Michael J Shannon Ii (NPI# 1952577983, PAC ID# 1052472016) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
| Nation Provider ID (NPI) | 1952577983 |
| PAC ID by PECOS | 1052472016 |
| Professional Enrollment ID | I20180813000740 |
| Full Name | Michael J Shannon Ii |
| Organization Legal Name | SAN DIEGO SPINE AND SPORT, INC |
| Address |
2115 Montiel Rd Suite 103 San Marcos CA 92069-3587 |
| Phone Number | 7608392905 |
| Gender | M |
| Graduation Year | 2001 |
| Primary Specialty | PHYSICAL THERAPY |
| Group Practice PAC ID | 3274446687 |
| Number of Group Practice Members | 40 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 2115 Montiel Rd, Suite 103, San Marcos, CA 92069-3587 | 7608392905 | SAN DIEGO SPINE AND SPORT, INC |
| Organization Legal Name | SAN DIEGO SPINE AND SPORT, INC |
| Physicians | 25 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Hanna Dale Foley | Physical Therapy | San Diego Spine and Sport, Inc | 1626 Sweetwater Rd A and B, National City, CA 91950-1002 |
| Jesse J Simmons | Physical Therapy | San Diego Spine and Sport, Inc | 201 S El Camino Real, Suite A, Encinitas, CA 92024-4150 |
| Nancy N Grieger | Physical Therapy | San Diego Spine and Sport, Inc | 3760 Convoy St, Suite 100, San Diego, CA 92111-3743 |
| Lydia A Storms | Physical Therapy | San Diego Spine and Sport, Inc | 1625 E Main St, Suite 104, El Cajon, CA 92021-5223 |
| Brianna L Introcaso | Physical Therapy | San Diego Spine and Sport, Inc | 1020 Tierra Del Rey, Suite 1, Chula Vista, CA 91910-7886 |
| Miles C Rydinski | Physical Therapy | San Diego Spine and Sport, Inc | 1020 Tierra Del Rey, Suite 1, Chula Vista, CA 91910-7886 |
| Kelley D Becherer | Physical Therapy | San Diego Spine and Sport, Inc | 295 G St, San Diego, CA 92101-6808 |
| Gina M Dones | Physical Therapy | San Diego Spine and Sport, Inc | 295 G St, San Diego, CA 92101-6808 |
| Sky Goudey | Physical Therapy | San Diego Spine and Sport, Inc | 72880 Fred Waring Dr, Suite B7, Palm Desert, CA 92260-9375 |
| Samantha A Morigeau | Physical Therapy | San Diego Spine and Sport, Inc | 1020 Tierra Del Rey, Suite 1, Chula Vista, CA 91910-7886 |
| Street Address |
2115 MONTIEL RD SUITE 103 |
| City | SAN MARCOS |
| State | CA |
| Zip | 92069-3587 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Andrew Q Duong | Physical Therapy | Mdrs Spine and Sport Inc | 2115 Montiel Rd, Suite 103, San Marcos, CA 92069-3587 |
| Monica C Jimenez | Physical Therapy | Mdrs Spine and Sport Inc | 2115 Montiel Rd, Suite 103, San Marcos, CA 92069-3587 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tory Prestera | Ophthalmology | Tory Prestera Md Inc. | 100 N Rancho Santa Fe Rd, Suite 126, San Marcos, CA 92069-1294 |
| Mark W Cafagna | Chiropractic | 100 N Rancho Santa Fe Rd, Suite 129, San Marcos, CA 92069-1294 | |
| Neeta Varshney | Ophthalmology | Tory Prestera Md Inc. | 100 N Rancho Santa Fe Rd, Suite 126, San Marcos, CA 92069-1294 |
| Alexander Espinoza | Family Medicine | Graybill Medical Group Inc | 277 Rancheros Dr, Suite 100, San Marcos, CA 92069-2959 |
| Isela Penunuri | Family Medicine | Graybill Medical Group Inc | 277 Rancheros Dr, Suite 100, San Marcos, CA 92069-2959 |
| Cheng L Lee | Family Medicine | Graybill Medical Group Inc | 277 Rancheros Dr, Suite 100, San Marcos, CA 92069-2959 |
| Arnold Herbert Tripp | Physical Therapy | 277 Rancheros Dr, Suite 100, San Marcos, CA 92069-2959 | |
| Oksana B Hirniak | Family Medicine | Graybill Medical Group Inc | 277 Rancheros Dr, Suite 100, San Marcos, CA 92069-2959 |
| Julie M Brodfuehrer | Family Medicine | North County Health Project, Inc. | 150 Valpreda Rd, San Marcos, CA 92069-2973 |
| Marlene E Pountney Levesque | Obstetrics/gynecology | North County Health Project, Inc. | 150 Valpreda Rd, San Marcos, CA 92069-2973 |
| Find all physicians in zip 92069 | |||
| City | SAN MARCOS |
| Zip Code | 92069 |
| Specialty | PHYSICAL THERAPY |
| City + Specialty | SAN MARCOS + PHYSICAL THERAPY |
Please comment or provide details below to improve the information on Michael J Shannon Ii.
| 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.