SHANNON E. MCCORMACK (NPI# 1588924054) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588924054 |
| Entity Type | Individual |
| Full Name | SHANNON E. MCCORMACK |
| Credential | D.O. |
| Practice Address |
1969 W Hart Rd Beloit Memorial Hospital Beloit WI 53511-2230 |
| Mailing Address |
1905 E Huebbe Pkwy Beloit Health System Inc Beloit WI 53511-1842 |
| Practice Telephone | 6083635971 |
| Practice Fax Number | 6083635737 |
| Mailing Telephone | 6083642200 |
| Mailing Fax Number | 6083637395 |
| Enumeration Date | 2012-05-18 |
| Last Update Date | 2016-11-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 64097-21 | WI | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | 5101019893 | MI | Allopathic & Osteopathic Physicians |
| Y | 208M00000X | Hospitalist | 64097-21 | WI | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | 5101019893 | MI | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 100045471 | 05 |
| Street Address |
1969 W HART RD BELOIT MEMORIAL HOSPITAL |
| City | BELOIT |
| State | WI |
| Zip Code | 53511-2230 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881681294 | Kenneth L Klein | Physical Medicine & Rehabilitation | 1969 W Hart Rd, Beloit, WI 53511-2230 | 2005-09-30 |
| 1154939924 | Danielle Suzanne Rodriguez | Registered Nurse | 1969 W Hart Rd, Beloit, WI 53511-2230 | 2020-07-17 |
| 1295356020 | Matthew Parish | Pharmacy Technician | 1969 W Hart Rd, Beloit, WI 53511-2230 | 2020-05-04 |
| 1821628082 | Lauren Renee Mueth | Physician Assistant | 1969 W Hart Rd, Beloit, WI 53511-2298 | 2020-01-16 |
| 1477028421 | Chad Schroeder | Physician Assistant | 1969 W Hart Rd, Beloit, WI 53511-2230 | 2018-10-05 |
| 1962988444 | Dawn E Hudson | Social Worker | 1969 W Hart Rd, Beloit, WI 53511-2298 | 2018-07-17 |
| 1316445588 | Doris Vargas | Physician Assistant | 1969 W Hart Rd, Beloit, WI 53511-2230 | 2018-01-23 |
| 1356859508 | Sheila Evanoff | Counselor | 1969 W Hart Rd, Beloit, WI 53511-2230 | 2018-01-22 |
| 1396277844 | Ellen Mary Alice Rippl | Dietitian, Registered | 1969 W Hart Rd, Beloit Memorial Hospital, Beloit, WI 53511-2230 | 2017-04-03 |
| 1356792964 | Nicole Lynn Bengtson | Counselor | 1969 W Hart Rd, Beloit, WI 53511-2230 | 2016-06-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730738485 | Linda Lee Cook | Technician | 914 Cranston Rd., Beloit, WI 53511 | 2019-09-05 |
| 1033773734 | Holistic Counseling Services, LLC | Counselor | 1517 Huebbe Parkway, Ste A, Beloit, WI 53511 | 2019-04-28 |
| 1578073870 | Bonita May Cooke | Counselor | 838 Grant St., Beloit, WI 53511 | 2017-10-02 |
| 1679091219 | Stacy Lynn Gallagher | Licensed Practical Nurse | 1060 Bittel St, Beloit, WI 53511 | 2017-09-04 |
| 1629448824 | Brenda Jean Allen | Registered Nurse | 2907 E. Leona Drive, Beloit, WI 53511 | 2015-09-30 |
| 1033595038 | Amber Noel Slaybaugh | Physical Therapist | 838 E. Azalea Ter., Beloit, WI 53511 | 2015-08-03 |
| 1407260326 | Quirt Family Dentistry, Sc | Dentist | 2777 Milwaukee Rd, Beloit, WI 53511 | 2014-06-18 |
| 1821436973 | Raymond K Spade | Counselor | 2240 Prairie Ave., Beloit, WI 53511 | 2013-06-11 |
| 1629321658 | Sarah Ann Nelson | Physical Therapist | 1905 W. Hart Road, Beloit, WI 53511 | 2012-10-15 |
| 1235494212 | Mary Ann Hudson | Nurse Practitioner | 700 College Street, Beloit College, Beloit, WI 53511 | 2012-07-06 |
| Find all providers in zip 53511 | ||||
| Taxonomy Code | 208M00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Hospitalist |
| Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients. |
| Notes: Source: American Society of Hospital Medicine, 2007. http://www.hospitalmedicine.org/ [7/1/2009: definition aded] Additional Resources: Hospitalist is a recognized fellowship specialty program offered by many medical institutions. There is no board certification for the specialty at this point. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023055910 | Margaret M Pearsall | Hospitalist | Beloit Memorial Hospital, 1969 W. Hart Road, Beloit, WI 53511-2230 | 2006-06-01 |
| 1194187690 | Deepak Kapoor | Hospitalist | Beloit Health System Inc., 1905 E. Huebbe Parkway, Beloit, WI 53511-1842 | 2016-03-23 |
| 1548656838 | Anisha Nandyala | Hospitalist | Beloit Memorial Hospital, 1969 W. Hart Road, Beloit, WI 53511-2230 | 2015-04-13 |
| 1366875908 | Terra E. Green | Hospitalist | 1905 E Huebbe Pkwy, Beloit Clinic, Beloit, WI 53511-1842 | 2013-08-19 |
| 1497072953 | Amy L. Reif | Hospitalist | Beloit Memorial Hospital, 1969 W. Hart Road, Beloit, WI 53511-2230 | 2010-04-23 |
| 1497776090 | Barbara J Higgins | Hospitalist | 1969 W Hart Rd, Beloit, WI 53511-2230 | 2006-07-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477896355 | James David Alstott | Hospitalist | 444 W Wilson St Apt 309, Madison, WI 53703-4024 | 2013-03-29 |
| 1871864629 | Malini Guha Majumder | Hospitalist | 2900 W Oaklahoma Ave, Suite 315, Milwaukee, WI 53215 | 2012-01-25 |
| 1255656013 | Hannah Irene Bell | Hospitalist | 1106 Wellesley Rd, Madison, WI 53705 | 2010-04-05 |
| 1639309453 | Eugene Enriquez | Hospitalist | 5665 Golden Rain Ct, New Berlin, WI 53151-8733 | 2009-07-15 |
| 1073742672 | Sudhir Duvuru | Hospitalist | Marshfield Clinic 1000 N Oak Ave, Marshfield, WI 54449-5777 | 2009-07-06 |
| 1760636070 | Ndidiamaka Cecilia Agu | Hospitalist | 835 S. Van Buren St., Green Bay, WI 54301-3526 | 2008-11-13 |
| 1285852889 | Brian Thomas Jubeck | Hospitalist | 1008 Beloit Ct, Madison, WI 53705-2233 | 2007-04-22 |
| 1265458053 | Suzanne Victoria Powell | Hospitalist | 141 Siegler St, Dept of Veterans Affairs, Green Bay, WI 54303-2635 | 2006-07-14 |
| 1205809936 | Allen W. Chu | Hospitalist | 725 American Ave Rm 2036, Prohealth Care Hospitalists Program, Waukesha, WI 53188-5031 | 2006-02-13 |
| 1891320834 | Tarra Lynn Moran | Hospitalist | 835 S Van Buren St, Green Bay, WI 54301-3526 | 2020-03-10 |
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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.