DR. SHANNON LEIGH CARPENTER (NPI# 1770727836) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1770727836 |
Entity Type | Individual |
Full Name | DR. SHANNON LEIGH CARPENTER |
Credential | M.D. |
Practice Address |
12 Kanawha Ter Saint Albans WV 25177 |
Mailing Address |
3200 Maccorkle Ave Se Suite B16 Charleston WV 25304 |
Practice Telephone | 3042011130 |
Practice Fax Number | 3042011134 |
Mailing Telephone | 3043885848 |
Mailing Fax Number | 3043889654 |
Enumeration Date | 2009-04-20 |
Last Update Date | 2018-08-03 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207Q00000X | Family Medicine | 24882 | WV | Allopathic & Osteopathic Physicians |
N | 208M00000X | Hospitalist | 24882 | WV | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WV | 3810024872 | 05 |
Address | Telephone Number | Fax Number |
---|---|---|
3200 Maccorkle Ave Se, Suite 502, Charleston, WV 253041227 | 3043885848 | 3043889654 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639225907 | Shannon Larae Carpenter | Specialist | 518 S Tobin St, Renton, WA 98055-1303 | 2007-01-26 |
1306331574 | Shannon Grace Carpenter | Physical Therapist | 200 1st St Sw, Rochester, MN 55905 | 2018-06-28 |
1912446642 | Shannon Carpenter | Technician, Other | 41521 W 11 Mile Rd, Novi, MI 48375-1803 | 2017-02-14 |
1366762023 | Shannon Renea' Carpenter | Orthopaedic Surgery | 4801 E Linwood Blvd, Kansas City, MO 64128-2226 | 2010-06-04 |
1891876405 | Shannon Kay Carpenter | Chiropractor | 4505 Woodgate Dr, Janesville, WI 53546-8203 | 2006-10-18 |
1730296716 | Shannon Carpenter | Pediatrics | 2401 Gillham Rd, Kansas City, MO 64108-4619 | 2006-08-24 |
Street Address |
12 KANAWHA TER |
City | SAINT ALBANS |
State | WV |
Zip Code | 25177 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326001801 | Kimberly T. Lough | Dentist | 12 Kanawha Ter, Suite B, Saint Albans, WV 25177-2750 | 2006-04-07 |
1083147375 | Blaire Smith | Pediatrics | 12 Kanawha Ter, Saint Albans, WV 25177-2750 | 2017-04-04 |
1356748404 | Sarah Smith | Counselor | 12 Kanawha Ter, Saint Albans, WV 25177 | 2014-12-04 |
1497195374 | Rita Ramesh Patel | Family Medicine | 12 Kanawha Ter, Saint Albans, WV 25177-2750 | 2013-06-25 |
1215284492 | Jennifer Lynn Ranson | Nurse Practitioner | 12 Kanawha Ter, Saint Albans, WV 25177-2750 | 2012-08-07 |
1902166945 | Womencare Inc | Clinic/Center | 12 Kanawha Ter, Saint Albans, WV 25177-2750 | 2012-05-24 |
1790087187 | Bernard Dean Grose II | Physician Assistant | 12 Kanawha Ter, Saint Albans, WV 25177-2750 | 2010-11-17 |
1922241520 | John Kent Jackfert | Dentist | 12 Kanawha Ter, Suite B, Saint Albans, WV 25177-2750 | 2009-04-13 |
1528208774 | Lucy Kara Shamblin | Family Medicine | 12 Kanawha Ter, Saint Albans, WV 25177-2750 | 2009-03-01 |
1740476357 | Erica R Frye | Physician Assistant | 12 Kanawha Ter, Saint Albans, WV 25177-2750 | 2007-09-18 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366043655 | Lauren E. Anderson | Technician | 414 Lore Street, St. Albans, WV 25177 | 2020-11-04 |
1235730433 | Laura Crist | Technician | 1400 Highland Dr. Apt. #104, St. Albans, WV 25177 | 2020-11-04 |
1750982070 | Kathy Carden | Technician | 2734 Knox. Ave., St. Albans, WV 25177 | 2020-11-03 |
1245837012 | Donald Troy Blum | Pharmacist | 201 Maccorkle Avenue, St. Albans, WV 25177 | 2020-10-05 |
1073022067 | Comprehensive Occupational Med, Physicals, Acad, & Surveillance Sol. | Preventive Medicine | 175 Smiley Drive, St. Albans, WV 25177 | 2017-09-22 |
1104291608 | Melinda K. Henline, Ma, Pllc | Psychologist | 200 Kanawha Terrrace, Suite 103, St. Albans, WV 25177 | 2015-12-09 |
1285075796 | Brandon Tincher | Physical Therapy Assistant | 2501 Mountain View Drive, St. Albans, WV 25177 | 2013-07-12 |
1104129329 | Larry N Pethtel | Pharmacist | 1439 Maccorkle Ave., Saint Albans, WV 25177 | 2010-12-09 |
1952580698 | Behavioral Health Solutions LLC | Community/Behavioral Health | 235 Woods Dr, St Albans, WV 25177 | 2007-10-30 |
1336284520 | Lagrimas Babiera Sadorra | Family Medicine | 200 Kanawha Terrace, St Albans, WV 25177 | 2007-02-21 |
Find all providers in zip 25177 |
Taxonomy Code | 207Q00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Family Medicine |
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003391483 | Ann-marie Civil | Family Medicine | 19432 111th Ave, Saint Albans, NY 11412-2014 | 2018-10-01 |
1881096329 | Janelle Applewhaite | Family Medicine | 20016 Hollis Ave, Saint Albans, NY 11412-1712 | 2014-09-16 |
1588974885 | Yvonnecris Smith Veal | Family Medicine | 11230 Farmers Blvd, Saint Albans, NY 11412-2363 | 2010-10-20 |
1417274663 | Northwestern Medical Center, Inc. | Family Medicine | 133 Fairfield St Ste 103, Saint Albans, VT 05478-1726 | 2010-04-28 |
1275667099 | Alicia T. Guilford | Family Medicine | 74 Sunrise Ln, Saint Albans, VT 05478-4414 | 2007-03-15 |
1659408383 | Joseph Pierre | Family Medicine | 20003 Linden Blvd, Saint Albans, NY 11412-3223 | 2007-02-28 |
1255489936 | Amy Dale Casto | Family Medicine | 612 5th St., Saint Albans, WV 25177 | 2007-01-08 |
1053473116 | Anthony W Graham | Family Medicine | 509 4th Ave, Saint Albans, WV 25177-2824 | 2006-12-15 |
1083636377 | I. Elaine Moore | Family Medicine | 311 8th Ave, Saint Albans, WV 25177 | 2006-07-24 |
1124066766 | Eustace A. Huggins | Family Medicine | 20017 Linden Blvd, Saint Albans, NY 11412-3200 | 2006-06-04 |
Find all providers in SAINT ALBANS |
City | SAINT ALBANS |
Zip Code | 25177 |
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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.