DR. WILLIAM BARTHOLOMEW SHANNON (NPI# 1619958139) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619958139 |
| Entity Type | Individual |
| Full Name | DR. WILLIAM BARTHOLOMEW SHANNON |
| Credential | MD |
| Practice Address |
1061 X Ray Dr Gastonia NC 28054-7489 |
| Practice Telephone | 7048618557 |
| Practice Fax Number | 7048530003 |
| Mailing Telephone | 7048618557 |
| Mailing Fax Number | 7048530003 |
| Enumeration Date | 2005-11-10 |
| Last Update Date | 2010-12-03 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | 25080 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | CIGNA HEALTHCARE OF NC | 0933289001 | 01 |
| NC | PARTNERS NATIONALHEALTH | 8690 | 01 |
| NC | UNITED HEALTHCARE OF NC | 0840038 | 01 |
| AETNA USHC | 2803998 | 01 | |
| NC | BLUE CROSS BLUE SHIELD | 75443 | 01 |
| SC | BCBS OF SC | 030118 | 01 |
| NC | WELLPATH COVENTRY | 17924 | 01 |
| AL | BCBS OF AL | 81047089 | 01 |
| NC | 8975443 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174081707 | William Shannon | General Practice | 1751 Admiral Taussig Blvd, Norfolk, VA 23511-2802 | 2019-03-02 |
| 1629387261 | William Michael Shannon | Family Medicine | 100 John Dantis Dr, Albuquerque, NM 87151-0100 | 2010-09-30 |
| 1063668275 | William Mack Shannon | Psychologist | 1207 Indiana St Apt 5, San Francisco, CA 94107-3466 | 2008-08-07 |
| 1457465544 | William Francis Shannon | Dentist | 1835 Oakland Avenue, Mercy Medical Plaza Bldg A, Portsmouth, OH 45662 | 2006-08-18 |
| 1043282221 | William P Shannon | Physical Medicine & Rehabilitation | 6630 University Ave, Middleton, WI 53562-3036 | 2006-02-02 |
| Street Address |
1061 X RAY DR |
| City | GASTONIA |
| State | NC |
| Zip Code | 28054-7489 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144220161 | Gary Dubisky Jr. | Psychiatry & Neurology | 1061 X Ray Dr, Gastonia, NC 28054-7489 | 2005-08-01 |
| 1104475219 | Carolina Neurological Consulting, Pllc | Psychiatry & Neurology | 1061 X Ray Dr, Gastonia, NC 28054-7489 | 2019-09-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225671423 | Michaela Karsyn Morris | Behavioral Analyst | 2875 Court Dr. B, Gastonia, NC 28054 | 2019-10-21 |
| 1982263810 | Brenda Sue Fox | Occupational Therapist | Brian Center, 969 Cox Rd, Gastonia, NC 28054 | 2019-06-13 |
| 1174096911 | Carolinas Hometown Respiratory LLC | Durable Medical Equipment & Medical Supplies | 469 Hospital Drive, Suite B1, Gastonia, NC 28054 | 2019-01-04 |
| 1255801817 | Jarae Mcswain | Counselor | 1558 Union Road, Ste F, Gastonia, NC 28054 | 2018-11-27 |
| 1427549807 | Alterman & Dhillon Charlotte Metro, Pplc | Dentist | 2205 E. Franklin Blvd, Ste 110, Gastonia, NC 28054 | 2018-05-22 |
| 1871083147 | Terrence Lamont Campbell | Dentist | 2641 Court Dr Ste A, Gastonia, NC 28054 | 2018-05-13 |
| 1861995367 | Jefferson and Jefferson LLC. | Respite Care | 945 East 6 Ave, Gastonia, NC 28054 | 2018-03-12 |
| 1790154912 | Tyler Adcock | Pharmacist | 2324 South New Hope Rd, Gastonia, NC 28054 | 2015-09-17 |
| 1922481894 | Alesha Nicole Logan | Nurse Practitioner | 1895 Hoffman Rd Ste A, Gastonia, NC 28054 | 2015-07-09 |
| 1457732596 | Buffie Baker Eller | Counselor | 2005 Flint Lane, Gastonia, NC 28054 | 2015-06-15 |
| Find all providers in zip 28054 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821364209 | Harcharan Singh | Ophthalmology | 111 E.third Avenue, Gaston Family Medical Center, Gastonia, NC 28052 | 2012-03-29 |
| 1700872892 | Bryan Ewing Allf | Ophthalmology | 2555 Court Drive, Suite 150, Gastonia, NC 28054-2187 | 2005-09-23 |
| 1457354284 | Bobby Kenneth Mccullen Jr. | Ophthalmology | 2325 Aberdeen Blvd, Ste A, Gastonia, NC 28054-0614 | 2005-05-24 |
| 1255352035 | John A Lowery | Ophthalmology | 2325 Aberdeen Blvd, Ste A, Gastonia, NC 28054-0624 | 2006-07-21 |
| 1477518066 | Covenant Eye Care, Pa | Ophthalmology | 2555 Court Drive, Suite 150, Gastonia, NC 28054-2187 | 2006-04-18 |
| 1558357202 | Richard Edwin Akers | Ophthalmology | 2555 Court Drive, Suite 150, Gastonia, NC 28054-2187 | 2005-09-27 |
| 1659379394 | Michael James Lund | Ophthalmology | 2325 Aberdeen Blvd, Ste A, Gastonia, NC 28054-0614 | 2005-07-07 |
| 1568469641 | Martin Todd Brown | Ophthalmology | 2325 Aberdeen Blvd, Ste A, Gastonia, NC 28054-0614 | 2005-07-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649881145 | Wnc Ophthalmology, Pllc | Ophthalmology | 900 Hendersonville Rd Ste 302, Asheville, NC 28803-1762 | 2020-08-10 |
| 1275154676 | Albemarle Eye Center, Pllc | Ophthalmology | 2511 N Queen St, Kinston, NC 28501-1632 | 2020-04-27 |
| 1518509686 | Bruce Howard Redler | Ophthalmology | 170 Oakanoah Ct, Brevard, NC 28712-8485 | 2019-10-10 |
| 1114572534 | Charlotte Eye Ear Nose & Throat Associates, Pa | Ophthalmology | 400 E Stonewall St Unit F, Charlotte, NC 28202-3601 | 2019-08-02 |
| 1598221848 | Eye Physicians and Surgeons of Durham, Pllc | Ophthalmology | 3811 North Roxboro Street, Durham, NC 27704-5800 | 2019-02-12 |
| 1306323951 | Carolina Children's Eye Care, Pa | Ophthalmology | Friendly-holden Building, 3608 W Friendly Ave, Suite 101, Greensboro, NC 27410 | 2018-07-26 |
| 1376029827 | Albemarle Eye Center, Pllc | Ophthalmology | 111 W Seachase Dr, Nags Head, NC 27959 | 2018-07-18 |
| 1285177014 | Carolina Eye Associates, Inc | Ophthalmology | 310 N. Greene Street, Wadesboro, NC 28170-1609 | 2016-11-28 |
| 1801271457 | Asghar Haider | Ophthalmology | 2351 Erwin Road, Durham, NC 27710-3036 | 2015-07-24 |
| 1518351493 | Lee Angelo Wiley | Ophthalmology | 10512 Park Rd Ste 200, Charlotte, NC 28210-8476 | 2015-03-27 |
| Find all providers with the same taxonomy | ||||
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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.