SHANNON LEIGH TREGO (NPI# 1700209418) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700209418 |
| Entity Type | Individual |
| Full Name | SHANNON LEIGH TREGO |
| Credential | PA-C |
| Practice Address |
311 N 4th St Oakland MD 21550-1371 |
| Practice Telephone | 3013347420 |
| Practice Fax Number | 3013341819 |
| Mailing Telephone | 3013347420 |
| Mailing Fax Number | 3013341819 |
| Enumeration Date | 2014-01-31 |
| Last Update Date | 2014-12-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | C05315 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
311 N 4TH ST |
| City | OAKLAND |
| State | MD |
| Zip Code | 21550-1371 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437141066 | Hanchong J Park | Orthopaedic Surgery | 311 N 4th St, Oakland, MD 21550-1371 | 2005-08-19 |
| 1265952998 | Wellspring Family Medicine, PC | Social Worker | 311 N 4th St, Oakland, MD 21550-1371 | 2017-06-23 |
| 1316472392 | Amber Dawn King | Physician Assistant | 311 N 4th St, Oakland, MD 21550-1371 | 2017-04-27 |
| 1144762378 | Dawn Patricia Ross | Social Worker | 311 N 4th St, Suite 1, Oakland, MD 21550-1371 | 2016-11-04 |
| 1588111884 | Jennifer Resh | Nurse Practitioner | 311 N 4th St, Suite 1, Oakland, MD 21550-1371 | 2016-09-02 |
| 1265884464 | Elyzabeth Ruta Savage Goralski | Nurse Practitioner | 311 N 4th St, Oakland, MD 21550-1371 | 2016-07-12 |
| 1831563907 | Lawrence Knapp | Nurse Practitioner | 311 N 4th St, Oakland, MD 21550-1371 | 2015-11-30 |
| 1053702894 | Garrett Medical Group, Pa | Clinical Medical Laboratory | 311 N 4th St, Oakland, MD 21550-1371 | 2015-02-16 |
| 1164860250 | Alea Lynne Mcclintock-donahue | Nurse Practitioner | 311 N 4th St, Oakland, MD 21550-1371 | 2013-06-11 |
| 1952682320 | Dena Beckner | Physician Assistant | 311 N 4th St, Suite 1, Oakland, MD 21550-1371 | 2011-08-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619470218 | Care 1st Wellness | Counselor | 13223 Garrett Highway, Suite 2, Oakland, MD 21550 | 2018-03-10 |
| 1285133041 | Ruth Chisholm | Dietitian, Registered | 251 North Fourth Street, Oakland, MD 21550 | 2018-02-07 |
| 1992221055 | Garrett Treatment Center, LLC | Clinic/Center | 233 East Alder Street, Suite A, Oakland, MD 21550 | 2017-08-20 |
| 1801347638 | Pressley Ridge | Community/Behavioral Health | 8000 Thayer Center, Oakland, MD 21550 | 2016-10-17 |
| 1639588486 | Bridget Frazee | Pharmacist | 220 N 3rd Street, Oakland, MD 21550 | 2014-08-06 |
| 1649562901 | Rachel Renee Friend-lantz | Nurse Practitioner | 13145 Garrett Hwy, Oakland, MD 21550 | 2011-05-05 |
| 1003034794 | Rodney Steve Richard | Social Worker | 20 East Oak St., Oakland, MD 21550 | 2007-04-20 |
| 1114141785 | Garrett County Board of Education | Local Education Agency (LEA) | 40 S Second Street, Oakland, MD 21550 | 2007-04-12 |
| 1437372620 | D W Sheets Dmd LLC | Dentist | 4000 Thayer Center, Oakland, MD 21550 | 2007-04-10 |
| 1003943465 | Lisa C Scott | Physician Assistant | 69 Wolf Acres Drive, Oakland, MD 21550 | 2007-02-27 |
| Find all providers in zip 21550 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609477504 | Julia Claire Stiefel | Physician Assistant | 369 Orange St Apt A, Oakland, CA 94610-2979 | 2020-11-05 |
| 1861099145 | Nathalie Jaqueline Rivera | Physician Assistant | 555 Ramapo Valley Rd, Oakland, NJ 07436-2817 | 2020-10-08 |
| 1245855527 | Susan Solar Pers | Physician Assistant | 5818 Clover Dr, Oakland, CA 94618-1623 | 2020-06-11 |
| 1790322253 | Reta Samimi | Physician Assistant | 47 Anair Way, Oakland, CA 94605-4873 | 2019-12-04 |
| 1316408453 | Henry Chhiv | Physician Assistant | 928 Franklin St Apt 535, Oakland, CA 94607-4207 | 2019-03-29 |
| 1427523893 | Sarah Jean Backer | Physician Assistant | 1 Lakeside Dr Apt 701, Oakland, CA 94612-4647 | 2018-10-11 |
| 1558845891 | Abigail Romero | Physician Assistant | 47 Agnes St, Oakland, CA 94618-2522 | 2018-09-22 |
| 1932604428 | Meegan Ann Mccullagh | Physician Assistant | 9 Pleasant St., Oakland, ME 04963 | 2018-03-27 |
| 1164937884 | Erin Shea Hays | Physician Assistant | 1411 E 31st St # K7, Oakland, CA 94602-1018 | 2017-12-04 |
| 1407369689 | Kristinalisa Maka | Physician Assistant | 363 41st St, Oakland, CA 94609-2632 | 2017-11-10 |
| Find all providers in OAKLAND | ||||
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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.