DR. SEAN DIEN SHANAHAN (NPI# 1487642617) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1487642617 |
Entity Type | Individual |
Full Name | DR. SEAN DIEN SHANAHAN |
Credential | DPM |
Practice Address |
1901 Haverford Ave Suite 109 Sun City Center FL 33573-5200 |
Practice Telephone | 8136340664 |
Practice Fax Number | 8136340668 |
Mailing Telephone | 8136340664 |
Mailing Fax Number | 8136340668 |
Enumeration Date | 2005-10-11 |
Last Update Date | 2014-06-04 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
PO3134 | FL | Podiatric Medicine & Surgery Service Providers |
Street Address |
1901 HAVERFORD AVE SUITE 109 |
City | SUN CITY CENTER |
State | FL |
Zip Code | 33573-5200 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346245917 | Edward G Izzo Jr. | Surgery | 1901 Haverford Ave, Ste 105, Sun City Center, FL 33573-5200 | 2005-06-20 |
1033523428 | Florida Musculoskeletal Surgical Group LLC | Durable Medical Equipment & Medical Supplies | 1901 Haverford Ave, Suite 107, Sun City Center, FL 33573-5200 | 2014-06-13 |
1750713707 | Lindsey A Overman | Physician Assistant | 1901 Haverford Ave, Suite 101, Sun City Center, FL 33573-5200 | 2013-08-01 |
1700844347 | Mark D Overman | Internal Medicine | 1901 Haverford Ave, Suite 101, Sun City Center, FL 33573-5200 | 2006-05-03 |
1104884980 | Donald A Behnke | Internal Medicine | 1901 Haverford Ave, Suite 101, Sun City Center, FL 33573-5200 | 2006-05-02 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003427584 | Melissa Guigliano | Occupational Therapist | 3800 Fl-674, Sun City Center, FL 33573 | 2020-08-10 |
1013552751 | Lisa Brewer | Home Health | 301 Andover Pls 172, Sun City Center, FL 33573 | 2019-11-15 |
1023673951 | Apollo Pain Management | Anesthesiology | 720 Cortaro Drive, Sun City Center, FL 33573 | 2019-05-06 |
1043671126 | Marie Josee Francoeur | Nurse's Aide | 101 Trinity Lakes Drive, Sun City Center, FL 33573 | 2016-03-16 |
1588039804 | Priscilla Lou Raasch-mason | Physical Therapist | 827 Cypress Village Blvd., Suite A, Ruskin, FL 33573 | 2015-12-11 |
1740670405 | Richard Charles Vollrath | General Practice | 319 Siena Vista Pl, Sun City Center, FL 33573 | 2015-02-02 |
1265858468 | Josue Fils-aime | Custodial Care Facility | 8019 Cherry Branch Dr., Ruskin, FL 33573 | 2014-03-12 |
1013258748 | Tampa General Medical Group | Family Medicine | 16521 South U.S. Highway 301, Wimauma, FL 33573 | 2013-03-05 |
1386927135 | Sujith Idiculla | Pharmacist | 705 North Pebble Beach Blvd, Walgreens, Suncity, FL 33573 | 2011-09-27 |
1366756983 | Seniorbridge Family Companies (fl), Inc. | Home Health | 139 S. Pebble Beach Blvd., Suite 106, Sun City Center, FL 33573 | 2010-08-06 |
Find all providers in zip 33573 |
Taxonomy Code | 213ES0103X |
Grouping | Podiatric Medicine & Surgery Service Providers |
Classification | Podiatrist |
Specialization | Foot & Ankle Surgery |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366630220 | Shanahan Podiatry Pa | Podiatrist | 3909 Galen Ct, Suite 103, Sun City Center, FL 33573-6824 | 2007-10-04 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720693120 | Mozhgan Alijani, Dpm, Pa | Podiatrist | 20515 E Country Club Dr Apt 544, Miami, FL 33180-3442 | 2020-09-11 |
1730790551 | Sacred Heart Hospital of Pensacola | Podiatrist | 1890 Summit Blvd, Pensacola, FL 32503 | 2020-08-14 |
1306457841 | Asdj LLC | Podiatrist | 2190 Bridgeport Cir, Rockledge, FL 32955-4338 | 2020-08-10 |
1316557762 | Upperline Healthcare, PC | Podiatrist | 2111 Glenwood Dr Ste 104, Winter Park, FL 32792-3328 | 2020-07-31 |
1790395135 | Upperline Healthcare, PC | Podiatrist | 339 Cypress Pkwy Ste 240, Kissimmee, FL 34759-3315 | 2020-07-31 |
1952911398 | Upperline Healthcare, PC | Podiatrist | 250 N Alafaya Trl Ste 115, Orlando, FL 32828-4336 | 2020-07-31 |
1639789076 | Upperline Healthcare, PC | Podiatrist | 650 S Courtenay Pkwy Ste 200, Merritt Island, FL 32952-4977 | 2020-07-31 |
1972113314 | Upperline Healthcare, PC | Podiatrist | 8000 Red Bug Lake Rd Ste 230, Oviedo, FL 32765-9265 | 2020-07-31 |
1356950646 | Palm Beach Foot & Ankle Inc | Podiatrist | 8130 Royal Palm Blvd Ste 205, Coral Springs, FL 33065-5703 | 2020-07-23 |
1720601891 | Yohandy Fuentes Dpm Pa | Podiatrist | 5200 Sw 8th St Ste 201a, Coral Gables, FL 33134-2337 | 2020-05-24 |
Find all providers with the same taxonomy |
City | SUN CITY CENTER |
Zip Code | 33573 |
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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.