SHANNON MEDICAL CENTER (NPI# 1306806153) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306806153 |
| Entity Type | Organization |
| Organization Name | SHANNON MEDICAL CENTER |
| Practice Address |
120 E Harris Ave San Angelo TX 76903-5904 |
| Mailing Address |
Po Box 1879 San Angelo TX 76902-1879 |
| Practice Telephone | 3256575031 |
| Mailing Telephone | 3256575031 |
| Enumeration Date | 2006-03-24 |
| Last Update Date | 2011-08-26 |
| Authorized Official Name | MISS PATRICIA KIRKHAM (BILLING SUPERVISOR) |
| Authorized Official Telephone | 3256575031 |
| Is Organization Subpart | Y |
| Parent Organization Name | SHANNON MEDICAL CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 273Y00000X | Rehabilitation Unit | Hospital Units |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 021801801 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730211533 | Shannon Medical Center | Ambulance | 120 E Harris, San Angelo, TX 76903 | 2007-03-09 |
| 1225031446 | Shannon Medical Center | Home Health | 2030 Pulliam St, Ste 6, San Angelo, TX 76905-5157 | 2005-05-23 |
| 1699016337 | Shannon Medical Center | Clinic/Center | 2008 Nine Rd, Brady, TX 76825-7210 | 2013-03-05 |
| 1336386028 | Shannon Medical Center | Clinic/Center | 2018 Pulliam St, San Angelo, TX 76905-5148 | 2009-01-16 |
| 1013977784 | Shannon Medical Center | Psychiatric Hospital | 120 E Harris Ave, San Angelo, TX 76903-5904 | 2006-03-25 |
| 1992765663 | Shannon Medical Center | Chronic Disease Hospital | 120 E Harris Ave, San Angelo, TX 76903-5904 | 2006-03-25 |
| 1235199084 | Shannon Medical Center | Psychiatric Unit | 2018 Pulliam St, San Angelo, TX 76905-5148 | 2006-03-24 |
| 1114987963 | Shannon Medical Center | Skilled Nursing Facility | 2018 Pulliam St, San Angelo, TX 76905-5148 | 2006-03-24 |
| 1104886969 | Shannon Medical Center | Clinic/Center | 120 E Harris Ave, San Angelo, TX 76903-5904 | 2006-03-24 |
| 1992707228 | Shannon Medical Center | General Acute Care Hospital | 120 E Harris Ave, San Angelo, TX 76903-5904 | 2005-05-31 |
| Street Address |
120 E HARRIS AVE |
| City | SAN ANGELO |
| State | TX |
| Zip Code | 76903-5904 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467455113 | Michael F Carper | Pharmacist | 120 E Harris Ave, San Angelo, TX 76903-5904 | 2005-05-24 |
| 1083185565 | Stephanie Lauren Hayes | Nurse Practitioner | 120 E Harris Ave, San Angelo, TX 76903-5904 | 2018-12-10 |
| 1326556283 | Erin E Miller | Occupational Therapist | 120 E Harris Ave, San Angelo, TX 76903-5904 | 2018-01-12 |
| 1700398484 | Jacob Webster | Physician Assistant | 120 E Harris Ave, San Angelo, TX 76903-5904 | 2017-11-02 |
| 1518322890 | Justina Casiano | Dietitian, Registered | 120 E Harris Ave, San Angelo, TX 76903-5904 | 2015-12-30 |
| 1114392040 | Megan Webb | Dietitian, Registered | 120 E Harris Ave, San Angelo, TX 76903-5904 | 2015-12-03 |
| 1316312341 | Chelsie Jenna Barnes | Dietitian, Registered | 120 E Harris Ave, San Angelo, TX 76903-5904 | 2015-12-02 |
| 1881069912 | Tiffany Rohmfeld | Dietitian, Registered | 120 E Harris Ave, San Angelo, TX 76903-5904 | 2015-12-01 |
| 1164897252 | Nicole Lusk | Dietitian, Registered | 120 E Harris Ave, San Angelo, TX 76903-5904 | 2015-12-01 |
| 1750756888 | Jessica Butts | Dietitian, Registered | 120 E Harris Ave, Food & Nutrition Dept, San Angelo, TX 76903-5904 | 2015-12-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306386081 | The Waterford Wellness Spa | Clinic/Center | 602 S. Abe, San Angelo, TX 76903 | 2017-03-01 |
| 1154782415 | Jerrica Elayne Escobedo | Counselor | 424 South Oakes, San Angelo, TX 76903 | 2016-03-15 |
| 1578923868 | Wal-mart Stores Texas, LLC | Technician/Technologist | 3440 S. Bryant Blvd, San Angelo, TX 76903 | 2016-02-29 |
| 1821475161 | San Angelo Dental, Pllc | Dentist | 614 29th Street, Suite, Sanangelo, TX 76903 | 2015-05-06 |
| 1033549670 | Tina Faye Luck | Nurse Practitioner | 36 E Twohig Ave Ste 1100, San Angelo, TX 76903 | 2013-11-18 |
| 1295087294 | Tara Joiner | Counselor | 27 W Beauregard Ave, San Angelo, TX 76903 | 2012-10-15 |
| 1225380728 | Tanya L Favor | Physician Assistant | 215 E. College, San Angelo, TX 76903 | 2012-10-08 |
| 1336459551 | Education Service Center | Social Worker | 612 S Irene, San Angelo, TX 76903 | 2010-10-21 |
| 1508194176 | Pay and Save Inc | Pharmacy | 1926 N. Bryant Blvd., San Angelo, TX 76903 | 2009-11-19 |
| 1326375734 | Pay and Save Inc | Pharmacy | 2 S. Main St., San Angelo, TX 76903 | 2009-11-05 |
| Find all providers in zip 76903 | ||||
| Taxonomy Code | 273Y00000X |
| Grouping | Hospital Units |
| Classification | Rehabilitation Unit |
| In general, a distinct unit of a general acute care hospital that provides care encompassing a comprehensive array of restoration services for the disabled and all support services necessary to help patients attain their maximum functional capacity. Source: AHA Annual Survey p. A10 1996 AHA Guide. For Medicare, a distinct part of a general acute care hospital providing inpatient rehabilitation services that meets the following requirements. Rehabilitation Units have in effect a preadmission screening procedure under which each prospective patient’s condition and medical history are reviewed to determine whether the patient is likely to benefit significantly from an intensive inpatient program or assessment; ensure that the patients receive close medical supervision and furnish, through the use of qualified personnel, rehabilitation nursing, physical therapy and occupational therapy, plus, as needed, speech therapy, social services or psychological services and orthotic and prosthetic services; have a plan of treatment for each inpatient that is established, reviewed, and revised as needed by a physician in consultation with other professional personnel who provide services to the patient; use a coordinated multidisciplinary team approach in the rehabilitation of each inpatient, as documented by periodic clinical entries made in the patient’s medical record to note the patient's status in relationship to goal attainment, and that team conferences are held at least every two weeks to determine the appropriateness of treatment; have a director of rehabilitation who provides services to the unit and its inpatients for at least 20 hours a week, is a doctor of medicine or osteopathy, is licensed under State law to practice medicine or surgery, and has had, after completing a one-year hospital internship at least two years of training or experience in the medical management of inpatients requiring rehabilitation services. |
| Notes: Source: Code of Federal Regulations #42, Section 412.29. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659394617 | San Angelo Hospital Lp | Rehabilitation Unit | 3501 Knickerbocker Rd, San Angelo, TX 76904-7610 | 2006-07-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346793890 | Chukwuemeka Ozonwankwo | Rehabilitation Unit | 2111 Washington Cir, Apt 120, Arlington, TX 76011-3320 | 2016-08-02 |
| 1942650577 | Unlocking The Spectrum | Rehabilitation Unit | 9911 Sundew Cir, Houston, TX 77070-1992 | 2016-06-14 |
| 1669851879 | Supplemental Healthcare Inc. | Rehabilitation Unit | 333 Holly Creek Ct Apt 1708, The Woodlands, TX 77381 | 2015-05-20 |
| 1740683200 | Baptist Health System | Rehabilitation Unit | 5630 W Loop 1604 N Ste 108, San Antonio, TX 78251-3806 | 2014-09-29 |
| 1568899391 | Hillcrest Baptist Medical Center | Rehabilitation Unit | 100 Hillcrest Medical Blvd Fl 2, Waco, TX 76712-8897 | 2013-10-11 |
| 1194022749 | Mmc Therapy Enterprises, LLC | Rehabilitation Unit | 4951 Long Prairie Road, Suite 110, Flower Mound, TX 75028 | 2011-02-17 |
| 1437453545 | Vitality Chiropractic and Wellness | Rehabilitation Unit | 1205 Meadowlark Dr, Little Elm, TX 75068-4653 | 2011-01-04 |
| 1699832303 | Procare Therapies PC | Rehabilitation Unit | 515 E. Business Hwy. 83, Suite A, Alamo, TX 78516 | 2007-01-02 |
| 1386705390 | Sierra Providence Health Network | Rehabilitation Unit | 81 Camille Apt 44, El Paso, TX 79912-0011 | 2006-12-13 |
| 1831276930 | Harris County Hospital District | Rehabilitation Unit | 3601 North Macgregor Way, Houston, TX 77004-8004 | 2006-11-01 |
| Find all providers with the same taxonomy | ||||
| City | SAN ANGELO |
| Zip Code | 76903 |
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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.