SHANNAN ELIZABETH MCCANN (NPI# 1710968227) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710968227 |
| Entity Type | Individual |
| Full Name | SHANNAN ELIZABETH MCCANN |
| Credential | M.D. |
| Practice Address |
1100 Wilford Hall Loop, Bldg 4554 Attn: 59 Mdw/sghc Jbsa-lackland TX 78245 |
| Mailing Address |
2200 Bergquist Dr Ste 1 Jbsa Lackland TX 78236-9908 |
| Practice Telephone | 2104165965 |
| Mailing Telephone | 2102925350 |
| Mailing Fax Number | 2102923781 |
| Enumeration Date | 2005-11-10 |
| Last Update Date | 2018-09-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207NP0225X |
Dermatology Specialization: Pediatric Dermatology |
R7063 | TX | Allopathic & Osteopathic Physicians |
| N | 2080A0000X |
Pediatrics Specialization: Adolescent Medicine |
20464 | MS | Allopathic & Osteopathic Physicians |
| N | 208D00000X | General Practice | 20464 | MS | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2200 Bergquist Dr Ste 1, Jbsa Lackland, TX 782369908 | 2102925350 | 2102923781 |
| Street Address |
1100 WILFORD HALL LOOP, BLDG 4554 ATTN: 59 MDW/SGHC |
| City | JBSA-LACKLAND |
| State | TX |
| Zip Code | 78245 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053874297 | Robert Grasso | Dentist | 1100 Wilford Hall Loop, Bldg 4554, Attn: 59 Mdw/sghc, Jbsa-lackland, TX 78236-9908 | 2019-04-12 |
| 1538433305 | Brittany L Lenz | Dermatology | 1100 Wilford Hall Loop, Bldg 4554, 59 Mdsp/sgmd, Jbsa-lackland, TX 78236 | 2012-02-27 |
| 1497981443 | David Kenneth Schindler | Dentist | 1100 Wilford Hall Loop, Bldg 4554, Attn: 59 Mdw/sghc, Jbsa-lackland, TX 78236 | 2009-06-04 |
| 1487836565 | Daniel Ray Pickel | Social Worker | 1100 Wilford Hall Loop, Bldg 4554, Attn: 59 Mdw/sghc, Jbsa-lackland, TX 78236 | 2007-11-30 |
| 1033247564 | Ann Stephanie Hryshko-mullen | Psychologist | 1100 Wilford Hall Loop, Bldg 4554, Attn Credentials (cmc), Jbsa-lackland, TX 78236-5638 | 2007-02-28 |
| 1699748418 | Scott Christopher Malthaner | Dentist | 1100 Wilford Hall Loop, Bldg 4554, Attn: 59 Mdw/sghc, Jbsa-lackland, TX 78236-9908 | 2006-02-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912510082 | Ab Solutions LLC | Community/Behavioral Health | 9439 Dugas, San Antonio, TX 78245 | 2020-08-28 |
| 1871113522 | Sharnell Jayana Garza | Licensed Vocational Nurse | 10248 Harora Field, San Antonio, TX 78245 | 2020-04-23 |
| 1003444282 | Rose Bechebuh | Licensed Vocational Nurse | 10766 Gemsbcuk Lodge, San Antonio, TX 78245 | 2020-04-01 |
| 1538700729 | Sng - Westover Hills Dialysis Clinic | Clinic/Center | 9443 Dugas Dr, San Antonio, TX 78245 | 2019-09-30 |
| 1578023974 | Daniel Max & Marcandrea LLC | Optometrist | 8539 Tx 151, San Antonio, TX 78245 | 2019-03-21 |
| 1487112991 | San Antonio Family Dental Pllc | Dentist | 14249 Potranco Road, Ste 104, San Antonio, TX 78245 | 2019-03-05 |
| 1750851333 | Traci Rae L'ecuyer | Student in an Organized Health Care Education/Training Program | 2314 Hornsby Bend, San Antonio, TX 78245 | 2018-11-27 |
| 1992287783 | Leticia Flores | Occupational Therapy Assistant | 8707 Lakeside Parkway, San Antonio, TX 78245 | 2018-08-29 |
| 1649763517 | Four Winds Hospice, Inc | Hospice Care, Community Based | 12703 Coal Mine Rise, San Antonio, TX 78245 | 2018-06-14 |
| 1982106696 | Marbach Smiles Pllc | Dentist | 10910 Marbach Road, San Antonio, TX 78245 | 2018-03-08 |
| Find all providers in zip 78245 | ||||
| Taxonomy Code | 207NP0225X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| Specialization | Pediatric Dermatology |
| A pediatric dermatologist has, through additional special training, developed expertise in the treatment of specific skin disease categories with emphasis on those diseases which predominate in infants, children and adolescents. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: changed definition, added source] Additional Resources: American Board of Dermatology, 2007, http://www.abderm.org/ A subspecialty certificate was approved by ABMS in 2000. ACGME Accredited Residency Program Requirements: None. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780029462 | Allure Dermatology Pa | Dermatology | 1201 E Ridge Rd Ste E, Mcallen, TX 78503-1532 | 2013-05-08 |
| 1619172202 | Vicki Lakwanda Carr | Dermatology | 20311 Kuykendahl Rd., Spring, TX 77379-2614 | 2007-06-15 |
| 1962558247 | Raegan D'ann Hunt | Dermatology | 6701 Fannin St Ste 670, Pediatric Dermatology, Texas Children's Hospital, Houston, TX 77030-2610 | 2007-01-26 |
| 1487277737 | Wise Dermatology | Dermatology | 13333 Dotson Rd Ste 140, Houston, TX 77070-4305 | 2020-05-21 |
| 1952750267 | Danielle Brown | Dermatology | 6701 Fannin St Ste 670, Houston, TX 77030-2610 | 2016-06-07 |
| 1487060679 | Pediatric Dermatology of No. Tx | Dermatology | 1325 W Northwest Hwy, Grapevine, TX 76051-3141 | 2014-07-08 |
| 1790103869 | Dell Children's Medical Group | Dermatology | 1000 Hesters Crossing Rd, Round Rock, TX 78681-8020 | 2014-04-04 |
| 1124318720 | Megan Fitch Craddock | Dermatology | 6701 Fannin St Ste 670, Houston, TX 77030 | 2011-04-15 |
| 1043454515 | Lucia Zoraida Diaz | Dermatology | 1301 Barbara Jordan Blvd Ste 200, Austin, TX 78723-3078 | 2009-04-28 |
| 1932326253 | Heather D Volkman | Dermatology | 901 7th Ave, Fort Worth, TX 76104-2722 | 2007-04-19 |
| Find all providers with the same taxonomy | ||||
| City | JBSA-LACKLAND |
| Zip Code | 78245 |
Please comment or provide details below to improve the information on SHANNAN ELIZABETH MCCANN.
| 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.