SHANNON BEAL (NPI# 1942281712) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942281712 |
| Entity Type | Individual |
| Full Name | SHANNON BEAL |
| Credential | M.D. |
| Practice Address |
1375 Vista Ln Carson City NV 89703 |
| Mailing Address |
1375 Vista Ln Carson City NV 89703-4643 |
| Practice Telephone | 7758822067 |
| Practice Fax Number | 7758822254 |
| Mailing Telephone | 7758822067 |
| Mailing Fax Number | 7758822254 |
| Enumeration Date | 2005-11-09 |
| Last Update Date | 2019-11-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
A97355 | CA | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3000 Q St, Sacramento, CA 958167058 | 9167333314 | 9167333426 |
| Street Address |
1375 VISTA LN |
| City | CARSON CITY |
| State | NV |
| Zip Code | 89703 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225028277 | Kraig Allyn Knoll | Surgery | 1375 Vista Ln, Carson City, NV 89703-4646 | 2005-10-21 |
| 1992209696 | Catherine Blanchard | Physician Assistant | 1375 Vista Ln, Carson City, NV 89703 | 2018-03-19 |
| 1609389329 | Carrie Davidson | Physician Assistant | 1375 Vista Ln, Carson City, NV 89703-4643 | 2017-11-16 |
| 1952785701 | Ashley Vazeen | Nurse Practitioner | 1375 Vista Ln, Carson City, NV 89703-4643 | 2015-07-10 |
| 1588086185 | Allison Tiffany Adams | Physician Assistant | 1375 Vista Ln, Carson City, NV 89703 | 2014-01-16 |
| 1629310305 | Arturo Guzman | Surgery | 1375 Vista Ln, Carson City, NV 89703 | 2013-03-20 |
| 1831453109 | Tania Josephine Dickson-humphries | Physician Assistant | 1375 Vista Ln, Carson City, NV 89703-4643 | 2012-07-01 |
| 1386957728 | John Hwang | Surgery | 1375 Vista Ln, Carson City, NV 89703 | 2010-07-14 |
| 1821050253 | Mark A. Demar | Surgery | 1375 Vista Ln, Carson City, NV 89703-4643 | 2006-04-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487215232 | Madison M Gurries | Audiologist | 1493 Medical Parkway, Carson City, NV 89703 | 2019-06-24 |
| 1609332949 | Tsl Skyline Estates, LLC | Assisted Living Facility | 2705 Mountain St., Carson City, NV 89703 | 2019-02-12 |
| 1790252120 | Reno Orthopaedic Clinic Inc. | Physical Therapist | 1365 Medical Parkway, Carson City, NV 89703 | 2018-10-24 |
| 1265910970 | Marvel Dental Carson City, LLC | Clinic/Center | 410 Fleischmann Way Suite A., Carson City, NV 89703 | 2018-08-03 |
| 1619348489 | Nevada Health Centers Inc. | Clinic/Center | 618 W. Musser Street, Carson City, NV 89703 | 2015-10-19 |
| 1518351089 | Christopher Vlasek | Family Medicine | 412 W John St Ste B, Carson City, NV 89703 | 2015-03-23 |
| 1902215254 | Grant Vaughn Davis | Behavioral Analyst | 1316 Monte Rosa Drive, Carson City, NV 89703 | 2014-08-11 |
| 1437563152 | Nina Patynowski | Nurse Practitioner | 415 W Sofia St, Ste 100, Carson City, NV 89703 | 2014-06-20 |
| 1679853089 | Carson Tahoe Physician Clinics | Family Medicine | 1200 Moutain Street, Suite 220, Carson City, NV 89703 | 2011-08-17 |
| 1790094076 | Darlene Parrish | Occupational Therapy Assistant | 3050 N. Ormsby Bl, Carson City, NV 89703 | 2010-10-04 |
| Find all providers in zip 89703 | ||||
| Taxonomy Code | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982213096 | Sieffert Surgical Assistant & Vascular Us Interpretation LLC | Surgery | 2200 Silver Ridge Dr, Reno, NV 89509-5073 | 2020-07-24 |
| 1891254439 | Valley Vascular Khan PC | Surgery | 5785 S Fort Apache Rd Ste B, Las Vegas, NV 89148-5629 | 2019-03-13 |
| 1710158001 | Eugene G. Porreca, Md., LLP | Surgery | 2655 Box Canyon Dr, #110, Las Vegas, NV 89128-1119 | 2008-03-14 |
| 1184849259 | Matthew Cooper Md Ltd | Surgery | 7375 Peak Dr Ste 110, Las Vegas, NV 89128-9030 | 2007-04-16 |
| 1194804211 | Earl David Cottrell | Surgery | 7200 W Cathedral Rock Dr Ste #130, Las Vegas, NV 89128 | 2006-11-02 |
| 1104913656 | Frank Thomas Jordan | Surgery | 7200 W Cathedral Rock Dr, Ste #130, Las Vegas, NV 89128 | 2006-10-06 |
| 1942313671 | Robert William Ruess | Surgery | 350 Falcon Ridge Pkwy Ste 501, Mesquite, NV 89027-8880 | 2006-08-16 |
| 1083624688 | Desert Cardiovascular Surgery | Surgery | 2110 E Flamingo Rd Ste 205, Las Vegas, NV 89119-5192 | 2006-08-08 |
| 1104834639 | John Marshall Ham | Surgery | 1120 Shadow Ln, Suite D-100, Las Vegas, NV 89102-2342 | 2006-08-03 |
| 1073053286 | Janet L Albright Md Pllc | Surgery | 1500 E 2nd St, 108, Reno, NV 89502-1262 | 2017-03-07 |
| Find all providers with the same taxonomy | ||||
| City | CARSON CITY |
| Zip Code | 89703 |
Please comment or provide details below to improve the information on SHANNON BEAL.
| 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.