SHANNON M. HOGAN (NPI# 1801865845) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801865845 |
| Entity Type | Individual |
| Full Name | SHANNON M. HOGAN |
| Credential | PA-C |
| Practice Address |
13555 W Mcdowell Rd Suite 101 Goodyear AZ 85338-2624 |
| Practice Telephone | 6238819238 |
| Practice Fax Number | 6235124253 |
| Mailing Telephone | 6238819238 |
| Mailing Fax Number | 6235124253 |
| Enumeration Date | 2006-03-14 |
| Last Update Date | 2020-07-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA2251 | NV | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
1509 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | DEA | MH0003652 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3841 W Charleston Blvd Ste 203, Las Vegas, NV 891021858 | 7028484443 | 7028050299 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922620442 | Shannon Hogan | Student in an Organized Health Care Education/Training Program | 195 Canal St, Malden, MA 02148-6701 | 2020-05-07 |
| 1326512062 | Shannon Hogan | Physical Therapy Assistant | 19395 W Capitol Dr Ste 200, Brookfield, WI 53045-2736 | 2019-01-16 |
| 1356826705 | Shannon Nicole Hogan | Registered Nurse | 1144 N Road St, Elizabeth City, NC 27909-3473 | 2018-10-02 |
| 1609276765 | Shannon Hogan | Counselor | 2808 Nw 31st St, Oklahoma City, OK 73112-7407 | 2014-08-26 |
| 1144576596 | Shannon Marie Hogan | Pharmacist | 110 E Broadway, Fulton, NY 13069-2300 | 2012-08-02 |
| 1598090177 | Shannon Hogan | Registered Nurse | 231 E Chestnut St, Louisville, KY 40202-1821 | 2009-10-15 |
| 1265613426 | Shannon M. Hogan | Pediatrics | 1 S Prospect St, Burlington, VT 05401-3456 | 2007-11-16 |
| Street Address |
13555 W MCDOWELL RD SUITE 101 |
| City | GOODYEAR |
| State | AZ |
| Zip Code | 85338-2624 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669476917 | Cynthia Lynne Collins | Surgery | 13555 W Mcdowell Rd, Ste 204, Goodyear, AZ 85338-2626 | 2005-06-01 |
| 1770025439 | Arizona Urology LLC | Urology | 13555 W Mcdowell Rd, Suite 302, Goodyear, AZ 85395-2624 | 2016-11-12 |
| 1528413929 | Southwest Valley Surgical Associates, Pllc | Surgery | 13555 W Mcdowell Rd, Suite 204, Goodyear, AZ 85395-2626 | 2016-05-04 |
| 1184020182 | Jacqueline Lindsey Lepetit | Nurse Practitioner | 13555 W Mcdowell Rd, Ste#205, Goodyear, AZ 85395-2624 | 2014-11-18 |
| 1548532807 | Cherilyn L Larson | Audiologist | 13555 W Mcdowell Rd, Suite 202, Goodyear, AZ 85395 | 2012-02-02 |
| 1104117696 | Arizona Center for Hematology and Oncology, Plc | Urology | 13555 W Mcdowell Rd, 304, Goodyear, AZ 85395-2624 | 2011-05-02 |
| 1699065243 | Dallas Christopher Smith | Anesthesiology | 13555 W Mcdowell Rd, Ste 201, Goodyear, AZ 85395-2624 | 2011-04-17 |
| 1447566302 | Danielle Moller | Physician Assistant | 13555 W Mcdowell Rd, #302, Goodyear, AZ 85395-2624 | 2010-08-29 |
| 1073837209 | Arizona Center for Hematology and Oncology, Plc | Radiology | 13555 W Mcdowell Rd, Suite 210, Goodyear, AZ 85395-2624 | 2010-03-17 |
| 1780915538 | Associated Ophthalmologist | Ophthalmology | 13555 W Mcdowell Rd, #102, Goodyear, AZ 85395 | 2010-01-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295226884 | Caroline Chang | Dentist | 15530 W Roosevelt St Ste E106, Goodyear, AZ 85338 | 2018-05-20 |
| 1609376714 | Rosanna Alvarez | Licensed Practical Nurse | 17432 W Elaine Dr, Goodyear, AZ 85338 | 2018-02-15 |
| 1023534419 | Jennifer Elizabeth Lawrence Dixon | Social Worker | 319 N Lichfield Rd, Suite 105, Goodyear, AZ 85338 | 2017-08-17 |
| 1346774916 | Vanessa Castillo | Specialist/Technologist | 18035 W. Yuma Rd, Goodyear, AZ 85338 | 2017-04-20 |
| 1386008076 | Hope Behavioral Health Residential Care | Substance Abuse Rehabilitation Facility | 15985 W.williams Street, Goodyear, AZ 85338 | 2016-04-08 |
| 1952760241 | Jeremy John Abdul-haqq | Dentist | 15661 W Roosevelt St Ste 102, Goodyear, AZ 85338 | 2016-02-16 |
| 1417206897 | Kelly Renee Filo | Occupational Therapy Assistant | 10189 S. Hacienda Dr., Goodyear, AZ 85338 | 2012-08-31 |
| 1194015545 | Nancy Ann Amore | Licensed Practical Nurse | 15578 W Yuma Road, Goodyear, AZ 85338 | 2011-04-19 |
| 1932409208 | Chung Counihan | Pharmacist | 9890 S Estrella Parkway, Goodyear, AZ 85338 | 2010-11-02 |
| 1053611327 | Traven Anderson | Pharmacist | 9890 South Estrella Parkway, Goodyear, AZ 85338 | 2010-11-02 |
| Find all providers in zip 85338 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639667405 | Craig M Tambatamba | Physician Assistant | 16064 W Williams St, Goodyear, AZ 85338-3494 | 2018-04-27 |
| 1871827220 | Timothy Ralph Johnson | Physician Assistant | 2014 N Citrus Rd, Goodyear, AZ 85338 | 2009-10-01 |
| 1366695470 | Trent Wilson Knight | Physician Assistant | 700 N Estrella Pkwy Ste 145, Goodyear, AZ 85338-9329 | 2008-11-03 |
| 1013187301 | Nakia Lashawn Brooks | Physician Assistant | 14200 Celebrate Life Way, Goodyear, AZ 85338-2539 | 2008-03-03 |
| 1255426870 | Kelli Ann Mercado | Physician Assistant | 2700 N 140th Ave Ste 107, Goodyear, AZ 85395-2439 | 2006-10-03 |
| 1962059279 | Wv Medical Group LLC | Physician Assistant | 3301 N Litchfield Rd Ste 200, Goodyear, AZ 85395-3197 | 2019-08-21 |
| 1235691155 | Cassie Woods | Physician Assistant | 13677 W Mcdowell Rd, Goodyear, AZ 85395-2635 | 2019-04-01 |
| 1346729696 | Brooklynne Frederick Goss | Physician Assistant | 13677 W Mcdowell Rd, Goodyear, AZ 85395-2635 | 2018-08-08 |
| 1831676980 | Lisa Jacqueline Kovacevic | Physician Assistant | 13677 W Mcdowell Rd, Goodyear, AZ 85395-2635 | 2018-07-22 |
| 1073039947 | Katrina Carbonell Aquino | Physician Assistant | 13677 W Mcdowell Rd, Goodyear, AZ 85395-2635 | 2017-08-22 |
| Find all providers in GOODYEAR | ||||
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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.