DR. SHANNON HAENEL (NPI# 1811124365) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811124365 |
| Entity Type | Individual |
| Full Name | DR. SHANNON HAENEL |
| Credential | D.O. |
| Practice Address |
2101 N Waldron St Hutchinson KS 67502-1131 |
| Practice Telephone | 6206692500 |
| Mailing Telephone | 6206692500 |
| Enumeration Date | 2009-06-11 |
| Last Update Date | 2016-06-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | P0941 | TX | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | BP10034619 | TX | Allopathic & Osteopathic Physicians |
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
05-38452 | KS | Allopathic & Osteopathic Physicians |
| N | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
P0941 | TX | Allopathic & Osteopathic Physicians |
| Street Address |
2101 N WALDRON ST |
| City | HUTCHINSON |
| State | KS |
| Zip Code | 67502-1131 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356347215 | Mark Anthony Yackley | Internal Medicine | 2101 N Waldron St, Hutchinson, KS 67502-1131 | 2005-06-24 |
| 1871108712 | Sydney Lane Piles | Nurse Practitioner | 2101 N Waldron St, Hutchinson, KS 67502-1131 | 2020-09-08 |
| 1477184497 | Halle Miller | Physician Assistant | 2101 N Waldron St, Hutchinson, KS 67502-1197 | 2020-01-29 |
| 1689213381 | Beth Nicole Guy | Nurse Practitioner | 2101 N Waldron St, Hutchinson, KS 67502-1197 | 2019-12-27 |
| 1821639774 | Hutchinson Clinic, Pa, Inc. | Nutritionist | 2101 N Waldron St, Hutchinson, KS 67502-1197 | 2019-10-02 |
| 1336795384 | Hutchinson Clinic, Pa, Inc. | Dietitian, Registered | 2101 N Waldron St, Hutchinson, KS 67502-1197 | 2019-08-15 |
| 1457905333 | Kathy Mailloux | Registered Nurse | 2101 N Waldron St, Hutchinson, KS 67502-1197 | 2019-07-29 |
| 1720632615 | Brooke Davis | Health Educator | 2101 N Waldron St, Hutchinson, KS 67502-1197 | 2019-07-29 |
| 1609336783 | Anda Marie Entz | Nurse Practitioner | 2101 N Waldron St, Hutchinson, KS 67502-1197 | 2019-03-23 |
| 1528539517 | Stephanie Kay Isaacson | Nurse Practitioner | 2101 N Waldron St, Hutchinson, KS 67502-1197 | 2018-12-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770032054 | Maryann M Hawkinson | Nurse Practitioner | 2700 E 30th, Hutchinson, KS 67502 | 2016-09-27 |
| 1801257415 | Kenneth Lee Herdt | Hearing Instrument Specialist | 210 E 30th Ave Ste 112, Hutchinson, KS 67502 | 2016-03-09 |
| 1588072052 | Kim Swafford | Pharmacist | 1791 E 23rd, Hutchinson, KS 67502 | 2014-07-29 |
| 1790095438 | Stanley R Kjellberg | Assisted Living Facility | 1909 Landon Street, Hutchinson, KS 67502 | 2010-10-15 |
| 1366752164 | Andrea L Bribiesca | Case Manager/Care Coordinator | 14 17th Crestview, Hutchinson, KS 67502 | 2010-10-14 |
| 1649592569 | Christopher Lee Bailey | Pharmacist | 1320 E. 30th Ave, Hutchinson, KS 67502 | 2010-02-19 |
| 1245464619 | Travis L Gillespie | Dentist | 200 E 30th Ave Ste A, Hutchinson, KS 67502 | 2009-05-13 |
| 1659522548 | Owens Optical | Eyewear Supplier (Equipment, not the service) | 522 -e- 30th, Hutchinson, KS 67502 | 2008-10-09 |
| 1386848026 | Ruth Elaine Buell | Occupational Therapist | 1202 East 23rd St., Hutchinson, KS 67502 | 2007-06-14 |
| 1326260308 | Darron D. Veh | Physical Therapist | 2500 E. 30th, Hutchinson, KS 67502 | 2007-05-02 |
| Find all providers in zip 67502 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659931525 | Hutchinson Regional Medical Center, Inc. | Internal Medicine | 1701 E 23rd Ave, Hutchinson, KS 67502-1105 | 2019-06-13 |
| 1609399609 | Hutchinson Clinic Oncology Dispensary | Internal Medicine | 2101 N Waldron St, Hutchinson, KS 67502-1131 | 2017-07-21 |
| 1548652514 | Sawsan Amireh | Internal Medicine | 1701 E 23rd Ave, Hutchinson, KS 67502-9907 | 2015-02-26 |
| 1063513224 | Khalid Ali Kambal | Internal Medicine | 1095 Highway 15 S, Cancer Center, Hutchinson, MN 55350-5000 | 2006-09-26 |
| 1013987924 | Fadi Estephan | Internal Medicine | 2101 N Waldron St, Hutchinson, KS 67502-1131 | 2006-01-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629495502 | Sashidhar Manthravadi | Internal Medicine | 8929 Parallel Pkwy Ste G, Kansas City, KS 66112-1689 | 2014-03-28 |
| 1073806410 | Karl H Hanson Jr. | Internal Medicine | 9703 Overbrook Rd, Leawood, KS 66206-2309 | 2011-05-18 |
| 1033408695 | University of Kansas Hospital Authority | Internal Medicine | 9200 Indian Creek Pkwy, Bldg 9 Ste. 300, Overland Park, KS 66210-2036 | 2011-04-05 |
| 1508006917 | Howard N Ward | Internal Medicine | 3126 Sw 15th St, Topeka, KS 66604-2516 | 2009-02-25 |
| 1598916769 | Cancer Center of Kansas, P.a. | Internal Medicine | 817 N. Emporia, Wichita, KS 67214-3709 | 2008-10-07 |
| 1912158221 | Cancer Center of Kansas, P.a. | Internal Medicine | 750 Avenue D, Kingman, KS 67068-0376 | 2008-10-06 |
| 1811148125 | Cancer Center of Kansas, P.a. | Internal Medicine | 124 Commodore, Suite A, Pratt, KS 67124-2903 | 2008-10-06 |
| 1467603779 | Cancer Center of Kansas, P.a. | Internal Medicine | 1305 East 5th, Winfield, KS 67156-2406 | 2008-10-06 |
| 1215188529 | Cancer Center of Kansas, P.a. | Internal Medicine | 505 S. Plummer, Chanute, KS 66720-1950 | 2008-10-06 |
| 1730330044 | Cancer Center of Kansas, P.a. | Internal Medicine | 700 W. Central, El Dorado, KS 67042-2187 | 2008-10-06 |
| Find all providers with the same taxonomy | ||||
| City | HUTCHINSON |
| Zip Code | 67502 |
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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.