MR. TIMOTHY M. SHANNON (NPI# 1801832597) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1801832597 |
Entity Type | Individual |
Full Name | MR. TIMOTHY M. SHANNON |
Credential | P.T. |
Practice Address |
4801 S Congress Ave Suite 301 Lake Worth FL 33461-4746 |
Practice Telephone | 5619676500 |
Practice Fax Number | 5619635600 |
Mailing Telephone | 5619676500 |
Mailing Fax Number | 5619635600 |
Enumeration Date | 2006-06-21 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 174400000X | Specialist | PT 19887 | FL | Other Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730614579 | Timothy Patrick Shannon | Technician, Pathology | 6748 Mary Ave Nw, #104, Seattle, WA 98117-5360 | 2017-05-01 |
1952314817 | Timothy Michael Shannon | Dentist | 2214 W Boyd St, Norman, OK 73069-4836 | 2006-08-14 |
1457314858 | Timothy W Shannon | Optometrist | 1234 7th St, Suite 2, Santa Monica, CA 90401-1614 | 2006-04-08 |
1770641128 | Timothy Patrick Shannon | Dentist | 4450 Se Johnson Creek Blvd, Milwaukie, OR 97222-9217 | 2006-12-05 |
1811968589 | Timothy J Shannon | Orthopaedic Surgery | 410 University Pkwy, Suite 1000, Aiken, SC 29801 | 2006-01-30 |
Street Address |
4801 S CONGRESS AVE SUITE 301 |
City | LAKE WORTH |
State | FL |
Zip Code | 33461-4746 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962461640 | David H Kiner | Internal Medicine | 4801 S Congress Ave, Suite 304, Lake Worth, FL 33461-4746 | 2006-03-21 |
1558719526 | Soho Wellness Initiative, LLC | Clinic/Center | 4801 S Congress Ave, Suite 120, Lake Worth, FL 33461-4746 | 2016-05-31 |
1326417676 | Soho Wellness Initiative, LLC | Clinic/Center | 4801 S Congress Ave, Suite 120, Lake Worth, FL 33461-4746 | 2015-09-16 |
1326399791 | Blue Water Doctors of Lake Worth LLC | Family Medicine | 4801 S Congress Ave, Suite 304, Lake Worth, FL 33461-4746 | 2012-09-26 |
1508147240 | Wellington Orthopedic Institute | Orthopaedic Surgery | 4801 S Congress Ave, Lake Worth, FL 33461-4746 | 2011-09-08 |
1790095693 | Dr David H Kiner Do Pa | Internal Medicine | 4801 S Congress Ave, Suite 304, Lake Worth, FL 33461-4746 | 2010-10-14 |
1558680991 | Dennis Montoya | Physical Therapist | 4801 S Congress Ave, Lake Worth, FL 33461-4746 | 2010-05-25 |
1396077210 | Sarah Oliver | Specialist/Technologist | 4801 S Congress Ave, Lake Worth, FL 33461-4746 | 2010-02-02 |
1154595023 | Conte's Dental Group | Dentist | 4801 S Congress Ave, Lake Worth, FL 33461-4746 | 2008-04-22 |
1306018858 | Audrey E Sawney-young | Occupational Therapy Assistant | 4801 S Congress Ave, Lake Worth, FL 33461-4746 | 2008-03-25 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174167993 | Pcc Medical Holdings LLC | Health Maintenance Organization | 5055 South Congress Avenue, Suite 303, Lake Worth, FL 33461 | 2019-11-05 |
1841849692 | Five Star Medical Group Inc | Clinic/Center | 4300 10th Ave North, Suite 2, Lake Worth, FL 33461 | 2019-09-04 |
1346894375 | Patrick Pierre Jr. | Behavioral Analyst | 2430 Lake Worth Rd, Apt 2306, Lake Worth, FL 33461 | 2019-07-29 |
1740842699 | Amanda Shaw | Massage Therapist | 822 Lynnwood Dr, Lake Worth, FL 33461 | 2019-07-01 |
1043706005 | Elina Aguero Arman | Case Manager/Care Coordinator | 420 Alemeda Dr, Palm Springs, FL 33461 | 2018-07-02 |
1275028656 | Cagigas Dental Services Inc | Clinic/Center | 2311 10th Avenue North Suite 14, Lake Worth, FL 33461 | 2018-06-27 |
1972028447 | Annette Daley | Behavior Technician | 3595 2nd Ave North, Palm Springs, FL 33461 | 2017-08-07 |
1104349471 | Safe At Home Health Care, LLC | In Home Supportive Care | 555 Purdy Ln. #215, Palm Springs, FL 33461 | 2017-07-19 |
1609307271 | Yadira Perera | Assistant Behavior Analyst | 500 Davis Rd 42a, Palm Springs, FL 33461 | 2017-03-24 |
1982155842 | Palm Beach Addiction Center, Inc | Substance Abuse Rehabilitation Facility | 4196 Lake Worth Road, Lake Worth, FL 33461 | 2016-10-17 |
Find all providers in zip 33461 |
Taxonomy Code | 174400000X |
Grouping | Other Service Providers |
Classification | Specialist |
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043697949 | Tanya Farris-steward | Specialist | 6898 Houlton Cir, Lake Worth, FL 33467-8741 | 2015-04-29 |
1346413804 | Jeremy Dalisay Chan | Specialist | 6798 Ashburn Rd, Lake Worth, FL 33467-7319 | 2008-04-04 |
1487842753 | Randall Deal | Specialist | 5791 Lago Del Sol Dr, Lake Worth, FL 33449-5426 | 2007-10-11 |
1851583082 | Rely-a-bill Medical Billing Services LLC | Specialist | 8256 Abalone Point Blvd, Lake Worth, FL 33467-6944 | 2007-08-12 |
1285838672 | Denise Lucy Caruso | Specialist | 7567 Wentworth Dr, Lake Worth, FL 33467-7811 | 2007-06-12 |
1992919385 | Tania Lopez | Specialist | 1906 N A St, Lake Worth, FL 33460-6002 | 2007-05-09 |
1124232244 | Jenny Constanza Acosta | Specialist | 3784 Cypress Lake Dr, Lake Worth, FL 33467-2205 | 2007-05-09 |
1467528240 | Mary Lynn Engroff | Specialist | 7595 Lake Worth Rd, Lake Worth, FL 33467-2532 | 2006-11-26 |
1609952787 | Marilyn Gail Harvie | Specialist | 9655 San Vittore St, Lake Worth, FL 33467-6149 | 2006-10-31 |
1548362833 | Peter Jay Lowe | Specialist | 4175 S Congress Ave Ste V, Lake Worth, FL 33461-4725 | 2006-09-05 |
Find all providers in LAKE WORTH |
City | LAKE WORTH |
Zip Code | 33461 |
Please comment or provide details below to improve the information on MR. TIMOTHY M. SHANNON.
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.