SHANNON C BOLINGER (NPI# 1780840264) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780840264 |
| Entity Type | Individual |
| Full Name | SHANNON C BOLINGER |
| Credential | PA |
| Practice Address |
7609 Preston Rd Ste 3500 Plano TX 75024-3214 |
| Mailing Address |
Po Box 398 Ste 3500 Anahuac TX 77514-0398 |
| Practice Telephone | 4693034700 |
| Practice Fax Number | 4693034230 |
| Mailing Telephone | 4693034700 |
| Mailing Fax Number | 4693034230 |
| Enumeration Date | 2008-08-04 |
| Last Update Date | 2016-05-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA05806 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
7609 PRESTON RD STE 3500 |
| City | PLANO |
| State | TX |
| Zip Code | 75024-3214 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811039381 | University of Texas Southwestern Medical Center At Dallas | Radiology | 7609 Preston Rd, Plano, TX 75024-3214 | 2007-02-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689294605 | Seungeun Szczechowski | Specialist/Technologist, Other | 8308 Preston Rd Bldg 200, Suite 259, Plano, TX 75024 | 2020-04-20 |
| 1366080962 | Eating Recovery Center of Texas, LLC | Clinic/Center | 5120 Legacy Dr, Plano, TX 75024 | 2019-12-13 |
| 1336786615 | Regenerative Practitioners Group | Preventive Medicine | 8200 Preston Road Suite 100, Plano, TX 75024 | 2019-12-05 |
| 1033671771 | Cvs Pharmacy Inc. | Pharmacy | 6125 Legacy Drive, Plano, TX 75024 | 2019-04-02 |
| 1902364581 | Bayada Home Health Care, Inc. | Home Health | 5851 Legacy Circle, Fl 6, Suite 6052, Plano, TX 75024 | 2019-03-04 |
| 1881168052 | Waking Up To Peace Solutions LLC | Counselor | 8105 Rasor Blvd, Ste 303, Plano, TX 75024 | 2019-01-21 |
| 1407325905 | Fresenius Medical Care Willow Bend, LLC | Clinic/Center | 6823 Communications Pkwy Bldg A, Plano, TX 75024 | 2018-11-14 |
| 1265933378 | Cody Jones | Physical Therapist | 7211 Preston Road, Plano, TX 75024 | 2018-02-23 |
| 1720587538 | Sol Medical Massage Inc | Massage Therapist | 4666 Mcdermott Rd Suite 100, Plano, TX 75024 | 2018-02-07 |
| 1447768726 | Thelma Franco | Counselor | 5151 Headquarters Dr Ste 155, Plano, TX 75024 | 2018-01-20 |
| Find all providers in zip 75024 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083264766 | Sarah Chong Kim | Physician Assistant | 3212 Saint Ives Ct, Plano, TX 75075-3430 | 2019-09-16 |
| 1396260147 | Mark Ali Bahreini | Physician Assistant | 6928 Amethyst Ln, Plano, TX 75023-1938 | 2017-08-12 |
| 1174997704 | Sydney Marie Kromer | Physician Assistant | 1713 Endicott Dr, Plano, TX 75025-3057 | 2015-11-19 |
| 1275946295 | Naveeda Farooqi | Physician Assistant | 9600 Coit Rd Apt 922, Plano, TX 75025-8226 | 2014-06-06 |
| 1134468036 | Elizabeth Ann Munse | Physician Assistant | 3504 Lakebrook Dr, Plano, TX 75093-7520 | 2013-02-12 |
| 1679731350 | Brittany Dawn Epstein | Physician Assistant | 4001 W 15th St Ste 245, Plano, TX 75093-5839 | 2008-05-29 |
| 1902951296 | Barbara Lynn Jacinto | Physician Assistant | 3900 American Dr Ste 203, Plano, TX 75075-6190 | 2007-01-24 |
| 1164509881 | Scott Gregory Bearden | Physician Assistant | 901 W 15th St, Plano, TX 75075-5134 | 2006-11-01 |
| 1285641068 | Heidi Beth Cook | Physician Assistant | 5425 W Spring Creek Pkwy Ste 265, Plano, TX 75024-4344 | 2006-08-02 |
| 1598790917 | Kathy Johnson | Physician Assistant | 6124 W Parker Rd Ste 330, Plano, TX 75093-8125 | 2006-07-12 |
| Find all providers in PLANO | ||||
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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.