Physical Therapist | 1120 Se Cary Pkwy, Suite 100, Cary, NC 27518-7413 | 2016-08-12 |
| 1326592833 | William Fogarty Iv | Physical Therapist | 1120 Se Cary Pkwy, Suite 100, Cary, NC 27518-7413 | 2016-08-12 |
| 1114471307 | Melissa Capannola | Physical Therapist | 1120 Se Cary Pkwy, Suite 100, Cary, NC 27518-7413 | 2016-08-05 |
| 1831581180 | Erin Clevenger | Psychologist | 1120 Se Cary Pkwy, Suite 201, Cary, NC 27518-7413 | 2015-02-24 |
| 1851781025 | Elise Caceres-mason | Physician Assistant | 1120 Se Cary Pkwy, #100, Cary, NC 27518-7413 | 2015-01-27 |
| 1518217199 | Christina K Buffington | Occupational Therapist | 1120 Se Cary Pkwy, Suite 100, Cary, NC 27518-7413 | 2012-09-11 |
| 1235408634 | Kenneth Allen Lynnes | Physical Therapist | 1120 Se Cary Pkwy, Suite 100, Cary, NC 27518-7413 | 2011-12-14 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730792615 | Jill Manning West | Pharmacy | 118 Mackenan Dr., Suite 200, Cary, NC 27511 | 2020-08-28 |
| 1275145658 | Next Level Counseling, Pllc | Community/Behavioral Health | Tele-therapy Only, Cary, NC 27511 | 2020-08-18 |
| 1801429568 | Cheryl Perozek Reid | Physical Therapist | Brightstar Cary, 102 Commonwealth Court Unit K, Cary, NC 27511 | 2020-02-20 |
| 1912543075 | Courtney Hansen | Specialist/Technologist | 103 Fountain Brook Circle, D2, Cary, NC 27511 | 2019-11-25 |
| 1619438512 | Karlianna E.s Williams | Behavior Technician | 111 Mackenan, Cary, NC 27511 | 2019-03-25 |
| 1992272058 | Best Medical Equipment LLC | Durable Medical Equipment & Medical Supplies | 590 E Chatham Street, Ste 108, Cary, NC 27511 | 2018-10-26 |
| 1275015620 | Edward Michael Sleigh | Marriage & Family Therapist | 110 Iowa Ln, Ste 204, Cary, NC 27511 | 2018-09-02 |
| 1477044048 | Leonard Deleon | Pharmacist | 1230 Se Maynard Rd # 202, Cary, NC 27511 | 2018-05-19 |
| 1932699030 | Valerie Hunter Whidbee | Specialist | 139 E Chatham Street, Suite 105, Cary, NC 27511 | 2018-05-14 |
| 1588153878 | Ashley Horak Gyori | Speech-Language Pathologist | 905 Balmoral Dr, Cary, NC 27511 | 2018-05-02 |
| Find all providers in zip 27511 | ||||
| Taxonomy Code | 207XX0005X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Sports Medicine |
| An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton changed, source changed] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. ACGME Accredited Program Requirements: 1 year GME in the specialty + 5 years of Orthopaedic Surgery for a total of 6 years |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992779102 | Douglas John Martini | Orthopaedic Surgery | 1120 Se Cary Pkwy, Suite 100, Cary, NC 27518-7413 | 2006-02-14 |
| 1174597389 | Derek Lawrence Reinke | Orthopaedic Surgery | 1120 Se Cary Pkwy, Suite 100, Cary, NC 27511-7413 | 2006-02-14 |
| 1700850195 | William Kristian Andersen | Orthopaedic Surgery | 1120 Se Cary Pkwy, Suite 100, Cary, NC 27518-7413 | 2006-02-14 |
| 1902870116 | Mark Anthony Curzan | Orthopaedic Surgery | 1120 Se Cary Pkwy, Suite 100, Cary, NC 27518-7413 | 2006-02-14 |
| 1639143845 | Douglas Lee Gollehon | Orthopaedic Surgery | 1120 Se Cary Pkwy, Suite 100, Cary, NC 27518-7413 | 2006-02-14 |
| 1164496378 | Brian Thomas Szura | Orthopaedic Surgery | 1120 Se Cary Pkwy, Suite 100, Cary, NC 27518-7413 | 2006-02-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902241805 | Ian Al'khafaji | Orthopaedic Surgery | 2719 Reynolda Rd, Winston Salem, NC 27106 | 2013-05-06 |
| 1821354812 | Sunny Patel | Orthopaedic Surgery | 1234 Huffman Mill Rd Dept Of, Burlington, NC 27215 | 2012-04-04 |
| 1174763981 | Brett Andrew Fritsch | Orthopaedic Surgery | Duke Sports Medicine Ctr, 300 Frank Bassett Drive, Durham, NC 27710-0001 | 2009-03-06 |
| 1033366885 | Scotland Orthopedics, Pa | Orthopaedic Surgery | 410 D South Jones Street, Pembroke, NC 28372 | 2008-08-23 |
| 1437315165 | North Carolina Shoulder and Elbow Surgery and Sports Medicine | Orthopaedic Surgery | 900 North Howe St, Southport, NC 28461 | 2008-08-01 |
| 1750542411 | Abby B. Maxwell | Orthopaedic Surgery | 3 Mcdowell St, Suite B, Asheville, NC 28801-4103 | 2008-06-24 |
| 1518130418 | Jeffrey Tweed Spang | Orthopaedic Surgery | University of North Carolina Hospital, Cb# 7055, Chapel Hill, NC 27599-7055 | 2008-04-11 |
| 1184746810 | Kevin Leo Krasinski | Orthopaedic Surgery | 1236 Huffman Mill Rd Ste 1300, Burlington, NC 27215-8700 | 2007-04-04 |
| 1285748970 | Statesville Hma Physician Management, Inc | Orthopaedic Surgery | 340 Signal Hill Dr, Suite A, Statesville, NC 28625-4357 | 2006-08-18 |
| 1467461566 | Timothy Ned Taft | Orthopaedic Surgery | 3154 Bioinformatics Bldg, Cb # 7055 Unc, Chapel Hill, NC 27599-0001 | 2006-08-07 |
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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.