Shannon L Staton (NPI# 1114998069, PAC ID# 0244243913) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1114998069 |
| PAC ID by PECOS | 0244243913 |
| Professional Enrollment ID | I20070802000070 |
| Full Name | Shannon L Staton |
| Organization Legal Name | ALEGENT CREIGHTON CLINIC |
| Address |
16909 Lakeside Hills Ct Omaha NE 68130-4661 |
| Gender | F |
| Credential | PA |
| Graduation Year | 2004 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 1951210418 |
| Number of Group Practice Members | 568 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 280060 | CHI HEALTH BERGAN MERCY |
| Address | Phone | Organization |
|---|---|---|
| 16909 Lakeside Hills Ct, Omaha, NE 68130-4661 | ALEGENT CREIGHTON CLINIC |
| Organization Legal Name | ALEGENT CREIGHTON CLINIC |
| Physicians | 618 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sangeeta Mutnuri | Nephrology | Alegent Creighton Clinic | 1213 Garfield, Alegent Creighton Clinic Iowa Outreach, Harlan, IA 51537-2057 |
| Jasper Nathaniel Kaufman | Nurse Practitioner | Alegent Creighton Clinic | 8141 W Ctr, Omaha, NE 68124-3273 |
| Rajani Rangray | Gastroenterology | Alegent Creighton Clinic | 7710 Mercy Rd, Suite 2000, Omaha, NE 68124-2323 |
| Eduardo Herrera Lirio | Obstetrics/gynecology | Alegent Creighton Clinic | 11111 S 84th St, Papillion, NE 68046-4157 |
| Kathleen Sekpe | Obstetrics/gynecology | Alegent Creighton Clinic | 5005 S 153rd St, Suite 100, Omaha, NE 68137-5069 |
| Jason Krupp | Internal Medicine | Alegent Creighton Clinic | 13315 W Ctr Rd, Omaha, NE 68137-3449 |
| Elizabeth L Hinzmann | Nurse Practitioner | Alegent Creighton Clinic | 700 S Hwy St, Alegent Creighton Clinic Oakland, Oakland, IA 51560-4357 |
| Nada Skaf | Rheumatology | Alegent Creighton Clinic | 6829 N 72nd St, Omaha, NE 68122-1724 |
| Thomas R Strawmier | Nurse Practitioner | Alegent Creighton Clinic | 2412 Cuming St, Suite 200, Omaha, NE 68131-1601 |
| Amy Leah Mcgaha | Family Medicine | Alegent Creighton Clinic | 3308 Samson Way, Bellevue, NE 68123-3234 |
| Street Address |
16909 LAKESIDE HILLS CT |
| City | OMAHA |
| State | NE |
| Zip | 68130-4661 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joseph A Stangl | Physician Assistant | Alegent Creighton Clinic | 16909 Lakeside Hills Ct, Omaha, NE 68130-4661 |
| John M Ramsey | Nurse Practitioner | Alegent Creighton Health | 16909 Lakeside Hills Ct, Omaha, NE 68130-4664 |
| Usha Kiran Kanthety | Family Medicine | Alegent Creighton Clinic | 16909 Lakeside Hills Ct, Omaha, NE 68130-4661 |
| Laeth S Nasir | Family Medicine | Alegent Creighton Clinic | 16909 Lakeside Hills Ct, Omaha, NE 68130-4661 |
| Wendy J Salado | Nurse Practitioner | Omaha Obgyn Associates PC | 16909 Lakeside Hills Ct, Suite 201, Omaha, NE 68130-4661 |
| Samuel A Gillespie | Qualified Audiologist | 16909 Lakeside Hills Ct, Suite 106, Omaha, NE 68130-4663 | |
| Thomas M Baker | Nurse Practitioner | Alegent Creighton Clinic | 16909 Lakeside Hills Ct, Omaha, NE 68130-4661 |
| Steven M Osborn | Family Medicine | Alegent Creighton Clinic | 16909 Lakeside Hills Ct, Omaha, NE 68130-4661 |
| Rebecca Elizabeth Kahrs | Nurse Practitioner | Alegent Creighton Clinic | 16909 Lakeside Hills Ct, Omaha, NE 68130-4661 |
| Franklin D Devries | Obstetrics/gynecology | Omaha Obgyn Associates PC | 16909 Lakeside Hills Ct, Suite 201, Omaha, NE 68130-4661 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Elvira Rios | Family Medicine | 17021 Hillside Hills Plz, Suite 100, Omaha, NE 68130 | |
| Charles H Stoner Jr. | Family Medicine | 17841 Pierce Plz, Omaha, NE 68130-1035 | |
| Cynthia M Lewis | Hematology/oncology | Heartland Hematology and Oncology PC | 300 E 12th St, Cozad Community Hospital, Cozad, NE 68130-1505 |
| Ryan J Hruska | Physical Therapy | Restore Physical Therapy LLC | 2607 S 159th Place, Omaha, NE 68130-1705 |
| Trevor J Wagner | Chiropractic | Wagner Chiropractic Clinic PC | 2639 S 159th Plz, West Omaha Chiropractic and Sports Inc, Omaha, NE 68130-1705 |
| Julie Elizabeth Owen-wagner | Chiropractic | Wagner Chiropractic Clinic PC | 2639 S 159th Plz, West Omaha Chiropractic and Sports Inc, Omaha, NE 68130-1705 |
| Ronald Russell Evans | Chiropractic | Wagner Chiropractic Clinic PC | 2639 S 159th Plz, West Omaha Chiropractic and Sports Inc, Omaha, NE 68130-1705 |
| Carol B Rosenau | Physical Therapy | Restore Physical Therapy LLC | 2607 S 159th Place, Omaha, NE 68130-1705 |
| Dave L Jones | Chiropractic | 15680 W Ctr Rd, Health Source Chiropractic, Omaha, NE 68130-1808 | |
| Melanie A Ortleb | Dermatology | Mod Dermatology PC | 2953 S 168th St, Suite 101, Omaha, NE 68130-2000 |
| Find all physicians in zip 68130 | |||
| City | OMAHA |
| Zip Code | 68130 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | OMAHA + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Shannon L Staton.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.