DR. SHANNON R. JIMENEZ


Address: 2600 Us Highway 70 West, Goldsboro, NC 27530
Phone: 9197352478

DR. SHANNON R. JIMENEZ (NPI# 1568552628) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1568552628
Entity Type Individual
Full Name DR. SHANNON R. JIMENEZ
Credential D.O.
Practice Address 2600 Us Highway 70 West
Goldsboro
NC 27530
Mailing Address 690 S Loop 336 W
Ste 200
Conroe
TX 77304-3320
Practice Telephone 9197352478
Practice Fax Number 9197394809
Mailing Telephone 9365253600
Mailing Fax Number 9365253624
Enumeration Date 2006-10-12
Last Update Date 2020-03-09
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207Q00000X Family Medicine 9900553 IA Allopathic & Osteopathic Physicians
Y 207Q00000X Family Medicine S4847 TX Allopathic & Osteopathic Physicians
N 207Q00000X Family Medicine 9900553 NC Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
NC 891215K 05
NC 790150C 05
NC BLUE CROSS INDIVIDUAL 1215K 01
NC BLUE CROSS GROUP # 0150C 01

Office Location

Street Address 2600 US HIGHWAY 70 WEST
City GOLDSBORO
State NC
Zip Code 27530

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1831689777 A Fathers' Love Family Care Inc Home Health 213 N. Carolina St., Goldsboro, NC 27530 2018-05-16
1609274687 Tiffany Leanne Farmer Counselor 1184 Us Hwy 13 South, Goldsboro, NC 27530 2014-12-08
1316369952 Angela Brittingham Counselor 113 Sanderling Way, Goldsboro, NC 27530 2014-01-16
1831408996 At Home Senior Services, Inc. Home Health 203 N. Jackson Street Office C, Goldsboro, NC 27530 2010-10-06
1699946301 Professional Group Living,llc Community/Behavioral Health 122 S. Center Street, Goldsboro, NC 27530 2008-03-20
1225250814 Asa Living, Inc Clinic/Center 1308 Ben Brewington Court, Goldsboro, NC 27530 2007-05-03
1790907368 Tammy Jo Hood Licensed Practical Nurse 1700 East Ash Street St. 200, Goldsboro, NC 27530 2007-05-03
1558487421 Alternative Care Treatments Systems, Inc Community/Behavioral Health 139-b Center Street, Goldsboro, NC 27530 2007-03-22
1831221050 Matthew Gay Delbridge Dentist 206 West Ash St, Goldsboro, NC 27530 2007-03-12
1508998295 Emeritus Corporation Assisted Living Facility 380 County Day Road, Goldsboro, NC 27530 2007-03-09
Find all providers in zip 27530

Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
- Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
- Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1164769709 Rosewood Medical Family Medicine 172 Nc Highway 581 S, Goldsboro, NC 27530-9404 2013-01-15
1952670838 Rosewood Immediate Care Family Medicine 172 Us Highway 581 South, Goldsboro, NC 27530-9404 2011-12-21
1467619817 Little River Med 1 Pa Family Medicine 210 N Herman St, Goldsboro, NC 27530-3810 2008-05-21
1588840417 Felicia D. Hussey, M.d., P.a. Family Medicine 327 N Spence Ave, Goldsboro, NC 27534-4347 2008-01-10
1407908148 Felicia D Hussey Family Medicine 327 North Spence Avenue, Goldsboro, NC 27534-4347 2007-01-16
1184706830 Ellen Brubeck Brogden Family Medicine 1509 E Ash St, Goldsboro, NC 27530 2006-10-20
1225118839 John Scott Mcconnaughey Family Medicine 400 Old Smithfield Rd, Goldsboro, NC 27530-8464 2006-10-17
1871681478 Anthony Clark Gaither Family Medicine 2607 Medical Office Pl, Goldsboro, NC 27534-9437 2006-10-10
1578662144 Robert S. Meyer Family Medicine 208 N Herman St, Goldsboro, NC 27530-3810 2006-09-21
1720198070 Tin Trong Le Family Medicine 1707 Wayne Memorial Dr, Goldsboro, NC 27534-2239 2006-08-30
Find all providers in GOLDSBORO

Competitor

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City GOLDSBORO
Zip Code 27530

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Dataset Information

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.

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