SHANNON HOGAN


Address: 195 Canal St, Malden, MA 02148-6701
Phone: 7813380500

SHANNON HOGAN (NPI# 1922620442) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1922620442
Entity Type Individual
Full Name SHANNON HOGAN
Credential MD
Practice Address 195 Canal St
Malden
MA 02148-6701
Practice Telephone 7813380500
Enumeration Date 2020-05-07
Last Update Date 2020-05-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Other Providers SHANNON HOGAN

NPI Name Taxonomy Address Enumeration
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
1801865845 Shannon M. Hogan Physician Assistant 13555 W Mcdowell Rd, Suite 101, Goodyear, AZ 85338-2624 2006-03-14

Office Location

Street Address 195 CANAL ST
City MALDEN
State MA
Zip Code 02148-6701

Providers in the same location

NPI Name Taxonomy Address Enumeration
1972591451 Sara B Karp Family Medicine 195 Canal St, Malden, MA 02148-6701 2005-10-10
1437759487 Maria Grace Butler Registered Nurse 195 Canal St, Malden, MA 02148-6701 2020-10-29
1043824741 Merry Jo Binkley Registered Nurse 195 Canal St, Malden, MA 02148-6701 2020-09-01
1174148290 Jacqueline S Hogan Student in an Organized Health Care Education/Training Program 195 Canal St, Malden, MA 02148-6701 2020-06-15
1073135315 Anne Taylor Walker Student in an Organized Health Care Education/Training Program 195 Canal St, Malden, MA 02148-6701 2020-05-09
1821610296 James Patrick Sullivan Student in an Organized Health Care Education/Training Program 195 Canal St, Malden, MA 02148-6701 2020-05-08
1063034536 Omar Wahid Wahid Student in an Organized Health Care Education/Training Program 195 Canal St, Malden, MA 02148-6701 2020-05-07
1699397141 John Ahern Student in an Organized Health Care Education/Training Program 195 Canal St, Malden, MA 02148-6701 2020-05-07
1659992105 Paul Anthony Rizzo IIi Student in an Organized Health Care Education/Training Program 195 Canal St, Malden, MA 02148-6701 2020-05-06
1720609316 Amy Louise Fitch Student in an Organized Health Care Education/Training Program 195 Canal St, Malden, MA 02148-6701 2020-05-05
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1427680743 Cambridge Public Health Commission Pharmacy 350 Main Street Suite 640, Malden, MA 02148 2020-02-05
1568932192 Stephanie L Octave Behavior Technician 28 Wolcott St, Malden, MA 02148 2018-11-27
1477036549 Fabienne Odney Registered Nurse 41 Alpine St, Malden, MA 02148 2018-09-13
1972085322 Donna Watson Social Worker 33 Goodwin Avenue, Malden, MA 02148 2018-09-02
1588144505 Michael William Sage Physician Assistant Cha Malden Care Center, 195 Canal Street, Malden, MA 02148 2018-08-20
1255827432 Martineau Louine Internal Medicine 11 Dennis Road, Malden, MA 02148 2018-07-10
1700378098 Catherine Grieves Social Worker 785 Main St Apt. 6, Malden, MA 02148 2018-06-01
1215427901 Leam Thomas Counselor 175 Summer Street, Apt204, Malden, MA 02148 2018-05-17
1629593637 David Acuna Counselor 22 Plesant Street, Malden, MA 02148 2017-08-10
1295258580 Judith P Phillips Physician Assistant 24 Auburn Street, Malden, MA 02148 2017-07-19
Find all providers in zip 02148

Taxonomy Information

Taxonomy Code 390200000X
Grouping Student, Health Care
Classification Student in an Organized Health Care Education/Training Program

Taxonomy Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Notes: [1/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1417556101 Rachel Socolof Student in an Organized Health Care Education/Training Program 40 Boylston St Apt 1, Malden, MA 02148-7803 2020-10-22
1871112649 Monica Cheng Student in an Organized Health Care Education/Training Program 39 Florence St Ste 515, Malden, MA 02148-3976 2020-04-13
1609414085 Urusa Sheikh Student in an Organized Health Care Education/Training Program 59 Mountain Ave # 1, Malden, MA 02148-3715 2019-12-16
1780240044 Gisele Cesar Student in an Organized Health Care Education/Training Program 195 Canal St Ste 210, Malden, MA 02148-6701 2019-05-13
1629562418 Kenjii Barthelemy Student in an Organized Health Care Education/Training Program 10 Grover St, Malden, MA 02148-8003 2018-06-15
1801345616 Yi Fan Student in an Organized Health Care Education/Training Program 10 Florence Street, Apt305, Malden, MA 02148 2016-09-22
1982051397 Daniel Dooley Student in an Organized Health Care Education/Training Program 16 Quarry Ln Apt 4302, Malden, MA 02148-7782 2016-05-16
1316374424 Kimberly Ferris Student in an Organized Health Care Education/Training Program 167 Mount Vernon St, Apt. 2, Malden, MA 02148-2853 2013-10-03
1003163536 Erin Marie Whynott Student in an Organized Health Care Education/Training Program 46 Fulton St, Malden, MA 02148-4506 2012-08-15
1023371028 Valerie Liberatore Student in an Organized Health Care Education/Training Program 12 Fairfield Ave, Malden, MA 02148-4706 2012-06-25
Find all providers in MALDEN

Competitor

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City MALDEN
Zip Code 02148

Improve Information

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Dataset Information

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.

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