DR. PATRICK ROBERT SHANNON (NPI# 1528090172) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528090172 |
| Entity Type | Individual |
| Full Name | DR. PATRICK ROBERT SHANNON |
| Credential | DO |
| Practice Address |
835 Hospital Road Emergency Department Indiana PA 15701-0788 |
| Mailing Address |
835 Hospital Road Po Box 788 Indiana PA 15701-0788 |
| Practice Telephone | 7243577121 |
| Practice Fax Number | 7243577479 |
| Mailing Telephone | 7243577009 |
| Mailing Fax Number | 7243577414 |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | OS-013700 | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | HIGHMARK | 1878424 | 01 |
| PA | 101693968 0001 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245582717 | Patrick Shannon | Physician Assistant | 319 S Manning Blvd Ste 304, Albany, NY 12208-1744 | 2012-10-09 |
| 1396028171 | Patrick Dewayne Shannon | Pharmacist | 110 E Creighton Ave, Fort Wayne, IN 46803-3344 | 2011-09-27 |
| 1184937682 | Patrick Shannon | Dentist | 1692 Massachusetts Ave, Cambridge, MA 02138-1878 | 2010-07-26 |
| 1700020567 | Patrick Shannon | Dentist | 3150 E 41st St, Tulsa, OK 74105-3717 | 2009-04-23 |
| 1538157433 | Patrick J Shannon | Family Medicine | 1200 E Columbia Ave, Colville, WA 99114-3354 | 2005-10-13 |
| 1316933260 | Patrick L. Shannon | Specialist | 987 Boardman Canfield Rd, Boardman, OH 44512-4222 | 2005-09-26 |
| Street Address |
835 HOSPITAL ROAD EMERGENCY DEPARTMENT |
| City | INDIANA |
| State | PA |
| Zip Code | 15701-0788 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457341711 | Ki Young Chung | Internal Medicine | 835 Hospital Road, Emergency Department, Indiana, PA 15701-0788 | 2005-10-26 |
| 1134557408 | Hanna Gratzmiller Blystone | Speech-Language Pathologist | 835 Hospital Road, Indiana, PA 15701 | 2013-10-24 |
| 1801147525 | Emily Rose Sherry | Physician Assistant | 835 Hospital Road, Operating Room, Indiana, PA 15701-0788 | 2012-09-20 |
| 1629394481 | Francisca Oyindamola Oyedeji | Radiology | 835 Hospital Road, Indiana, PA 15701 | 2010-04-19 |
| 1619138526 | Eric Joseph Snyder | Physician Assistant | 835 Hospital Road, Emergency Department, Indiana, PA 15701-0788 | 2008-06-23 |
| 1770614919 | Indiana Regional Medical Center | Clinic/Center | 835 Hospital Road, Pediatric & Adolescent Dental Clinic, Indiana, PA 15701-0788 | 2007-03-08 |
| 1306973144 | Indiana Regional Medical Center | General Acute Care Hospital | 835 Hospital Road, Pharmacy Department, Indiana, PA 15701-0788 | 2007-02-28 |
| 1942396163 | Indiana Regional Medical Center | General Acute Care Hospital | 835 Hospital Road, Pet Scan, Indiana, PA 15701-0788 | 2006-10-05 |
| 1114029139 | Steven L. Seever | Nurse Anesthetist, Certified Registered | 835 Hospital Road, Anesthesiology Department, Indiana, PA 15701-0788 | 2006-09-01 |
| 1407884539 | Theresa M Fabert-kinneer | Dietitian, Registered | 835 Hospital Road, Dietitian, Indiana, PA 15701-0788 | 2006-06-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518508811 | Paula A. Smulik | Pharmacist | 280 Indian Springs Rd Ste 125, Indiana, PA 15701 | 2019-10-08 |
| 1588143713 | William Aden Bendgen IIi | Counselor | 470 N 4th Street, Indiana, PA 15701 | 2018-08-08 |
| 1699266452 | Shiela Ikasilon Otwane | Nurse Practitioner | 1 Regency Square, 1524 Oakland Avenue, Indiana, PA 15701 | 2018-05-28 |
| 1881184745 | Samantha Nichcol Bennett | Social Worker | 793 Old Rte 119 Hwy U, Indiana, PA 15701 | 2018-05-16 |
| 1780193896 | Abbey Mae Hill | Counselor | 793 Old Rotue 119 Hwy N, Indiana, PA 15701 | 2017-09-21 |
| 1568819456 | Karissa Wess Angleson | Physician Assistant | Indiana Regional Medical Center Emergency Department, 835 Hospital Rd, Indiana, PA 15701 | 2016-05-20 |
| 1588020721 | Forefront Dermatology, S.c. | Dermatology | 120 I.r.m.c. Drive, Suite 130, Indiana, PA 15701 | 2016-01-04 |
| 1881069201 | Amanda J Orvosh | Counselor | 1163 Water St, Indiana, PA 15701 | 2015-12-10 |
| 1245602887 | Susan Marie Marchezak | Nurse Practitioner | 2128 Oakland Avenue, Indiana, PA 15701 | 2015-10-22 |
| 1538546353 | Hillary Beth Stitt | Counselor | 793 Old Rt 119 Hwy N, Community Guidance Center, Indiana, PA 15701 | 2015-04-30 |
| Find all providers in zip 15701 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821475872 | Ahn Emergency Group of Indiana County, Ltd | Emergency Medicine | 835 Hospital Rd, Indiana, PA 15701-3629 | 2015-04-29 |
| 1487615738 | Francis J Grego | Emergency Medicine | 835 Hospital Road, Indiana, PA 15701 | 2006-03-28 |
| 1346230679 | Donald T. Gibbon II | Emergency Medicine | 835 Hospital Rd, Emergency Department, Indiana, PA 15701-0788 | 2005-10-27 |
| 1245220581 | Kwang Ho Chung | Emergency Medicine | 835 Hospital Road, Emergency Department, Indiana, PA 15701-0788 | 2005-10-27 |
| 1922098151 | Luis P Tomacruz | Emergency Medicine | 835 Hospital Road, Emergency Department, Indiana, PA 15701-0788 | 2005-10-27 |
| 1790775039 | John P. Cawley | Emergency Medicine | 835 Hospital Road, Urgicare, Indiana, PA 15701-0788 | 2005-10-27 |
| 1396735635 | Victoria A Gillis | Emergency Medicine | 835 Hospital Rd, Emergency Department, Indiana, PA 15701-0788 | 2005-10-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194324798 | Raymond Joseph Roberge | Emergency Medicine | 5909 Hampton St, Pittsburgh, PA 15206-1617 | 2020-10-23 |
| 1053910232 | Carbon - Schuylkill Community Hospital Inc | Emergency Medicine | 201 W Centre St, Mahanoy City, PA 17948-2505 | 2020-10-20 |
| 1780295733 | Geisinger Clinic | Emergency Medicine | 545 Fair Street, Bloomsburg, PA 17815 | 2020-08-13 |
| 1033748488 | Abhishek Patel | Emergency Medicine | 205 South Front Street Brady 3, Harrisburg, PA 17104 | 2020-04-07 |
| 1437796497 | Elizabeth Megan Heyer | Emergency Medicine | 1500 Lansdowne Aveune, Darby, PA 19023 | 2019-12-09 |
| 1437716313 | Syndikos Investments LLC | Emergency Medicine | 127 E Cunningham St Ste 102, Butler, PA 16001-5936 | 2019-05-25 |
| 1891254744 | Neil Leon Darby | Emergency Medicine | 706a S Colorado St, Philadelphia, PA 19146-1915 | 2019-03-19 |
| 1720545320 | Medexpress Urgent Care, PC - Pennsylvania | Emergency Medicine | 4 Clover Dr, Saint Clair, PA 17970-2200 | 2019-03-01 |
| 1780149963 | St. Luke's Hospital | Emergency Medicine | 2550 Route 100 Ste 110, Macungie, PA 18062-9652 | 2019-02-01 |
| 1780179986 | Megan Minor | Emergency Medicine | 801 Ostrum St Ste 1, Bethlehem, PA 18015 | 2018-06-29 |
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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.