MS. SHANNON L MARTIN (NPI# 1427080399) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427080399 |
| Entity Type | Individual |
| Full Name | MS. SHANNON L MARTIN |
| Credential | PA-C |
| Practice Address |
3 E Clark Bass Blvd Suite 2 Mcalester OK 74501 |
| Mailing Address |
Po Box 841656 Dallas TX 75284-1656 |
| Practice Telephone | 9184216960 |
| Practice Fax Number | 9184216963 |
| Mailing Telephone | 9035315000 |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2018-08-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
2298 | OK | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA03391 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 358865904 | 05 | |
| TX | 358865905 | 05 | |
| TX | MEDICARE | 667700 | 01 |
| TX | MEDICARE RAIL ROAD | P02057001 | 01 |
| TX | BCBS | 8JM949 | 01 |
| TX | BCBS | 8JM948 | 01 |
| TX | MEDICARE RAIL ROAD | P02056995 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3 E Clark Bass Blvd, Suite 2, Mcalester, OK 745014283 | 9184216960 | 9184216963 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962001818 | Shannon Nicole Martin | Nurse Practitioner | 924 Seton Dr # C, Cumberland, MD 21502-1851 | 2020-10-21 |
| 1114584927 | Shannon Martin | Social Worker | 5600 W Maple Rd Ste 302, West Bloomfield, MI 48322-3700 | 2019-05-28 |
| 1679047690 | Shannon Nicole Martin | Counselor | 7676 Hillmont St Ste 204, Houston, TX 77040-6469 | 2019-01-12 |
| 1952846537 | Shannon Martin | Licensed Vocational Nurse | 22346 Hawthorn Ave, Moreno Valley, CA 92553-6988 | 2017-01-05 |
| 1477913903 | Shannon E Martin | Nurse Practitioner | 1012 Route 36, Atlantic Highlands, NJ 07716-2469 | 2016-02-25 |
| 1538539531 | Shannon Martin | Psychologist | 1300 Allison St Nw, Washington, DC 20011-4441 | 2015-10-02 |
| 1982818597 | Shannon Martin | Internal Medicine | 830 W. Michigan Avenue, Marshall, MI 49068 | 2007-05-10 |
| 1831203967 | Shannon M Martin | Dentist | 12650 Warwick Blvd, Newport News, VA 23606-2590 | 2006-08-18 |
| 1376579292 | Shannon Rutherford Martin | Chiropractor | 427 S Boston Ave, Suite 515, Tulsa, OK 74103-4141 | 2006-06-23 |
| 1023677762 | Shannon Martin | Counselor | 328 Main St, Southbridge, MA 01550-3794 | 2019-06-06 |
| Street Address |
3 E CLARK BASS BLVD SUITE 2 |
| City | MCALESTER |
| State | OK |
| Zip Code | 74501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144206780 | Linda Sue Dodson | Nurse Practitioner | 3 E Clark Bass Blvd, Suite 2, Mcalester, OK 74501-4283 | 2005-12-15 |
| 1154825206 | Daneal Chandel Dobbs | Nurse Practitioner | 3 E Clark Bass Blvd, Mcalester, OK 74501-4283 | 2018-03-22 |
| 1356896856 | Wanda Sue Choate | Nurse Practitioner | 3 E Clark Bass Blvd, Suite 2, Mcalester, OK 74501-4283 | 2016-08-24 |
| 1184074528 | Melody Kay Emerson | Nurse Practitioner | 3 E Clark Bass Blvd, Suite 2, Mcalester, OK 74501-4283 | 2016-06-16 |
| 1952776569 | Barbara Lynn Smith | Nurse Practitioner | 3 E Clark Bass Blvd, Suite 2, Mcalester, OK 74501-4283 | 2015-12-08 |
| 1184047094 | Christie Griffin | Registered Nurse | 3 E Clark Bass Blvd, Suite 1, Mcalester, OK 74501-4283 | 2014-01-28 |
| 1356787774 | Mcalester Regional Health Center Mrhc Clinics | Internal Medicine | 3 E Clark Bass Blvd, Suite 1, Mcalester, OK 74501-4283 | 2013-05-13 |
| 1205109659 | Leah Faith Torbett | Nurse Practitioner | 3 E Clark Bass Blvd, Suite 1, Mcalester, OK 74501-4283 | 2012-02-15 |
| 1043500820 | Dr. Dong Zhao, M.d., P.l.l.c | Internal Medicine | 3 E Clark Bass Blvd, Suite 3, Mcalester, OK 74501-4283 | 2011-04-13 |
| 1417109133 | Carol Deann Gambrill | Family Medicine | 3 E Clark Bass Blvd, Ste 2, Mcalester, OK 74501-4283 | 2008-10-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295371466 | Belfair of Mcalester LLC | Assisted Living Facility | 802 Windsong Way, Mcalester, OK 74501 | 2019-11-22 |
| 1912425018 | Jennifer Bird | Case Manager/Care Coordinator | 34 Harpoon Dr, Mcalester, OK 74501 | 2017-09-08 |
| 1073033502 | Natalie Aline Kitchell | Case Manager/Care Coordinator | 1303 Hickory Bend, Mcalester, OK 74501 | 2017-06-26 |
| 1265964308 | Phoenix Counseling and Assessment Center, Inc. | Community/Behavioral Health | 32 E Cherokee, Suite 104, Mcalester, OK 74501 | 2017-03-29 |
| 1215302799 | Christine Herron | Physical Therapy Assistant | 1029 E. Washington Ave, Mcalester, OK 74501 | 2015-12-09 |
| 1437538212 | Lauren White | Speech-Language Pathologist | 205 South 2nd, Mcalester, OK 74501 | 2015-05-26 |
| 1316344096 | Ashley Brooke Monks | Speech-Language Pathologist | 557 Broken Feather Lane, Mcalester, OK 74501 | 2014-11-25 |
| 1821407644 | William Joseph Kinderknecht | Family Medicine | 4 E. Clark Bass Blvd., Suite 301a, Mcalester, OK 74501 | 2014-08-06 |
| 1467795153 | Kensey Mckay Holman | Occupational Therapist | 903 E Monroe Ave Ste 200, Mcalester, OK 74501 | 2013-04-01 |
| 1821334418 | Delors J Simmons | Counselor | 600 North D St, Mcalester, OK 74501 | 2012-12-31 |
| Find all providers in zip 74501 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356331946 | Jane P. Lewis | Physician Assistant | 1558 S Main St, Mcalester, OK 74501-7036 | 2005-10-25 |
| 1942435672 | Caring Hands Healthcare Centers, Inc | Physician Assistant | 727 E Wyandotte Ave, Mcalester, OK 74501-5451 | 2009-05-26 |
| 1447436316 | Kimberly Anne Elrod | Physician Assistant | 3 E Clark Bass Blvd, Suite #2, Mcalester, OK 74501-4283 | 2008-01-10 |
| 1285777383 | Mary Annette Dunagan | Physician Assistant | 100 S Main St, #b, Mcalester, OK 74501-5369 | 2007-02-15 |
| 1386734614 | Susan Lynne Davis | Physician Assistant | 727 E Wyandotte Ave, Mcalester, OK 74501-5451 | 2006-10-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790392868 | James Scott Turner | Physician Assistant | 924 Nw 14th St, Moore, OK 73160-1610 | 2020-09-23 |
| 1386283679 | Cody Rice Chambers | Physician Assistant | 2002 12th Ave Nw Ste B, Ardmore, OK 73401-1206 | 2020-01-03 |
| 1073154647 | Haley Nicole Beaird | Physician Assistant | 8907 E 93rd St, Tulsa, OK 74133-5634 | 2019-10-03 |
| 1568920924 | Direct2u Urgent Care Pllc | Physician Assistant | 2417 County Road 1263, Blanchard, OK 73010-3123 | 2019-03-05 |
| 1538625660 | Symachia LLC | Physician Assistant | 115 N. Main St., Cashion, OK 73106 | 2019-02-13 |
| 1982172029 | William Landon Ross | Physician Assistant | 3705 W Memorial Rd Ste 101, Oklahoma City, OK 73134-1508 | 2018-11-07 |
| 1639646656 | Jacob Allbritton | Physician Assistant | 10824 Admiral Dr, Oklahoma City, OK 73162-6843 | 2018-10-29 |
| 1316420086 | Lauren Anto | Physician Assistant | 2824 Classen Blvd Ste 100, Norman, OK 73071-4059 | 2018-09-10 |
| 1073004768 | Shelby Teel | Physician Assistant | 1200 Everett Dr # 8305, Oklahoma City, OK 73104-5047 | 2018-05-29 |
| 1093240749 | Green's Country Clinic, LLC | Physician Assistant | 223 E Blackwell Ave, Blackwell, OK 74631-2909 | 2017-05-01 |
| Find all providers with the same taxonomy | ||||
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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.