DR. BRETT ANTHONY SHANNON (NPI# 1912346230) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912346230 |
| Entity Type | Individual |
| Full Name | DR. BRETT ANTHONY SHANNON |
| Credential | MD |
| Practice Address |
825 Old Lancaster Rd Ste 250 Bryn Mawr PA 19010-3239 |
| Mailing Address |
Po Box 191 Rockland DE 19732-0191 |
| Practice Telephone | 6105423300 |
| Practice Fax Number | 6105423320 |
| Mailing Telephone | 3026514200 |
| Mailing Fax Number | 3026514945 |
| Enumeration Date | 2013-06-19 |
| Last Update Date | 2020-08-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XS0114X |
Orthopaedic Surgery Specialization: Adult Reconstructive Orthopaedic Surgery |
MD470608 | PA | Allopathic & Osteopathic Physicians |
| N | 207XP3100X |
Orthopaedic Surgery Specialization: Pediatric Orthopaedic Surgery |
280257 | MA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 300 Longwood Ave, Boston, MA 021155724 | 6173556000 |
| Street Address |
825 OLD LANCASTER RD STE 250 |
| City | BRYN MAWR |
| State | PA |
| Zip Code | 19010-3239 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790948222 | Corinne Wong | Anesthesiology | 825 Old Lancaster Rd Ste 250, Bryn Mawr, PA 19010-3239 | 2008-07-03 |
| 1740790484 | The Nemours Foundation | Clinic/Center | 825 Old Lancaster Rd Ste 250, Bryn Mawr, PA 19010-3239 | 2017-10-09 |
| 1265898209 | Abigail Helms | Physician Assistant | 825 Old Lancaster Rd Ste 250, Bryn Mawr, PA 19010-3239 | 2016-01-06 |
| 1235524133 | Courtney Valko | Physician Assistant | 825 Old Lancaster Rd Ste 250, Bryn Mawr, PA 19010-3239 | 2015-03-30 |
| 1639335508 | Michelle L Feairheller | Physical Therapist | 825 Old Lancaster Rd Ste 250, Bryn Mawr, PA 19010-3239 | 2008-07-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003462169 | Nada Farag | Dentist | 275 S Bryn Mawr Ave., #d04, Bryn Mawr, PA 19010 | 2019-08-14 |
| 1841764669 | For Eyes Optical of Pa | Optometrist | 1211 W Lancaster Ave, Rosemont, PA 19010 | 2019-01-15 |
| 1205355617 | Julia Peyton Vollmer | Student in an Organized Health Care Education/Training Program | 415 S Ithan Ave, Bryn Mawr, PA 19010 | 2017-09-18 |
| 1235657081 | Megan Christine Rosenblatt | Nurse Practitioner | 925 W Lancaster Ave Ste 210, Bryn Mawr, PA 19010 | 2017-08-31 |
| 1720511561 | Victoria Mckenna | Nurse Practitioner | 830 Old Lancaster Rd Ste 300, Bryn Mawr, PA 19010 | 2017-04-08 |
| 1922544014 | Andrew John D'amico | Behavioral Analyst | 1030 East Lancaster Ave., Suite L-10, Bryn Mawr, PA 19010 | 2017-01-12 |
| 1487105615 | Primal Physical Therapy,llc | Physical Therapist | 1111 E Lancaster Ave, Bryn Mawr, PA 19010 | 2016-10-24 |
| 1730636234 | Denise Lindsay Currier | Optometrist | 1062 E. Lancaster Ave, Suite 15d, Rosemont, PA 19010 | 2016-09-01 |
| 1518353754 | Elise Paquin | Student in an Organized Health Care Education/Training Program | 135 S Bryn Mawr Ave Ste 205, Bryn Mawr, PA 19010 | 2015-04-14 |
| 1679980064 | Main Line Counseling Partners | Social Worker | 1084 E. Lancaster Avenue, Bryn Mawr, PA 19010 | 2014-07-17 |
| Find all providers in zip 19010 | ||||
| Taxonomy Code | 207XS0114X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Adult Reconstructive Orthopaedic Surgery |
| Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, adult reconstructive orthopaedic surgeons deal with reconstructive procedures such as joint arthroplasty (i.e., hip and knee), osteotomy, arthroscopy, soft-tissue reconstruction, and a variety of other adult reconstructive surgical procedures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376895342 | Aria Health Orthopaedics | Orthopaedic Surgery | 380 North Oxford Valley Road, Langhorne, PA 19047 | 2012-10-15 |
| 1083971030 | N Leroy Hammond IIi | Orthopaedic Surgery | 370 Righters Mill Rd, Gladwyne, PA 19035-1543 | 2012-04-16 |
| 1063718641 | Richard Arthur Rahner | Orthopaedic Surgery | 1234 Saint Ann Dr, Erie, PA 16509-2947 | 2011-01-31 |
| 1902055734 | Adrian Wayne Clayton | Orthopaedic Surgery | 601 Hawthorne Dr, Suite 100, Hollidaysburg, PA 16648-2212 | 2008-09-17 |
| 1780667154 | Norman A Johanson | Orthopaedic Surgery | 216 N Broad St, 2nd Floor, Philadelphia, PA 19102-1121 | 2005-11-21 |
| 1477544583 | John Cornelius Lyons | Orthopaedic Surgery | 2566 W 12th St, Erie, PA 16505-4508 | 2005-10-31 |
| 1861482424 | Kevin A Gingrich | Orthopaedic Surgery | 216-220 N. Broad Street, 2nd Floor Feinstein Building, Philadelphia, PA 19102-1121 | 2005-10-25 |
| 1093718017 | Christopher Joseph Lyons | Orthopaedic Surgery | 479 Thomas Jones Way, Ste 300, Exton, PA 19341-2580 | 2005-05-23 |
| 1417590910 | Spirit Physician Services, Inc. | Orthopaedic Surgery | 429 N 21st St, Camp Hill, PA 17011-2202 | 2019-10-28 |
| 1952883910 | John Stammers | Orthopaedic Surgery | 925 Chestnut St Fl 5, Philadelphia, PA 19107-4290 | 2018-09-05 |
| Find all providers with the same taxonomy | ||||
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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.