SHANNON MEDICAL CENTER (NPI# 1992765663) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992765663 |
| Entity Type | Organization |
| Organization Name | SHANNON MEDICAL CENTER |
| Practice Address |
120 E Harris Ave San Angelo TX 76903-5904 |
| Mailing Address |
Po Box 1879 San Angelo TX 76902-1879 |
| Practice Telephone | 3256575031 |
| Mailing Telephone | 3256575031 |
| Enumeration Date | 2006-03-25 |
| Last Update Date | 2011-08-26 |
| Authorized Official Name | MISS PATRICIA KIRKHAM (BILLING SUPERVISOR) |
| Authorized Official Telephone | 3256575031 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 281PC2000X |
Chronic Disease Hospital Specialization: Children |
Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 094720202 | 05 | |
| TX | 137226011 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730211533 | Shannon Medical Center | Ambulance | 120 E Harris, San Angelo, TX 76903 | 2007-03-09 |
| 1225031446 | Shannon Medical Center | Home Health | 2030 Pulliam St, Ste 6, San Angelo, TX 76905-5157 | 2005-05-23 |
| 1699016337 | Shannon Medical Center | Clinic/Center | 2008 Nine Rd, Brady, TX 76825-7210 | 2013-03-05 |
| 1336386028 | Shannon Medical Center | Clinic/Center | 2018 Pulliam St, San Angelo, TX 76905-5148 | 2009-01-16 |
| 1013977784 | Shannon Medical Center | Psychiatric Hospital | 120 E Harris Ave, San Angelo, TX 76903-5904 | 2006-03-25 |
| 1235199084 | Shannon Medical Center | Psychiatric Unit | 2018 Pulliam St, San Angelo, TX 76905-5148 | 2006-03-24 |
| 1114987963 | Shannon Medical Center | Skilled Nursing Facility | 2018 Pulliam St, San Angelo, TX 76905-5148 | 2006-03-24 |
| 1306806153 | Shannon Medical Center | Rehabilitation Unit | 120 E Harris Ave, San Angelo, TX 76903-5904 | 2006-03-24 |
| 1104886969 | Shannon Medical Center | Clinic/Center | 120 E Harris Ave, San Angelo, TX 76903-5904 | 2006-03-24 |
| 1992707228 | Shannon Medical Center | General Acute Care Hospital | 120 E Harris Ave, San Angelo, TX 76903-5904 | 2005-05-31 |
| Street Address |
120 E HARRIS AVE |
| City | SAN ANGELO |
| State | TX |
| Zip Code | 76903-5904 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467455113 | Michael F Carper | Pharmacist | 120 E Harris Ave, San Angelo, TX 76903-5904 | 2005-05-24 |
| 1083185565 | Stephanie Lauren Hayes | Nurse Practitioner | 120 E Harris Ave, San Angelo, TX 76903-5904 | 2018-12-10 |
| 1326556283 | Erin E Miller | Occupational Therapist | 120 E Harris Ave, San Angelo, TX 76903-5904 | 2018-01-12 |
| 1700398484 | Jacob Webster | Physician Assistant | 120 E Harris Ave, San Angelo, TX 76903-5904 | 2017-11-02 |
| 1518322890 | Justina Casiano | Dietitian, Registered | 120 E Harris Ave, San Angelo, TX 76903-5904 | 2015-12-30 |
| 1114392040 | Megan Webb | Dietitian, Registered | 120 E Harris Ave, San Angelo, TX 76903-5904 | 2015-12-03 |
| 1316312341 | Chelsie Jenna Barnes | Dietitian, Registered | 120 E Harris Ave, San Angelo, TX 76903-5904 | 2015-12-02 |
| 1881069912 | Tiffany Rohmfeld | Dietitian, Registered | 120 E Harris Ave, San Angelo, TX 76903-5904 | 2015-12-01 |
| 1164897252 | Nicole Lusk | Dietitian, Registered | 120 E Harris Ave, San Angelo, TX 76903-5904 | 2015-12-01 |
| 1750756888 | Jessica Butts | Dietitian, Registered | 120 E Harris Ave, Food & Nutrition Dept, San Angelo, TX 76903-5904 | 2015-12-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306386081 | The Waterford Wellness Spa | Clinic/Center | 602 S. Abe, San Angelo, TX 76903 | 2017-03-01 |
| 1154782415 | Jerrica Elayne Escobedo | Counselor | 424 South Oakes, San Angelo, TX 76903 | 2016-03-15 |
| 1578923868 | Wal-mart Stores Texas, LLC | Technician/Technologist | 3440 S. Bryant Blvd, San Angelo, TX 76903 | 2016-02-29 |
| 1821475161 | San Angelo Dental, Pllc | Dentist | 614 29th Street, Suite, Sanangelo, TX 76903 | 2015-05-06 |
| 1033549670 | Tina Faye Luck | Nurse Practitioner | 36 E Twohig Ave Ste 1100, San Angelo, TX 76903 | 2013-11-18 |
| 1295087294 | Tara Joiner | Counselor | 27 W Beauregard Ave, San Angelo, TX 76903 | 2012-10-15 |
| 1225380728 | Tanya L Favor | Physician Assistant | 215 E. College, San Angelo, TX 76903 | 2012-10-08 |
| 1336459551 | Education Service Center | Social Worker | 612 S Irene, San Angelo, TX 76903 | 2010-10-21 |
| 1508194176 | Pay and Save Inc | Pharmacy | 1926 N. Bryant Blvd., San Angelo, TX 76903 | 2009-11-19 |
| 1326375734 | Pay and Save Inc | Pharmacy | 2 S. Main St., San Angelo, TX 76903 | 2009-11-05 |
| Find all providers in zip 76903 | ||||
| Taxonomy Code | 281PC2000X |
| Grouping | Hospitals |
| Classification | Chronic Disease Hospital |
| Specialization | Children |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144617317 | Baylor Scott&white Health | Chronic Disease Hospital | 14314 Norhill Pointe Dr, Houston, TX 77044-5358 | 2015-04-24 |
| 1013283159 | Texas Childrens Hospital | Chronic Disease Hospital | 6621 Fannin St, Houston, TX 77030-2303 | 2012-03-22 |
| City | SAN ANGELO |
| Zip Code | 76903 |
Please comment or provide details below to improve the information on SHANNON MEDICAL CENTER.
| 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.