SHANNON SHAN JOSEPH (NPI# 1396060224) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396060224 |
| Entity Type | Individual |
| Full Name | SHANNON SHAN JOSEPH |
| Other Name | SHANNON SHAN |
| Credential | M.D. |
| Practice Address |
1000 Wall St Ann Arbor MI 48105-1912 |
| Mailing Address |
3621 S State St 700 Kms Place Ann Arbor MI 48108 |
| Practice Telephone | 7347644190 |
| Mailing Telephone | 7349362047 |
| Enumeration Date | 2010-04-04 |
| Last Update Date | 2017-05-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | 4301104534 | MI | Allopathic & Osteopathic Physicians |
| N | 207W00000X | Ophthalmology | D81623 | MD | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558710228 | Shannon Joseph | Optometrist | 825 Crestview Cir, Weston, FL 33327-1847 | 2016-06-03 |
| Street Address |
1000 WALL ST |
| City | ANN ARBOR |
| State | MI |
| Zip Code | 48105-1912 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346233681 | Carlton J Foster | Optometrist | 1000 Wall St, Ann Arbor, MI 48105-1912 | 2005-08-23 |
| 1790307551 | Diana Carolina Salazar Vega | Ophthalmology | 1000 Wall St, Ann Arbor, MI 48105-1912 | 2020-05-14 |
| 1043706070 | Chelsea Lynne Reighard | Ophthalmology | 1000 Wall St, Ann Arbor, MI 48105 | 2018-07-02 |
| 1881188407 | Alexa Rae Thibodeau | Ophthalmology | 1000 Wall St, Ann Arbor, MI 48105-1986 | 2018-06-18 |
| 1437656857 | Ashley Howson | Occupational Therapist | 1000 Wall St, Ann Arbor, MI 48105-1986 | 2018-04-11 |
| 1023514486 | Nicholas Michael Carducci | Student in an Organized Health Care Education/Training Program | 1000 Wall St, Ann Arbor, MI 48105-1912 | 2018-04-04 |
| 1447758099 | Eyal Walter | Ophthalmology | 1000 Wall St, Ann Arbor, MI 48105-1912 | 2018-01-29 |
| 1740795566 | Sara Elizabeth Turner | Physician Assistant | 1000 Wall St, Ann Arbor, MI 48105-1912 | 2017-12-04 |
| 1245755255 | Honeylen Maryl Tiu Teo | Ophthalmology | 1000 Wall St, Ann Arbor, MI 48105-1912 | 2017-08-10 |
| 1023541729 | Sana Qureshi | Ophthalmology | 1000 Wall St, Ann Arbor, MI 48105-1912 | 2017-04-10 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730728718 | Alexander Jendrusina | Psychologist | Va Ann Arbor Healthcare System, 2215 Fuller Rd, Ann Arbor, MI 48105 | 2019-12-23 |
| 1417515875 | Christine Shyh Wang | Student in an Organized Health Care Education/Training Program | 4029 Avenue Maria Drive, Lobby A, Suite 1200, Ann Arbor, MI 48105 | 2019-05-31 |
| 1013475003 | Ryan Wang | Physician Assistant | 4883 S. Ridgeside Cir, Ann Arbor, MI 48105 | 2019-03-08 |
| 1801366265 | Amruta Sonavaria | Physical Therapist | 4701 East Huron River Drive, Ann Arbor, MI 48105 | 2018-11-28 |
| 1568955730 | Alexander Sliwicki | Pediatrics | 1500 East Medical Drive, Medical Professional Building, Ann Arbor, MI 48105 | 2018-06-12 |
| 1902398464 | Austin Remington | Student in an Organized Health Care Education/Training Program | 4029 Ave Maria Drive, Lobby A, Suite 1200, Ann Arbor, MI 48105 | 2018-05-31 |
| 1881191658 | Stephen James Hickner | Student in an Organized Health Care Education/Training Program | St. Mary Mercy Outpatient Psychiatric Services, 2006 Hogback Road, Suite 1, Ann Arbor, MI 48105 | 2018-04-09 |
| 1245681709 | Winnie Nhan | Internal Medicine | 4000 Ave Maria Dr, Lobby C Suite 1300, Ann Arbor, MI 48105 | 2016-06-27 |
| 1861857971 | Connie Chen | Pharmacist | 2215 Fuller Road (119), Ann Arbor, MI 48105 | 2015-12-17 |
| 1407241193 | Stefan Craciun | Emergency Medicine | 3484 Ashburnam Rd, Ann Arbor, MI 48105 | 2015-03-31 |
| Find all providers in zip 48105 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568654044 | Michael Roth | Ophthalmology | 1060 Chestnut St, Ann Arbor, MI 48104-2824 | 2007-08-17 |
| 1386704781 | Luis C. Gago | Ophthalmology | 2350 E Stadium Blvd, Suite 10, Ann Arbor, MI 48104-4889 | 2006-12-08 |
| 1124036801 | Rebecca A Wu | Ophthalmology | 325 Briarwood Cir, Ann Arbor, MI 48108-1605 | 2006-08-04 |
| 1003840844 | Said M Issa | Ophthalmology | 2900 Golfside Dr, Suite 2, Ann Arbor, MI 48108-1410 | 2006-07-10 |
| 1790307551 | Diana Carolina Salazar Vega | Ophthalmology | 1000 Wall St, Ann Arbor, MI 48105-1912 | 2020-05-14 |
| 1043706070 | Chelsea Lynne Reighard | Ophthalmology | 1000 Wall St, Ann Arbor, MI 48105 | 2018-07-02 |
| 1881188407 | Alexa Rae Thibodeau | Ophthalmology | 1000 Wall St, Ann Arbor, MI 48105-1986 | 2018-06-18 |
| 1245755255 | Honeylen Maryl Tiu Teo | Ophthalmology | 1000 Wall St, Ann Arbor, MI 48105-1912 | 2017-08-10 |
| 1023541729 | Sana Qureshi | Ophthalmology | 1000 Wall St, Ann Arbor, MI 48105-1912 | 2017-04-10 |
| 1477902765 | Alison Teo | Ophthalmology | 1000 Wall St, Ann Arbor, MI 48105-1912 | 2016-06-07 |
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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.