SHANNON N MOREAU


Address: 343 Us Route 1, York, ME 03909-1636
Phone: 2073512600

SHANNON N MOREAU (NPI# 1629337902) 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) 1629337902
Entity Type Individual
Full Name SHANNON N MOREAU
Other Name SHANNON N RECORDS
Credential PA-C
Practice Address 343 Us Route 1
York
ME 03909-1636
Practice Telephone 2073512600
Mailing Telephone 2073512600
Enumeration Date 2012-05-08
Last Update Date 2016-03-10
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363AM0700X Physician Assistant
Specialization: Medical
0900 NH Physician Assistants & Advanced Practice Nursing Providers
Y 363AM0700X Physician Assistant
Specialization: Medical
PA1327 ME Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 343 US ROUTE 1
City YORK
State ME
Zip Code 03909-1636

Providers in the same location

NPI Name Taxonomy Address Enumeration
1861006801 Chelsea Sutton Speech-Language Pathologist 343 Us Route 1, York, ME 03909-1636 2020-09-08
1750874871 Jared Thompson Physician Assistant 343 Us Route 1, York, ME 03909-1636 2018-06-13
1740717446 Ryan Dodge Physician Assistant 343 Us Route 1, York, ME 03909-1636 2017-05-12
1750747507 Marian Elizabeth Reilly Pharmacist 343 Us Route 1, York, ME 03909-1636 2016-01-10
1578935748 York Hospital Pharmacy 343 Us Route 1, Department of Pharmacy, York, ME 03909-1636 2015-10-27

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1588206049 Kristina Nicole Scangas Physician Assistant 3 Loving Kindness Way, York, ME 03909 2019-10-16
1467923540 St. Georges Childcare Center Clinic/Center 407 York Street, York Harbor, ME 03909 2018-12-16
1518398023 Jm Dental PC Dentist 433 F Us Route 1, Suite 107, York, ME 03909 2013-12-09
1043554405 Jennifer Helen Gustafson Occupational Therapist 3 Whittier Way, York, ME 03909 2012-11-24
1720351240 Kimberly Trafton Acupuncturist 272 York Street, York, ME 03909 2012-02-14
1518237767 Jill Ann Colton-spina Registered Nurse 32 York Street, Psychiatry Associates of York Hospital, York, ME 03909 2012-01-05
1497980650 York Family Dental Dentist 433f Us Route 1, Cottage Place Suite 107, York, ME 03909 2009-05-18
1356590947 Susan A. Emerson Occupational Therapist 41 Brixham Rd., York, ME 03909 2008-09-18
1316122252 John Wendelin Anderer Dentist 433 F Us Route 1 Cottage Place John Anderer D.d.s., 107, York, ME 03909 2008-01-09
1720296486 Town of York/york School Department Local Education Agency (LEA) 469 U.S. Route One, York, ME 03909 2007-05-18
Find all providers in zip 03909

Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1376153650 Hannah Christine Kowalewski Physician Assistant 1765 Hillock Ln, York, PA 17403-4033 2020-08-03
1306461959 Brandon Rauhauser Physician Assistant 1921 Worth St, York, PA 17404-5230 2020-06-09
1205117363 Emily Macik Physician Assistant 1001 S George St Fl 3, York, PA 17403-3676 2011-09-02
1366769085 David Arthur Hamel Physician Assistant 85 Brixham Rd, York, ME 03909-5342 2010-04-21
1649448127 Lauralee Brooke Trump Physician Assistant 2532 Knobhill Rd, York, PA 17403-4796 2008-02-18
1699886069 Cynthia F Helm Physician Assistant 1796 3rd Ave, York, PA 17403-1913 2006-08-31
1154393320 Juliann Pandelidis Physician Assistant 80 Wyntre Brooke Dr, York, PA 17403-4535 2006-02-02
1740280031 Charlotte S. Greene Physician Assistant 15 Hospital Dr, York, ME 03909-1011 2005-07-28
1306446166 Kathryn M Fossaceca Physician Assistant 116 S George St, York, PA 17401-1474 2020-10-29
1124626171 Ciara Nicole Rundle Physician Assistant 116 S George St, York, PA 17401-1474 2020-10-13
Find all providers in YORK

Competitor

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City YORK
Zip Code 03909

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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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