MS. SHANNON MEGAN DAVE (NPI# 1780176859) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1780176859 |
Entity Type | Individual |
Full Name | MS. SHANNON MEGAN DAVE |
Credential | MD |
Practice Address |
1202 Nw Arlington Ave Lawton OK 73507-6537 |
Mailing Address |
2602 Nw Lake Front Dr Lawton OK 73505-1252 |
Practice Telephone | 5802482288 |
Mailing Telephone | 5805145099 |
Enumeration Date | 2018-06-04 |
Last Update Date | 2018-06-04 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
Street Address |
1202 NW ARLINGTON AVE |
City | LAWTON |
State | OK |
Zip Code | 73507-6537 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457398240 | Penny L Hoover | Family Medicine | 1202 Nw Arlington Ave, Lawton, OK 73507-6537 | 2006-06-01 |
1437719465 | Comanche County Hospital Authority | Clinic/Center | 1202 Nw Arlington Ave, Lawton, OK 73507-6537 | 2019-06-20 |
1740797182 | Raven Jeaneene Piontek | Registered Nurse | 1202 Nw Arlington Ave, Lawton, OK 73507-6537 | 2018-01-08 |
1346778644 | Shane Hoon Lee | Family Medicine | 1202 Nw Arlington Ave, Lawton, OK 73507-6537 | 2017-05-31 |
1790210912 | Kiran Mendha | Student in an Organized Health Care Education/Training Program | 1202 Nw Arlington Ave, Lawton, OK 73507-6537 | 2017-04-25 |
1700311396 | Brenda Guzman | Student in an Organized Health Care Education/Training Program | 1202 Nw Arlington Ave, Southwest Oklahoma Family Medicine Residency, Lawton, OK 73507-6537 | 2017-04-20 |
1710331442 | Muhammad Zeeshan Siddiqui | Student in an Organized Health Care Education/Training Program | 1202 Nw Arlington Ave, Lawton, OK 73507-6537 | 2016-04-19 |
1265896161 | Samiya Khan | Family Medicine | 1202 Nw Arlington Ave, Lawton, OK 73507-6537 | 2016-04-07 |
1730554338 | Amy Hannington | Physician Assistant | 1202 Nw Arlington Ave, Lawton, OK 73507-6537 | 2015-12-08 |
1245618909 | Linda Baby | Family Medicine | 1202 Nw Arlington Ave, Lawton, OK 73507-6537 | 2015-05-14 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720619935 | Kori Wren Wiegmann | Registered Nurse | 1515 Nw Lawrie Tatum Road, Lawton, OK 73507 | 2020-01-28 |
1013424027 | Liane Jacobson | Registered Nurse | 1515 Laurie Tatum Road, Adult Care Clinic 2, Lawton, OK 73507 | 2017-12-29 |
1649727041 | Rachel Ayala | Dietitian, Registered | 2811 Nw Hilltop Dr, Lawton, OK 73507 | 2016-09-02 |
1811370471 | William S, Davies, M.d., Inc. | Psychiatric Residential Treatment Facility | 1302 N, W, Lake Ave, Lawton, OK 73507 | 2015-07-01 |
1538554894 | Ashlee A Haugen-lewis | Behavioral Analyst | 4121 W Gore, Lawton, OK 73507 | 2015-04-03 |
1003188970 | Jenny Rae Mohon | Registered Nurse | 1515 North East Lawrie Tatum Road, Usphs Lawton Indian Hospital, Lawton, OK 73507 | 2012-02-07 |
1558548578 | Dawn M Griffith | Registered Nurse | 1515 Lawrie Tatum Dr., Lawton, OK 73507 | 2008-01-22 |
1275605172 | Judy Weiss | Pharmacist | 524 Lawrie Tatum Rd, Lawton, OK 73507 | 2006-11-15 |
1790895894 | William Spalding Davies | Psychiatry & Neurology | 1302 Lake Ave, Lawton, OK 73507 | 2006-08-30 |
1275646374 | Phillip Lynn Aday | Dentist | 1116 Nw Arlington, Lawton, OK 73507 | 2006-08-16 |
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Taxonomy Code | 390200000X |
Grouping | Student, Health Care |
Classification | Student in an Organized Health Care Education/Training Program |
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
Notes: [1/1/2005: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053949123 | Shahbaz Ahmad Afzal | Student in an Organized Health Care Education/Training Program | 7108 Sw Angelwood Dr, Lawton, OK 73505-9613 | 2020-04-01 |
1043723257 | Caitlin Cunningham | Student in an Organized Health Care Education/Training Program | 421 Nw 69th St, Lawton, OK 73505-5403 | 2017-11-09 |
1831602044 | Brittany Diane Meredith | Student in an Organized Health Care Education/Training Program | 4001 Century Oaks Ln, Lawton, OK 73505-5066 | 2017-11-09 |
1023547510 | Courtney Hill | Student in an Organized Health Care Education/Training Program | 5404 Sw Lee Blvd Ste 101, Lawton, OK 73505-9697 | 2017-06-08 |
1831587419 | Katheryn Caffee | Student in an Organized Health Care Education/Training Program | 326 Ne Abshere Rd, Lawton, OK 73507-5825 | 2015-01-05 |
1700490570 | Kristen Renee Molloy | Student in an Organized Health Care Education/Training Program | 4202 Sw Lee Blvd, Lawton, OK 73505-8300 | 2020-08-31 |
1669094371 | Jacob Aaron Fuller | Student in an Organized Health Care Education/Training Program | 3401 W Gore Blvd, Lawton, OK 73505-6332 | 2020-05-15 |
1679195614 | Kennan Dale Richards | Student in an Organized Health Care Education/Training Program | 3401 W Gore Blvd, Lawton, OK 73505-6332 | 2020-05-13 |
1730701251 | Shelby Madolyn Willis | Student in an Organized Health Care Education/Training Program | 3401 W Gore Blvd, Lawton, OK 73505-6332 | 2020-05-07 |
1902427404 | Christopher Raul Fernandez | Student in an Organized Health Care Education/Training Program | 3401 W Gore Blvd, Lawton, OK 73505-6332 | 2020-05-06 |
Find all providers in LAWTON |
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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.