DR. THOMAS C SHANAHAN (NPI# 1568533917) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1568533917 |
Entity Type | Individual |
Full Name | DR. THOMAS C SHANAHAN |
Credential | PH.D. |
Practice Address |
110 Broadway St Buffalo NY 14203-1630 |
Mailing Address |
84 Middlebury Rd Orchard Park NY 14127-3581 |
Practice Telephone | 7165663923 |
Mailing Telephone | 7166671507 |
Enumeration Date | 2006-11-09 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 170100000X | Medical Genetics, Ph.D. Medical Genetics | SHANT1 | NY | Other Service Providers |
Street Address |
110 BROADWAY ST |
City | BUFFALO |
State | NY |
Zip Code | 14203-1630 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912514902 | Valerie Anne Conley | Counselor | 475 Elllicott St., Buffalo, NY 14203 | 2020-09-24 |
1457975674 | Qing Ma | Pharmacist | Nys Center of Excellence In Bioinformatics and Life Sci, 701 Ellicott Street, Buffalo, NY 14203 | 2020-06-03 |
1265056659 | Elizabeth Nicole Mancuso | Student in an Organized Health Care Education/Training Program | 1001 Main Street University At Buffalo, Department of P, 5th Floor, Buffalo, NY 14203 | 2020-06-02 |
1720601404 | Ronak Dhiraj Bahuva | Student in an Organized Health Care Education/Training Program | 955 Main Street, University At Buffalo, Jacobs School O, Buffalo, NY 14203 | 2020-05-28 |
1780207266 | Jaya Mishra | Student in an Organized Health Care Education/Training Program | 818 Ellicot Street, Buffalo, NY 14203 | 2020-05-19 |
1013530617 | Amanpreet Kaur Singh | Student in an Organized Health Care Education/Training Program | 77 Goodell Street Department of Medicine, Suite 240, Buffalo, NY 14203 | 2020-05-19 |
1013538917 | Leen Hosam Alyacoub | Student in an Organized Health Care Education/Training Program | 100 High Street, D2-76 Buffalo, Ny 14203, Buffalo Gener, Buffall, NY 14203 | 2020-05-01 |
1003436601 | Maxiam Dean | Student in an Organized Health Care Education/Training Program | Ub Family Residency Program, 77 Goodell Street, 2nd Floor, Buffalo, NY 14203 | 2020-04-23 |
1144849837 | Jennifer Anthone-kloss | Student in an Organized Health Care Education/Training Program | Anesthesiology Residency & Fellowship Programs, Ub Gateway, 77 Goodell Street, Suite 550, Buffalo, NY 14203 | 2020-04-13 |
1821658873 | Peter William Ip Fung Chun | Student in an Organized Health Care Education/Training Program | 1001 Main Street, Room 5145, Division of Pediatric Medical Education, Buffalo, NY 14203 | 2019-06-20 |
Find all providers in zip 14203 |
Taxonomy Code | 170100000X |
Grouping | Other Service Providers |
Classification | Medical Genetics, Ph.D. Medical Genetics |
A medical geneticist works in association with a medical specialist, is affiliated with a clinical genetics program, and serves as a consultant to medical and dental specialists. |
Notes: A general certificate was first issued by ABMS in 1982. ACGME Accredited Residency Program Requirements: None. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417326885 | Michelle J Marinello | Medical Genetics, Ph.D. Medical Genetics | 490 Delaware Ave, Buffalo, NY 14202-1304 | 2015-09-16 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245896695 | Paul Soloway | Medical Genetics, Ph.D. Medical Genetics | 327 The Pkwy, Ithaca, NY 14850-2275 | 2019-05-11 |
1376908418 | Robert Miller | Medical Genetics, Ph.D. Medical Genetics | 213 Glen St, Glen Cove, NY 11542-2734 | 2015-12-16 |
1831467935 | Tili Medical Office Pllc | Medical Genetics, Ph.D. Medical Genetics | 5830 Main St Fl 1, Flushing, NY 11355-5336 | 2011-12-05 |
1629393608 | Zahra Fayzi | Medical Genetics, Ph.D. Medical Genetics | 8940 Galway Ter, Clarence Center, NY 14032-9400 | 2010-04-01 |
1982931218 | Interpublic Medical PC | Medical Genetics, Ph.D. Medical Genetics | 1005 Richmond Rd, Staten Island, NY 10304-2413 | 2009-11-06 |
1174777411 | Franklin Lee | Medical Genetics, Ph.D. Medical Genetics | 13604 Northern Blvd Ste Cu3, Flushing, NY 11354-6515 | 2008-11-13 |
1598926354 | W.liang's Medical Office | Medical Genetics, Ph.D. Medical Genetics | 13302 41st Ave Apt 1f, Flushing, NY 11355-5848 | 2008-06-24 |
1174664643 | Lnw Medical Office, Pllc | Medical Genetics, Ph.D. Medical Genetics | 33 Walt Whitman Rd Ste 100a, Huntington Station, NY 11746-3631 | 2007-02-09 |
1639216476 | North Suffolk Medical Associates, P.C. | Medical Genetics, Ph.D. Medical Genetics | 1019 Fort Salonga Rd Ste 101, Northport, NY 11768-2270 | 2007-01-31 |
1144307927 | Yuqing Chen | Medical Genetics, Ph.D. Medical Genetics | 3907 Prince St Ste 2d, Flushing, NY 11354-5321 | 2006-11-01 |
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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.