DR. SHANNON JANE COLT (NPI# 1669560603) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669560603 |
| Entity Type | Individual |
| Full Name | DR. SHANNON JANE COLT |
| Other Name | DR. SHANNON JANE COLT-CONNAWAY |
| Credential | MD |
| Practice Address |
110 Decker Drive, Suite 100 Johnstown NY 12095-2316 |
| Mailing Address |
99 E State St Po Box 1250 Gloversville NY 12078-1203 |
| Practice Telephone | 5187626731 |
| Practice Fax Number | 5187627135 |
| Mailing Telephone | 5187754205 |
| Mailing Fax Number | 5187754225 |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2015-01-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 211113 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | MVP HEALTHPLAN | 411485 | 01 |
| NY | 01859278 | 05 | |
| NY | BSH NE NY | 000927742002 | 01 |
| Street Address |
110 DECKER DRIVE, SUITE 100 |
| City | JOHNSTOWN |
| State | NY |
| Zip Code | 12095-2316 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245713619 | Kayla Brooks | Registered Nurse | 465 South Perry St., Johnstown, NY 12095 | 2018-09-12 |
| 1134676729 | Billie Jo Loveless | Rehabilitation Unit | 6 East Clinton Street, Apt 1, Johnstown, NY 12095 | 2016-09-01 |
| 1427447499 | Cynthia Ann Lockrow | Counselor | 2-8 West Main Street, Johnstown, NY 12095 | 2015-01-14 |
| 1700282563 | Karie Nasser | Occupational Therapist | 201 W. Madison Avenue, Johnstown, NY 12095 | 2014-11-06 |
| 1063772838 | St. Mary's Healthcare | Internal Medicine | 700 South Perry St, Johnstown, NY 12095 | 2012-05-25 |
| 1801163654 | Maryerin Johneen Agard | Rehabilitation Hospital | Route 67, Hfm Boces, Johnstown, NY 12095 | 2011-11-22 |
| 1497053672 | Erin Kelly Drobnack | Occupational Therapist | 2755 St Rt 67, Johnstown, NY 12095 | 2011-03-11 |
| 1407180649 | Clara Mae Smith | Licensed Practical Nurse | 3462 State Highway 29, Johnstown, NY 12095 | 2009-09-21 |
| 1770730061 | Sarah Elizabeth Liporace | Speech-Language Pathologist | 2714 Ny-29, Johnstown, NY 12095 | 2008-08-19 |
| 1730335761 | Willing Helpers Home for Women Inc. | Assisted Living Facility | 226 West Madison Ave., Johnstown, NY 12095 | 2008-08-11 |
| Find all providers in zip 12095 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497155089 | Thompson River Pediatrics and Urgent Care, LLC | Pediatrics | 4435 Ronald Reagan Blvd., Johnstown, CO 80534-6409 | 2014-09-02 |
| 1982013694 | John Mcphillips | Pediatrics | 279 Maloney Rd, Johnstown, NY 12095-3769 | 2014-08-06 |
| 1154563302 | Michelle Christine Ward | Pediatrics | 4901 Thompson Parkway, Johnstown, CO 80534-6426 | 2009-04-02 |
| 1699896613 | Ashlea Elizabeth Franques | Pediatrics | 4435 Ronald Reagan Blvd, Johnstown, CO 80534 | 2007-04-03 |
| 1821002304 | Richard Adam Solby | Pediatrics | 110 Decker Drive, Suite 100, Johnstown, NY 12095 | 2006-07-28 |
| 1447279179 | Parul Saxena | Pediatrics | 700 S. Perry St, St. Mary's Hospital Fam Hlth Cntr At Johnstown Pediatri, Johnstown, NY 12095 | 2006-07-19 |
| 1215953229 | Lisa Marie Rotelli | Pediatrics | 110 Decker Dr Ste 100, Johnstown, NY 12095-2157 | 2006-07-14 |
| 1003866716 | Laurel Pediatric Associates Inc | Pediatrics | 323 Budfield Street, Johnstown, PA 15904-3219 | 2006-05-11 |
| 1134183635 | Lawrence Seth Rosenberg | Pediatrics | 1141 Franklin St, Johnstown, PA 15905 | 2006-04-13 |
| 1043665730 | Antonia Jill Sigl | Pediatrics | 4435 Ronald Reagan Blvd, Johnstown, CO 80534-6409 | 2016-04-29 |
| Find all providers in JOHNSTOWN | ||||
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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.