THOMAS SHANNON JR. (NPI# 1821079864) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821079864 |
| Entity Type | Individual |
| Full Name | THOMAS SHANNON JR. |
| Credential | D.P.M. |
| Practice Address |
654 Philadelphia Ave Shillington PA 19607-2769 |
| Practice Telephone | 6107969522 |
| Practice Fax Number | 6107960105 |
| Mailing Telephone | 6107969522 |
| Mailing Fax Number | 6107960105 |
| Enumeration Date | 2005-11-08 |
| Last Update Date | 2010-02-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
SC-00567 | PA | Podiatric Medicine & Surgery Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982989414 | Thomas Harrison Shannon | Counselor | 5420 Davison Rd, Lapeer, MI 48446-2718 | 2011-10-16 |
| 1831351170 | Thomas Shannon | Technician | 13838 Fox Glove St, Winter Garden, FL 34787-4671 | 2008-06-27 |
| 1689781841 | Thomas Oswald Shannon | Surgery | 3115 College Park Drive, Ste 101, The Woodlands, TX 77384-4001 | 2006-08-24 |
| 1760644132 | Thomas Patrick Shannon | Dentist | 4320 44th St Sw, Grandville, MI 49418-2300 | 2008-06-27 |
| 1730260555 | Thomas H Shannon | Psychiatry & Neurology | 113 Comanche Rd, Fort Meade, SD 57741-1002 | 2006-10-18 |
| 1780698845 | Thomas R Shannon | Dentist | 354 Old Hook Rd, Suite 201, Westwood, NJ 07675-3246 | 2006-07-27 |
| Street Address |
654 PHILADELPHIA AVE |
| City | SHILLINGTON |
| State | PA |
| Zip Code | 19607-2769 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154623304 | Joseph B Watson | Podiatrist | 654 Philadelphia Ave, Shillington, PA 19607-2769 | 2010-11-20 |
| 1245309319 | Berks Foot & Ankle Surgical Associates, Inc. | Podiatrist | 654 Philadelphia Ave, Shillington, PA 19607-2769 | 2006-11-06 |
| 1790766327 | Megan Evans Shannon | Podiatrist | 654 Philadelphia Ave, Shillington, PA 19607-2769 | 2005-11-10 |
| 1780665307 | Joseph Christopher Smith | Podiatrist | 654 Philadelphia Ave, Shillington, PA 19607-2769 | 2005-11-10 |
| 1811978844 | Kevin Todd Naugle | Podiatrist | 654 Philadelphia Ave, Shillington, PA 19607-2769 | 2005-11-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518497759 | Kimberly Folk | Student in an Organized Health Care Education/Training Program | 628 Mountain View Road, Shillington, PA 19607 | 2017-06-19 |
| 1700315157 | Tomas Vicente | Home Health Aide | 1402 Liberty Ave, Reading, PA 19607 | 2017-06-08 |
| 1275073256 | Indiju3dental LLC | Dentist | 2121 Morgantown Rd., Reading, PA 19607 | 2017-02-24 |
| 1023438884 | Nightingale Devoted Care | Home Health | 106 Medinah Dr, Reading, PA 19607 | 2014-04-21 |
| 1861828477 | Lindsey Kayla Sullivan | Occupational Therapist | 29 Fawn Drive, Reading, PA 19607 | 2013-09-16 |
| 1063741288 | James S Rankin | Social Worker | 122 W. Lancaster Ave, Ste 203, Shillington, PA 19607 | 2009-12-17 |
| 1346492675 | Glenn T Thompson | Specialist/Technologist | 10 South Waverly Street, Shillington, PA 19607 | 2008-10-17 |
| 1225154107 | Drew Strawbridge | Occupational Therapy Assistant | 500 E. Philadelphia Ave, Shillington, PA 19607 | 2007-03-22 |
| 1134244775 | Gregory Scott Aulenbach | Dentist | 1439 New Holland Rd, Reading, PA 19607 | 2007-03-20 |
| 1831214659 | Joyce Perella | Occupational Therapist | 450 E. Philadelphia Ave, Shillington, PA 19607 | 2007-03-20 |
| Find all providers in zip 19607 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154623304 | Joseph B Watson | Podiatrist | 654 Philadelphia Ave, Shillington, PA 19607-2769 | 2010-11-20 |
| 1245309319 | Berks Foot & Ankle Surgical Associates, Inc. | Podiatrist | 654 Philadelphia Ave, Shillington, PA 19607-2769 | 2006-11-06 |
| 1790766327 | Megan Evans Shannon | Podiatrist | 654 Philadelphia Ave, Shillington, PA 19607-2769 | 2005-11-10 |
| 1780665307 | Joseph Christopher Smith | Podiatrist | 654 Philadelphia Ave, Shillington, PA 19607-2769 | 2005-11-10 |
| 1811978844 | Kevin Todd Naugle | Podiatrist | 654 Philadelphia Ave, Shillington, PA 19607-2769 | 2005-11-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326656208 | Delaney Wickramage | Podiatrist | 111 N 9th St Unit 203, Philadelphia, PA 19107-2449 | 2020-07-16 |
| 1841819463 | Michael A Savisky | Podiatrist | West Penn Hospital, 4800 Friendship Avenue/foot and Ankle Institute, Pittsburgh, PA 15224-1793 | 2020-04-14 |
| 1114551140 | Gretchen M Perschke | Podiatrist | 104 Technology Dr Ste 103, Butler, PA 16001-1801 | 2020-02-28 |
| 1912537960 | Brian J Morris | Podiatrist | 103 Tamara Dr, Old Forge, PA 18518-2342 | 2020-01-17 |
| 1205477973 | New Step Podiatry Associates, LLC | Podiatrist | 2076 Huber Dr, Quakertown, PA 18951-3888 | 2019-10-03 |
| 1336780345 | Foot and Ankle Specialists of The Mid-atlantic, LLC | Podiatrist | 4033 Linglestown Rd Ste 1, Harrisburg, PA 17112-1153 | 2019-10-01 |
| 1417598426 | Foot and Ankle Specialists of The Mid-atlantic, LLC | Podiatrist | 2025 Technology Pkwy Ste 201, Mechanicsburg, PA 17050-9401 | 2019-10-01 |
| 1891345104 | Bay City Associates In Podiatry Inc | Podiatrist | 105 Mead Ave Ste A, Meadville, PA 16335-3531 | 2019-09-18 |
| 1093367203 | Gary A. Raymond Dpm PC | Podiatrist | 195 Memorial Dr Ste 6, Everett, PA 15537-7056 | 2019-07-09 |
| 1992357115 | Gary A. Raymond, Dpm, PC | Podiatrist | 1225 Warm Springs Avenue, 3rd Floor, Huntingdon, PA 16652-7146 | 2019-07-09 |
| Find all providers with the same taxonomy | ||||
| City | SHILLINGTON |
| Zip Code | 19607 |
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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.