SHANNON MARIE BALOG (NPI# 1982171500) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982171500 |
| Entity Type | Individual |
| Full Name | SHANNON MARIE BALOG |
| Credential | DNP, FNP-C |
| Practice Address |
18101 Lorain Ave Cleveland OH 44111-5612 |
| Mailing Address |
312 N Lake St South Amherst OH 44001-2828 |
| Practice Telephone | 2168896412 |
| Enumeration Date | 2018-11-01 |
| Last Update Date | 2018-11-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
APRN.CNP.023210 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
18101 LORAIN AVE |
| City | CLEVELAND |
| State | OH |
| Zip Code | 44111-5612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548261886 | Raymond Zyck | Anesthesiology | 18101 Lorain Ave, Cleveland, OH 44111-5612 | 2005-08-09 |
| 1063011526 | Hassan Mohamed Shaheen | Student in an Organized Health Care Education/Training Program | 18101 Lorain Ave, Cleveland, OH 44111-5612 | 2020-10-25 |
| 1164036737 | Feras Alkhalaileh | Student in an Organized Health Care Education/Training Program | 18101 Lorain Ave, Cleveland, OH 44111-5612 | 2020-09-01 |
| 1700499555 | Bindesh Ghimire | Internal Medicine | 18101 Lorain Ave, Cleveland, OH 44111-5612 | 2020-08-30 |
| 1851903397 | Sachin Kumar | Student in an Organized Health Care Education/Training Program | 18101 Lorain Ave, Cleveland, OH 44111-5612 | 2020-08-17 |
| 1548871908 | Georges Abi Roustom | Student in an Organized Health Care Education/Training Program | 18101 Lorain Ave, Cleveland, OH 44111-5612 | 2020-08-11 |
| 1730798992 | Tarini Natalya Elapata Gunaratne | Student in an Organized Health Care Education/Training Program | 18101 Lorain Ave, Cleveland, OH 44111-5612 | 2020-07-23 |
| 1598373987 | Komal Mushtaq | Student in an Organized Health Care Education/Training Program | 18101 Lorain Ave, Cleveland, OH 44111-5612 | 2020-07-21 |
| 1437767613 | Jessica Chan | Pharmacist | 18101 Lorain Ave, Cleveland, OH 44111-5612 | 2020-07-14 |
| 1750909073 | Anoosha Maria Tauquir | Internal Medicine | 18101 Lorain Ave, Cleveland, OH 44111-5612 | 2020-07-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265098453 | Remeka D Mason | Nurse's Aide | 3770 W 130th St, Cleveland, OH 44111 | 2019-05-14 |
| 1447712500 | L.i.s. Transportation LLC | Secured Medical Transport (VAN) | 15720 Lorain Avenue, Cleveland, OH 44111 | 2019-04-05 |
| 1619446465 | Donald Lewis Jr. | Case Manager/Care Coordinator | 3430 Warren Rd, Apt 25, Cleveland, OH 44111 | 2018-11-21 |
| 1487138335 | Dominique Sharita Dent | Case Manager/Care Coordinator | 12104 Marne Ave., Cleveland, OH 44111 | 2018-09-17 |
| 1629518956 | Daniela Alejandra Mchugh-carias | Specialist/Technologist | 17215 Bradgate Ave, Cleveland, OH 44111 | 2017-03-06 |
| 1568831535 | Marlene Fernandez | Registered Nurse | 3153 West 105, Cleveland, OH 44111 | 2015-09-21 |
| 1225418957 | Subanandhini Subramaniam Parameshwari | Internal Medicine | 18101 Lorain Avenue, Fairview Hospital, Cleveland, OH 44111 | 2015-06-08 |
| 1659785798 | Desiree D Reid | Home Health Aide | 3715 Highland Road, Cleveland, OH 44111 | 2014-06-17 |
| 1184042665 | David Meyer | Pharmacist | 3929 Rocky River Dr., Cleveland, OH 44111 | 2014-04-02 |
| 1578905089 | Bassel Akbik | Internal Medicine | 18099 Lorain Ave # 250, Cleveland, OH 44111 | 2013-07-25 |
| Find all providers in zip 44111 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215536370 | Jennifer Lynn Moore | Nurse Practitioner | 203 N College Ave Ste 1001, Cleveland, TX 77327-2500 | 2020-10-20 |
| 1508464132 | Molly Kane Kane Elek | Nurse Practitioner | 17801 Susan Ave, Cleveland, OH 44111-4148 | 2020-10-15 |
| 1619583424 | Paulina Kauzljar | Nurse Practitioner | 11100 Euclid Ave # 1635, Cleveland, OH 44106-1716 | 2020-09-17 |
| 1508479379 | April Danielle Daniel | Nurse Practitioner | 200 E Boothe St Ste 100, Cleveland, TX 77327-4063 | 2020-08-31 |
| 1730792037 | Jalayn Konys | Nurse Practitioner | 3653 W 159th St, Cleveland, OH 44111-5704 | 2020-08-26 |
| 1962014142 | Cassie Ann Williams | Nurse Practitioner | 470 8th St Nw, Cleveland, TN 37311-1811 | 2020-08-19 |
| 1417565912 | Jenae Camille Hennessey | Nurse Practitioner | 3278 Lakewood Dr Nw, Cleveland, TN 37312-2093 | 2020-07-21 |
| 1851918841 | Leslie Torchick Casteel | Nurse Practitioner | 2305 Chambliss Ave Nw Ste 101, Cleveland, TN 37311-3847 | 2020-06-25 |
| 1306462478 | Brooke Denise Booher | Nurse Practitioner | 611 Bell Rd Se, Cleveland, TN 37323-9003 | 2020-06-24 |
| 1174146823 | Andrew John Wrobel | Nurse Practitioner | 3188 W 14th St, Unit 1, Cleveland, OH 44109 | 2020-05-28 |
| Find all providers in CLEVELAND | ||||
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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.