SHANNON KELLY (NPI# 1669792107) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669792107 |
| Entity Type | Individual |
| Full Name | SHANNON KELLY |
| Credential | M.D |
| Practice Address |
270 Masonic Ave San Francisco CA 94118-4417 |
| Mailing Address |
3201 Cutter Way Sacramento CA 95818-4437 |
| Practice Telephone | 5043191574 |
| Mailing Telephone | 5043191574 |
| Enumeration Date | 2010-06-07 |
| Last Update Date | 2015-05-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207ZB0001X |
Pathology Specialization: Blood Banking & Transfusion Medicine |
100334 | CA | Allopathic & Osteopathic Physicians |
| Y | 2080P0207X |
Pediatrics Specialization: Pediatric Hematology-Oncology |
A100334 | CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831751262 | Shannon Kathleen Kelly | Physician Assistant | 5800 Central Gardens Way Apt 204, Palm Beach Gardens, FL 33418-4125 | 2019-07-06 |
| 1699268821 | Shannon Marie Kelly | Dentist | 200 N Royal Tower Dr, Irmo, SC 29063 | 2018-06-12 |
| 1578991790 | Shannon Kelly | Pharmacist | 2792 Lea Lake Rd, Blaine, TN 37709-5214 | 2013-10-25 |
| 1144483421 | Shannon Elizabeth Kelly | Counselor | 115 E Costilla St, Colorado Springs, CO 80903-2101 | 2008-07-07 |
| 1457313330 | Shannon Kelly | Psychologist | 6001 Brick Ct, Suite 201, Winter Park, FL 32792-9425 | 2006-04-05 |
| 1619593241 | Shannon Marie Kelly | Registered Nurse | 3400 N Woods Ln, Rogers, AR 72756-6712 | 2020-06-19 |
| 1366929747 | Shannon Kelly | Social Worker | 1400 Vfw Pkwy, West Roxbury, MA 02132-4927 | 2018-07-27 |
| 1679084172 | Shannon Marie Kelly | Speech-Language Pathologist | 900 Washington Ave Ste 602, Waco, TX 76701-1283 | 2017-10-24 |
| 1508306309 | Shannon Kelly | Physician Assistant | 159 E 74th St, Second Floor, New York, NY 10021-3235 | 2017-02-28 |
| 1821535741 | Shannon Kelly | Occupational Therapist | 6960 Destiny Dr Ste 112, Rocklin, CA 95677-2995 | 2017-01-30 |
| Street Address |
270 MASONIC AVE |
| City | SAN FRANCISCO |
| State | CA |
| Zip Code | 94118-4417 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356417364 | Kim-anh Thi Nguyen | Pathology | 270 Masonic Ave, San Francisco, CA 94118-4417 | 2006-11-28 |
| 1124426572 | Michael Paul Busch | Pathology | 270 Masonic Ave, San Francisco, CA 94118-4417 | 2014-12-17 |
| 1316137904 | Nora Victoria Hirschler | Pathology | 270 Masonic Ave, San Francisco, CA 94118-4417 | 2007-07-30 |
| 1376749499 | Blood Centers of The Pacific | Blood Bank | 270 Masonic Ave, San Francisco, CA 94118-4417 | 2007-06-25 |
| 1972631356 | Nareg Haig Roubinian | Internal Medicine | 270 Masonic Ave, San Francisco, CA 94118-4417 | 2007-02-28 |
| 1851459929 | University of California San Francisco | General Acute Care Hospital | 270 Masonic Ave, San Francisco, CA 94118-4417 | 2006-12-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952933533 | Emily Bonelli Padow | Social Worker | 699 Spruce Street, San Francisco, CA 94118 | 2020-02-11 |
| 1306489067 | Sue Jennigs Hirsch | Counselor | 405 Clement Street Room 4, San Francisco, CA 94118 | 2019-10-24 |
| 1235795402 | Sally Levy Albert Mft | Marriage & Family Therapist | 626 Balboa Street, San Francisco, CA 94118 | 2019-05-14 |
| 1750851382 | Ka Yan Mary Fong Dds Inc | Dentist | 3121 Geary Blvd, San Francisco, CA 94118 | 2018-11-27 |
| 1871072728 | Devin G Wu | Acupuncturist | 1014 Clement St, San Francisco, CA 94118 | 2018-08-11 |
| 1568952034 | Toni Margot Brooks | Marriage & Family Therapist | 4831 Geary Blvd., San Francisco, CA 94118 | 2018-05-10 |
| 1053808733 | Pamela Elizabeth Olton | Acupuncturist | 450 Connecticut Street, San Francisco, CA 94118 | 2018-04-18 |
| 1952801359 | Justin Andrew Fotter | Chiropractor | 403 Arguello Blvd, Live Fit Gym, San Francisco, CA 94118 | 2018-02-13 |
| 1861926024 | Chih-han Lee | Student in an Organized Health Care Education/Training Program | 2351 Clay Street., Suite 380, San Francisco, CA 94118 | 2017-04-14 |
| 1205372695 | Allison Smith | Physical Therapist | 323 Masonic Ave, San Francisco, CA 94118 | 2017-01-10 |
| Find all providers in zip 94118 | ||||
| Taxonomy Code | 2080P0207X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Hematology-Oncology |
| A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases. |
| 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/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669765145 | Beth Apsel Winger | Pediatrics | 505 Parnassus Ave # 110, San Francisco, CA 94143-2204 | 2011-05-17 |
| 1841599677 | David Wang | Pediatrics | 505 Parnassus Ave Rm M649, San Francisco, CA 94143-2204 | 2011-03-18 |
| 1619292752 | Christine Sarah Higham | Pediatrics | Ucsf Benioff Children's Hospital, 1975 4th Street, San Francisco, CA 94158 | 2010-03-31 |
| 1225365810 | Tiffany Fangtse Lin | Pediatrics | 505 16th Street, Box 0434, San Francisco, CA 94158 | 2009-11-03 |
| 1346403409 | Kieuhoa Tran Vo | Pediatrics | 1825 4th Sreet, 6th Floor, San Francisco, CA 94143 | 2008-07-08 |
| 1053502096 | William Clay Gustafson | Pediatrics | 505 Parnassus Ave # M647, Ucsf Pediatric Hematology/oncology, San Francisco, CA 94143-2204 | 2007-08-06 |
| 1750469375 | Kenneth L. Leung | Pediatrics | 14 Clarendon Ave, San Francisco, CA 94114-2102 | 2006-11-01 |
| 1821172016 | Cancerhope A Medical Corporation | Pediatrics | 2409 Sacramento Street, San Francisco, CA 94115-2225 | 2006-10-24 |
| 1790875904 | Anuradha Banerjee | Pediatrics | Ucsf Division of Neuro-oncology 400 Parnassus Ave, Box 0372, Room A808, San Francisco, CA 94143-0001 | 2006-10-16 |
| 1750498226 | Sandhya Kharbanda | Pediatrics | 1825 4th Street, Ucsf Pediatrics Bmt Clinic, San Francisco, CA 94158 | 2006-08-23 |
| Find all providers in SAN FRANCISCO | ||||
| City | SAN FRANCISCO |
| Zip Code | 94118 |
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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.