ANGELA B. SHANNON (NPI# 1407067739) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407067739 |
| Entity Type | Individual |
| Full Name | ANGELA B. SHANNON |
| Credential | M.D. |
| Practice Address |
2510 Lakeland Dr Flowood MS 39232-9513 |
| Practice Telephone | 6013551234 |
| Practice Fax Number | 6013263559 |
| Mailing Telephone | 6013551234 |
| Mailing Fax Number | 6013263559 |
| Enumeration Date | 2007-05-25 |
| Last Update Date | 2017-11-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0206X |
Pediatrics Specialization: Pediatric Gastroenterology |
22009 | MS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 05307227 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568776292 | Angela Marie Shannon | Community/Behavioral Health | 2205 W Division St, Suite A4, Arlington, TX 76012-3666 | 2010-08-05 |
| 1427170265 | Angela Faye Shannon | Counselor | 8407 Bryant St, Westminster, CO 80031-3809 | 2007-04-04 |
| 1285707455 | Angela P. Shannon | Psychiatry & Neurology | 507 Park St, Palmetto, GA 30268-1007 | 2006-11-16 |
| 1588112510 | Angela Shannon | Counselor | 3415 Se Powell Blvd, Portland, OR 97202-3371 | 2016-09-20 |
| Street Address |
2510 LAKELAND DR |
| City | FLOWOOD |
| State | MS |
| Zip Code | 39232-9513 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801884234 | Samuel D Hensley | Pathology | 2510 Lakeland Dr, Flowood, MS 39232-9513 | 2005-10-10 |
| 1144872359 | Rebecca Sandifer Walker | Dietitian, Registered | 2510 Lakeland Dr, Flowood, MS 39232-9513 | 2019-07-09 |
| 1982103198 | Alexandra Tirrell Hobbs | Registered Nurse | 2510 Lakeland Dr, Flowood, MS 39232-9513 | 2018-02-03 |
| 1982122552 | Sheena Renell Smith Smoot | Nurse Practitioner | 2510 Lakeland Dr, Flowood, MS 39232-9513 | 2017-09-05 |
| 1245776343 | Wren Nightengale Vines | Nurse Practitioner | 2510 Lakeland Dr, Flowood, MS 39232-9513 | 2017-01-12 |
| 1093260150 | Rachael Cade Stegall | Nurse Practitioner | 2510 Lakeland Dr, Flowood, MS 39232-9513 | 2016-08-18 |
| 1477909596 | Rachel F Dickerson | Nurse Practitioner | 2510 Lakeland Dr, Flowood, MS 39232-9513 | 2016-05-07 |
| 1841698792 | Audrey Leigh Upchurch | Nurse Practitioner | 2510 Lakeland Dr, Flowood, MS 39232-9513 | 2014-12-09 |
| 1124468061 | Brittany O'steen Morrow | Nurse Anesthetist, Certified Registered | 2510 Lakeland Dr, Flowood, MS 39232-9513 | 2013-06-25 |
| 1407115397 | Jason Kyle Jones | Pathology | 2510 Lakeland Dr, Flowood, MS 39232-9513 | 2012-05-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164071775 | Leanna Nicole Howard | Social Worker | 2945 Layfair Drive, Apt. 1621, Flowood, MS 39232 | 2019-09-06 |
| 1104395565 | Patriot Healthcare of Mississippi, LLC | Family Medicine | 4800 Lakeland Drive, Flowood, MS 39232 | 2018-11-15 |
| 1285101816 | Magnolia Anesthesia Consultants LLC | Anesthesiology | 4209 Lakeland Dr #252, Flowood, MS 39232 | 2018-11-01 |
| 1528543592 | Matthew T Armstrong | Physical Therapist | 104 Burney Drive, Flowood, MS 39232 | 2018-09-26 |
| 1790265627 | Mississippi Brain and Spine, Pllc | Non-Pharmacy Dispensing Site | 1 Layfair Drive, Ste 120, Flowood, MS 39232 | 2018-08-20 |
| 1629574918 | Billy Clifton Osbon Jr. | Pharmacist | 2506 Lakeland Drive, Suite 201, Flowood, MS 39232 | 2018-04-04 |
| 1356851752 | Oakdale Family Dentistry | Clinic/Center | 2139 Hwy 471, Flowood, MS 39232 | 2017-10-11 |
| 1992227177 | Charisma T. Cummings | Nurse Practitioner | 102 Riverview Drive, Suite A, Flowood, MS 39232 | 2017-07-10 |
| 1508398983 | Charles Pearson | Student in an Organized Health Care Education/Training Program | 764 Flowood Dr, Flowood, MS 39232 | 2017-04-03 |
| 1396288197 | Mary Claire Ponder | Nurse Practitioner | 151 E Metro Dr Ste 103, Flowood, MS 39232 | 2016-11-28 |
| Find all providers in zip 39232 | ||||
| Taxonomy Code | 2080P0206X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Gastroenterology |
| A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285952465 | Mary Allyson Lowry | Pediatrics | 2510 Lakeland Dr, Flowood, MS 39232-9513 | 2010-05-12 |
| 1346403466 | Sara W. Rippel | Pediatrics | 2510 Lakeland Dr, Flowood, MS 39232-9513 | 2008-07-09 |
| 1093765604 | Gastrointestinal Associates, P.a. | Pediatrics | 2510 Lakeland Dr, Flowood, MS 39232-9513 | 2006-05-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871896571 | Anshu Maheshwari | Pediatrics | 2500n State St, Jackson, MS 39216-4500 | 2010-12-19 |
| 1053486860 | April Lee Ulmer | Pediatrics | 401 Cowan Rd Ste B, Gulfport, MS 39507-2022 | 2006-11-21 |
| 1346779824 | Kids and Tummies LLC | Pediatrics | 401 Cowan Rd Ste B, Gulfport, MS 39507-2022 | 2017-06-08 |
| 1861832214 | Natalie Bhesania | Pediatrics | 2500 N State St, Jackson, MS 39216-4500 | 2013-06-30 |
| 1902098288 | Gastrointestinal Associates, P.a. | Pediatrics | 106 Highland Way Ste 101, Madison, MS 39110-6930 | 2007-08-10 |
| 1144412438 | Gastrointestinal Associates, P.a. | Pediatrics | 1815 Mission 66, Vicksburg, MS 39180-3709 | 2007-08-10 |
| 1093868853 | Upa Pllc Gastroenterology | Pediatrics | 2500 N State St, Jackson, MS 39216-4500 | 2007-01-18 |
| 1649215526 | Michael James Nowicki | Pediatrics | 2500 N State St, Jackson, MS 39216-4500 | 2006-06-17 |
| 1174567465 | Phyllis R Bishop | Pediatrics | 2500 N State St, Jackson, MS 39216-4500 | 2006-06-16 |
| 1922043959 | Paul Harmon Parker Jr. | Pediatrics | 2500 N State St, Jackson, MS 39216-4500 | 2006-06-16 |
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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.