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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207QA0401X |
Family Medicine Specialization: Addiction Medicine |
2000-105 | NM | Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174081707 | William Shannon | General Practice | 1751 Admiral Taussig Blvd, Norfolk, VA 23511-2802 | 2019-03-02 |
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 |
1619958139 | William Bartholomew Shannon | Ophthalmology | 1061 X Ray Dr, Gastonia, NC 28054-7489 | 2005-11-10 |
Street Address |
100 JOHN DANTIS DR |
City | ALBUQUERQUE |
State | NM |
Zip Code | 87151-0100 |
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 Code | 207QA0401X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Family Medicine |
Specialization | Addiction Medicine |
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. |
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 |
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 |
City | ALBUQUERQUE |
Zip Code | 87151 |
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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.