SHANNON SIMMONS (NPI# 1619210630) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619210630 |
| Entity Type | Individual |
| Full Name | SHANNON SIMMONS |
| Practice Address |
593 Eddy St Apc 406 Providence RI 02903-4923 |
| Practice Telephone | 4014445031 |
| Mailing Telephone | 4014445031 |
| Enumeration Date | 2013-03-27 |
| Last Update Date | 2016-07-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
LP03637 | RI | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609125608 | Shannon Lynn Simmons | Social Worker | 25 Main St Ste 202, Chico, CA 95929-0799 | 2012-09-05 |
| 1841352325 | Shannon Lee Simmons | Physical Therapist | 2953 Bloom Rd, Finksburg, MD 21048 | 2006-12-14 |
| 1801230859 | Shannon E Simmons | Counselor | 1490 University Blvd, Hamilton, OH 45011-3305 | 2013-04-22 |
| 1942440755 | Shannon K Simmons | Nurse Practitioner | 810 Franklin St Se, Suite A, Huntsville, AL 35801-4310 | 2009-03-06 |
| 1518123934 | Shannon Wagner Simmons | Psychiatry & Neurology | 4800 Sand Point Way Ne, Seattle, WA 98105-3901 | 2008-08-05 |
| 1740447192 | Shannon Simmons | Chiropractor | 121 W Main St, Sedan, KS 67361-1511 | 2008-05-21 |
| 1952437220 | Shannon R Simmons | Counselor | 30 General St, Lawrence, MA 01840-1809 | 2007-02-23 |
| 1467480343 | Shannon B Simmons | Counselor | 815 S Ash St, Nevada, MO 64772-3222 | 2006-06-29 |
| Street Address |
593 EDDY ST APC 406 |
| City | PROVIDENCE |
| State | RI |
| Zip Code | 02903-4923 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952306185 | Mitchel A Sklar | Internal Medicine | 593 Eddy St, Providence, RI 02903-4923 | 2005-06-15 |
| 1376140707 | Kristen Marie Czekanski | Student in an Organized Health Care Education/Training Program | 593 Eddy St, Providence, RI 02903-4923 | 2020-10-08 |
| 1326645300 | Elizabeth Stefanilo | Nurse Practitioner | 593 Eddy St, Providence, RI 02903-4923 | 2020-10-03 |
| 1841807633 | Julie Walden | Student in an Organized Health Care Education/Training Program | 593 Eddy St, Providence, RI 02903-4923 | 2020-09-26 |
| 1417567751 | Yigit Baykara | Pathology | 593 Eddy St, Providence, RI 02903-4923 | 2020-08-02 |
| 1588273064 | Cassandra Pagnotta | Dietitian, Registered | 593 Eddy St, Providence, RI 02903-4923 | 2020-07-30 |
| 1982213294 | Sabitha Sasidharan Pillai | Pediatrics | 593 Eddy St, Providence, RI 02903-4923 | 2020-07-23 |
| 1861019481 | Courtney Pedersen | Emergency Medicine | 593 Eddy St, Providence, RI 02903-4923 | 2020-06-30 |
| 1508483496 | Mohammad Hisham Hout | Urology | 593 Eddy St, Providence, RI 02903-4923 | 2020-06-26 |
| 1639796642 | Benjamin Hagan | Emergency Medicine | 593 Eddy St, Providence, RI 02903-4923 | 2020-06-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609475755 | Sarah Fellows | Student in an Organized Health Care Education/Training Program | 350 Eddy Street, Uri Nursing Education Center, Providence, RI 02903 | 2020-10-20 |
| 1093328262 | Esther Robbins | Social Worker | 290 West Exchange St., Suite 100, Providence, RI 02903 | 2020-08-27 |
| 1720619489 | Ivy Marie Mcdonald | Behavioral Analyst | 290 W Exchange St #101, Providence, RI 02903 | 2020-01-31 |
| 1447802707 | Natalie Monaghan, LLC | Social Worker | 545 South Water Street, Providence, RI 02903 | 2019-07-16 |
| 1760049522 | Daniel Steven Alanko | Pediatrics | 293 Eddy Street, Providence, RI 02903 | 2019-05-28 |
| 1154894368 | Margaret Emily Dyson | Behavior Technician | 290 W. Exchange St, Providence, RI 02903 | 2019-01-10 |
| 1497235014 | Yao Zhou Liu | Surgery | 593 Eddy St - Rhode Island Hospital, Providence, RI 02903 | 2018-08-14 |
| 1558840645 | Tamara Gore | Behavior Technician | 290 W Exchange Street Suite 101, Providence, RI 02903 | 2018-08-09 |
| 1437642709 | Adrian Cotarelo | Student in an Organized Health Care Education/Training Program | 174 Wickenden St, Apt. 3rd Floor, Providence, RI 02903 | 2018-06-12 |
| 1356833024 | Natalie Rita Noonan | Clinical Neuropsychologist | 593 Eddy St Ste 430, Providence, RI 02903 | 2018-05-30 |
| Find all providers in zip 02903 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023471695 | Jaehoon Cho | Internal Medicine | 593 Eddy St Ste 240, Providence, RI 02903-4923 | 2016-04-01 |
| 1194952929 | Jason Ferreira | Internal Medicine | 148 W River St Ste 3, Providence, RI 02904-2615 | 2009-06-19 |
| 1548437395 | Diana Ying Wu | Internal Medicine | 100 Dudley St, Providence, RI 02905-3233 | 2008-05-12 |
| 1366537425 | William Chen, Md, LLC | Internal Medicine | 3 Staniford Street, Providence, RI 02905 | 2006-10-04 |
| 1376637710 | Cashel Associates | Internal Medicine | 33 Staniford Street, Providence, RI 02905 | 2006-10-02 |
| 1093723546 | Gastroenterology Associates Inc | Internal Medicine | 44 West River Street, Providence, RI 02904 | 2006-08-03 |
| 1154375350 | Gyorgy Baffy | Internal Medicine | 110 Lockwood St, Suite 116, Providence, RI 02903-4801 | 2006-05-20 |
| 1508217944 | Amporn Atsawarungruangkit | Internal Medicine | 593 Eddy St, Providence, RI 02903-4923 | 2016-06-27 |
| 1063807717 | May Min | Internal Medicine | 593 Eddy St, Providence, RI 02903-4923 | 2015-03-31 |
| 1932495249 | Autumn Paige Hines | Internal Medicine | 101 Dudley St, Providence, RI 02905-2401 | 2011-06-24 |
| Find all providers in PROVIDENCE | ||||
| City | PROVIDENCE |
| Zip Code | 02903 |
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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.