SHANNON KINCAID TOMLINSON (NPI# 1679621395) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679621395 |
| Entity Type | Individual |
| Full Name | SHANNON KINCAID TOMLINSON |
| Credential | M.D. |
| Practice Address |
810 Fairgrove Church Rd Hickory NC 28602-9617 |
| Mailing Address |
200 Queens Rd Suite 400 Charlotte NC 28204-3253 |
| Practice Telephone | 8283263856 |
| Practice Fax Number | 8283262461 |
| Mailing Telephone | 7043337376 |
| Mailing Fax Number | 7043333397 |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2013-07-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
9901626 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 890266B | 05 |
| Street Address |
810 FAIRGROVE CHURCH RD |
| City | HICKORY |
| State | NC |
| Zip Code | 28602-9617 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780680090 | Clare Lawrence Gray | Internal Medicine | 810 Fairgrove Church Rd, Hickory, NC 28602-9617 | 2005-06-22 |
| 1184239485 | Heather Spencer | Nurse Practitioner | 810 Fairgrove Church Rd, Hickory, NC 28602-9617 | 2020-09-14 |
| 1023646569 | Donna C Sandifer | Nurse Practitioner | 810 Fairgrove Church Rd, Hickory, NC 28602-9617 | 2020-03-30 |
| 1396394144 | Bryce C Lackey | Nurse Anesthetist, Certified Registered | 810 Fairgrove Church Rd, Hickory, NC 28602-9617 | 2019-09-04 |
| 1861053415 | Caitlyn Droste | Dietitian, Registered | 810 Fairgrove Church Rd, Hickory, NC 28602-9617 | 2019-06-25 |
| 1518524818 | Catawba Valley Medical Center | Health Educator | 810 Fairgrove Church Rd, Hickory, NC 28602-9617 | 2019-05-22 |
| 1588126767 | Bao Vu Nguyen | Pharmacist | 810 Fairgrove Church Rd, Hickory, NC 28602-9617 | 2019-04-04 |
| 1922539238 | Phoebe Glazer | Emergency Medicine | 810 Fairgrove Church Rd, Hickory, NC 28602-9617 | 2017-03-27 |
| 1568909042 | James Lisowski | Physician Assistant | 810 Fairgrove Church Rd, Hickory, NC 28602-9617 | 2017-01-23 |
| 1780132241 | Crystal Johnson Crutchfield | Nurse Practitioner | 810 Fairgrove Church Rd, Hickory, NC 28602-9617 | 2016-09-13 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063983286 | Ivan Ortega | Health Educator | 810 Fairgrove Church Road Se, Hickory, NC 28602 | 2018-12-16 |
| 1578078895 | Zachary Chad Greer | Physician Assistant | 1927 3rd Ave Ln Se, Hickory, NC 28602 | 2017-12-08 |
| 1952842015 | Eyemart Express LLC | Eyewear Supplier (Equipment, not the service) | 2264 Us Highway 70 Se, Hickory, NC 28602 | 2017-03-09 |
| 1013456318 | Juanita Brown | Counselor | 306 4th St Sw, Hickory, NC 28602 | 2017-02-20 |
| 1639616725 | Francisca Blanco | Clinic/Center | 5276 0lde School Dr, Hickory, NC 28602 | 2017-01-26 |
| 1982155263 | Livanta Medical Center | Physician Assistant | 2105 Catawba Valley Blvd Se, Hickory, NC 28602 | 2016-10-20 |
| 1225588817 | Melike Demirozu | Social Worker | 738 4th St. Sw, Hickory, NC 28602 | 2016-10-07 |
| 1528411592 | April Prout | Social Worker | 1053 13th St Se, Hickory, NC 28602 | 2016-07-14 |
| 1457706921 | Maitry Parikh | Dentist | 2535 Us Highway 70 Se Ste 112, Hickory, NC 28602 | 2016-05-03 |
| 1245614510 | Doran Stilwell | Physical Therapy Assistant | 4161 South Fork Avenue, Hickory, NC 28602 | 2015-07-16 |
| Find all providers in zip 28602 | ||||
| Taxonomy Code | 2085R0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Radiation Oncology |
| A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
| 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 Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750439519 | William Reginald Sigmon Jr. | Radiology | 810 Fairgrove Church Rd, Hickory, NC 28602-9617 | 2007-01-08 |
| 1962550640 | John Oscar Delcharco | Radiology | 810 Fairgrove Church Rd, Hickory, NC 28602-9617 | 2007-01-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396121745 | Orit Kaidar - Person | Radiology | 101 Manning Drive, Cb #7512, Radiation Oncology, Chapel Hill, NC 27599-7512 | 2015-08-08 |
| 1134547201 | Zachary J Reitman | Radiology | 2301 Erwin Rd Duke University Hospital, Durham, NC 27710 | 2014-04-04 |
| 1861810756 | Susan Gr Mcduff | Radiology | Dumc 20 Duke Medical Center, Durham, NC 27710-0001 | 2014-03-28 |
| 1679830699 | Colette Joan Shen | Radiology | 101 Manning Drive Cb 7512, Chapel Hill, NC 27599-3307 | 2012-04-15 |
| 1124397328 | Aaron Tyler Wild | Radiology | 200 Queens Rd Ste 400, Charlotte, NC 28204-3264 | 2011-12-19 |
| 1891964615 | John William Nelson | Radiology | 5524 Hawthorne Park, Raleigh, NC 27613-6006 | 2008-02-26 |
| 1194905984 | Daniel G. Baseman | Radiology | 70 Neely Rd, Brevard, NC 28712-4267 | 2007-11-08 |
| 1285844183 | John S Moody | Radiology | 501 N. Elam Avenue, Greensboro, NC 27403 | 2007-05-22 |
| 1326251075 | North Carolina Oncology Associates | Radiology | 4101 Macon Pond Road, Raleigh, NC 27607-6319 | 2007-05-08 |
| 1164552865 | Christopher Ryan Kelsey | Radiology | Morris Building, Science Drive, Room 05135, Durham, NC 27710-0001 | 2007-03-06 |
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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.