WILLIAM MICHAEL SHANNON


Address: 100 John Dantis Dr, Albuquerque, NM 87151-0100
Phone: 5058398827

WILLIAM MICHAEL SHANNON (NPI# 1629387261) 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) 1629387261
Entity Type Individual
Full Name WILLIAM MICHAEL SHANNON
Credential MD
Practice Address 100 John Dantis Dr
Albuquerque
NM 87151-0100
Practice Telephone 5058398827
Practice Fax Number 5058398981
Mailing Telephone 5058398827
Mailing Fax Number 5058398981
Enumeration Date 2010-09-30
Last Update Date 2010-09-30
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207QA0401X Family Medicine
Specialization: Addiction Medicine
2000-105 NM Allopathic & Osteopathic Physicians

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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
1619958139 William Bartholomew Shannon Ophthalmology 1061 X Ray Dr, Gastonia, NC 28054-7489 2005-11-10

Office Location

Street Address 100 JOHN DANTIS DR
City ALBUQUERQUE
State NM
Zip Code 87151-0100

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1194388496 Anne E. Galanis Nurse Practitioner 100 Deputy Dean Miera Dr Sw: Bernalillo County Metropol, Albuquerque, NM 87151 2019-04-22
1780663534 Robert Otto Krammer Registered Nurse 500 Shelly Rd., Albuquerque, NM 87151-0001 2006-01-11
1356332852 Walter Kerry Viers Registered Nurse 500 Shelly Rd. S.w., Albuquerque, NM 87151-0001 2005-11-03
1447249644 Kenneth Wayne Lovelett Jr. Counselor 2600 Marble, Albuquerque, NM 87151-0001 2005-10-19
1336120245 Marian Margaret Mesojedic Registered Nurse 2600 Marble Ne, Albuquerque, NM 87151-0001 2005-11-08
1326029240 Providence Musomandera Botne Registered Nurse 2600 Marble, Albuquerque, NM 87151-0001 2005-11-08
1194023671 Michelle Renee Lucero Physician Assistant 100 Deputy Dean Miera Dr Sw, Albuquerque, NM 87151-0100 2011-03-07
1538140330 Andrea Yvonne Sutphin Registered Nurse 100 John Dantis Rd Sw, Albuquerque, NM 87151-0100 2005-11-09
1275843781 Jon-paul Hamilton Psychiatry & Neurology 100 John Dantis Rd Sw, Albuquerque, NM 87151-0100 2010-10-18
1154637767 Correctional Healthcare Companies Dentist 100 John Dantis Rd Sw, Albuquerque, NM 87151-0100 2010-08-20
Find all providers in zip 87151

Taxonomy Information

Taxonomy Code 207QA0401X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine
Specialization Addiction Medicine

Taxonomy Definition

A family medicine physician who specializes in the diagnosis and treatment of addictions.
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) was, but is no longer issued by the American Osteopathic Board of Family Physicians.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1609418144 Pivot LLC Family Medicine 1620 Central Ave Se, Albuquerque, NM 87106-4411 2019-10-16
1689147365 Stairway Recovery, LLC Family Medicine 6300 Riverside Plaza Ln Nw Ste 118 #96523, Albuquerque, NM 87120 2019-01-06
1568478279 Juliane Nichole Bohan Family Medicine 2600 Yale Blvd Se, Albuquerque, NM 87106-4217 2006-08-01
1043713415 Southwest Recovery and Wellness LLC Family Medicine 3874 Masthead St Ne, Albuquerque, NM 87109-4479 2018-03-13
1205246667 Recovery Services of Southern New Mexico LLC Family Medicine 1235 Wyoming Blvd Ne, Albuquerque, NM 87112-5044 2014-05-06
1124374004 Julianne Austin Family Medicine 4201 Central Ave Nw, Suite K2, Albuquerque, NM 87105-1630 2012-07-30
1730470113 Evan D Baldwin Family Medicine 1528 Five Points Rd Sw, Albuquerque, NM 87105-3179 2011-04-20
1184952061 Joan Cecile Voute Family Medicine 1528 Five Points Rd Sw, Albuquerque, NM 87105-3014 2009-12-03

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1639690050 Ideal Option, Pllc Family Medicine 2019 Galisteo St Ste H1, Santa Fe, NM 87505-2106 2017-07-06
1306285820 Alt Recovery Group LLC Family Medicine 1141 Mall Dr, Suite E, Las Cruces, NM 88011-8194 2013-06-18

Competitor

Search similar providers

City ALBUQUERQUE
Zip Code 87151

Improve Information

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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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