DR. SHANNON MICHELLE KEIL (NPI# 1487627220) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487627220 |
| Entity Type | Individual |
| Full Name | DR. SHANNON MICHELLE KEIL |
| Other Name | SHANNON MICHELLE ELLIS |
| Credential | MD |
| Practice Address |
433 W High St Bryan OH 43506-1690 |
| Practice Telephone | 4196361131 |
| Practice Fax Number | 4196363100 |
| Enumeration Date | 2006-02-10 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
35-087274 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| N/A | N/A | 01 |
| Street Address |
433 W HIGH ST |
| City | BRYAN |
| State | OH |
| Zip Code | 43506-1690 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063413813 | Larry Michael Pickett | Nurse Anesthetist, Certified Registered | 433 W High St, Bryan, OH 43506-1690 | 2005-08-02 |
| 1477169803 | Tonya M Imm | Massage Therapist | 433 W High St, Bryan, OH 43506-1690 | 2020-09-21 |
| 1609334556 | Williams Emergency Group, LLC | Physician Assistant | 433 W High St, Bryan, OH 43506-1690 | 2019-03-11 |
| 1053884585 | Caitlin Nicole Armstrong | Nurse Anesthetist, Certified Registered | 433 W High St, Bryan, OH 43506-1690 | 2019-01-08 |
| 1003334178 | Jennifer Lynn Witte | Speech-Language Pathologist | 433 W High St, Bryan, OH 43506-1690 | 2017-09-08 |
| 1427574896 | Emily Turnbull | Speech-Language Pathologist | 433 W High St, Bryan, OH 43506-1690 | 2017-08-17 |
| 1104376219 | Nicole Marie Pothast | Advanced Practice Midwife | 433 W High St, Bryan, OH 43506-1690 | 2016-10-12 |
| 1033669734 | Vaishali Patel | Nurse Practitioner | 433 W High St, Bryan, OH 43506-1690 | 2016-10-06 |
| 1750764718 | Gregory Durham | Nurse Practitioner | 433 W High St, Bryan, OH 43506-1690 | 2015-07-08 |
| 1699165621 | Samaritan Emergency Physicians LLP | Emergency Medicine | 433 W High St, Bryan, OH 43506-1690 | 2015-01-29 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750883203 | Jennifer Spangler | Massage Therapist | 228 S. Main St., Bryan, OH 43506 | 2018-03-01 |
| 1922547215 | Alissa Niswonger | Specialist/Technologist | 106 Avenue B, Bryan, OH 43506 | 2017-02-20 |
| 1902140320 | Marcia Jean Slabaugh | Physical Therapy Assistant | 5299 County Road 1575, Bryan, OH 43506 | 2012-11-26 |
| 1215086640 | Filling Memorial Home Cardinal | Intermediate Care Facility, Mentally Retarded | 1211 Cardinal Drive, Bryan, OH 43506 | 2007-01-08 |
| 1396855714 | Williams County Transport | Ambulance | 05842 St Rt 15, Bryan, OH 43506 | 2006-08-30 |
| 1982635603 | Americare Health Services LLC | Durable Medical Equipment & Medical Supplies | 121 E South St, Bryan, OH 43506 | 2006-07-05 |
| 1174561963 | Richard U Baldwin | Emergency Medicine | 433 W. High St., Bryan, OH 43506 | 2006-06-03 |
| 1073595757 | Thomas A. Losey | Family Medicine | 442 West High Street, Midwest Community Health Associates, Bryan, OH 43506 | 2005-11-17 |
| 1841298296 | Claire Laree Osborn | Family Medicine | Activate Healthcare/500 W Mulberry St., Suite 101, Bryan, OH 43506 | 2005-07-11 |
| 1225519762 | Fountain City Chiropractic & Rehabilitation, Inc | Chiropractor | 1525 W High St, Ste A, Bryan, OH 43506 | 2018-08-23 |
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| Taxonomy Code | 207ZP0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology & Clinical Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154922235 | Pathology Institute, Pllc | Pathology | 3201 University Dr E Ste 330, Bryan, TX 77802-3484 | 2020-11-04 |
| 1598109985 | Hongbo Wang | Pathology | 2801 Franciscan Dr, Bryan, TX 77802 | 2013-04-29 |
| 1528391471 | Rania Cannaday | Pathology | 2801 Franciscan Dr, Bryan, TX 77802-2544 | 2009-09-10 |
| 1477754414 | Jerzy Jozef Morkowski | Pathology | 2801 Franciscan Dr, Bryan, TX 77802-2544 | 2007-05-29 |
| 1992917272 | Christopher Odell Bibb | Pathology | 2801 Franciscan Dr, St. Joseph Regional Medical Center, Pathology Dept., Bryan, TX 77802-2544 | 2007-05-07 |
| 1023235488 | Marcela Jimenez | Pathology | 2801 Franciscan Dr., St.joseph Regional Medical Center, Bryan, TX 77802 | 2007-04-19 |
| 1215907928 | Stephen Arvel May | Pathology | 2801 Franciscan Dr., Bryan, TX 77802 | 2006-01-25 |
| 1073591814 | Oscar Lazcano | Pathology | 2801 Franciscan Dr, Bryan, TX 77802-2544 | 2006-01-03 |
| 1578541280 | Michael Keith Cohen | Pathology | 2801 Franciscan Dr, Bryan, TX 77802-2544 | 2006-01-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740740968 | Dorothy Jean Schirf | Pathology | 6057 Grand Strand Ave, Westerville, OH 43081-8082 | 2019-03-22 |
| 1073048872 | Minqian Shen | Pathology | 616 S College Ave, Apt 106, Oxford, OH 45056-2280 | 2017-04-29 |
| 1740735653 | Shamim Shamsi | Pathology | 1762 Deerbrook Trl, Beavercreek, OH 45434-6666 | 2016-08-20 |
| 1548618473 | Rumeal Whaley | Pathology | Cleveland Clinic Pathology 9500 Euclid Ave, Cleveland, OH 44195-4108 | 2016-06-01 |
| 1326426503 | Gerald Penn Md Inc | Pathology | 2800 Squires Rdg, Columbus, OH 43220-6201 | 2015-05-08 |
| 1699186684 | Jenna Purdy | Pathology | 234 Goodman St Rm 110, Cincinnati, OH 45219-2364 | 2014-05-13 |
| 1548604051 | Inform Diagnostics, Inc | Pathology | 9978 Washington St, Camp Dennison, OH 45111-9717 | 2013-04-26 |
| 1730421124 | Eric William Willis | Pathology | 3805 N High St Ste 302, Columbus, OH 43214-3539 | 2013-03-23 |
| 1972847994 | Patrick Alan Hansma | Pathology | 11001 Cedar Ave, Cleveland, OH 44106-3022 | 2012-11-15 |
| 1386993459 | William Alexander Graham Jr. | Pathology | 8473 County Home Rd, Lisbon, OH 44432-9418 | 2012-09-05 |
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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.