Shauntelle A Cannon (NPI# 1033636436, PAC ID# 1658621750) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is AUDIOLOGIST.
| Nation Provider ID (NPI) | 1033636436 |
| PAC ID by PECOS | 1658621750 |
| Professional Enrollment ID | I20180911003563 |
| Full Name | Shauntelle A Cannon |
| Organization Legal Name | FATHER FLANAGANS BOYS HOME |
| Address |
425 N 30th St Lied Learning and Technology Center Omaha NE 68131-2100 |
| Phone Number | 4024525000 |
| Gender | F |
| Graduation Year | 2017 |
| Primary Specialty | AUDIOLOGIST |
| Group Practice PAC ID | 9638165400 |
| Number of Group Practice Members | 79 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 425 N 30th St, Lied Learning and Technology Center, Omaha, NE 68131-2100 | 4024525000 | FATHER FLANAGANS BOYS HOME |
| Organization Legal Name | FATHER FLANAGANS BOYS HOME |
| Physicians | 95 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Linden Elizabeth Fornoff | Neurology | Father Flanagans Boys Home | 14040 Boys Town Hospital Rd, Boys Town, NE 68010-7521 |
| Lilli Katherine Mauer | Internal Medicine | Father Flanagans Boys Home | 14080 Boys Town Hospital Rd, Boys Town, NE 68010-7513 |
| Allyssa Larose | Qualified Speech Language Pathologist | Father Flanagans Boys Home | 425 N 30th St, Lied Learning and Technology Center, Omaha, NE 68131-2100 |
| Tara L Hart Burhoop | Psychologist, Clinical | Father Flanagans Boys Home | 13460 Walsh Dr, Boys Town Center for Behavioral Hea, Boys Town, NE 68010-7529 |
| Matthew Peter | Psychologist, Clinical | Father Flanagans Boys Home | 14092 Boys Town Hospital Rd, Boys Town, NE 68010-7513 |
| Rhonda R Dick | Qualified Audiologist | Father Flanagans Boys Home | 555 N 30th St, Boys Town National Research Hospital, Omaha, NE 68131-2136 |
| Leisha R Eiten | Qualified Audiologist | Father Flanagans Boys Home | 14000 Boys Town Hospital Rd, Boys Town, NE 68010-7513 |
| Nigar S Nair | Allergy/immunology | Father Flanagans Boys Home | 14000 Boys Town Hospital Rd, Boys Town, NE 68010-7513 |
| Thomas M Reimers | Psychologist, Clinical | Father Flanagans Boys Home | 14000 Boys Town Hospital Rd, Boys Town, NE 68010-7513 |
| Stephen C Raynor | General Surgery | Father Flanagans Boys Home | 14000 Boys Town Hospital Rd, Boys Town, NE 68010-7513 |
| Street Address |
425 N 30TH ST LIED LEARNING AND TECHNOLOGY CENTER |
| City | OMAHA |
| State | NE |
| Zip | 68131-2100 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Allyssa Larose | Qualified Speech Language Pathologist | Father Flanagans Boys Home | 425 N 30th St, Lied Learning and Technology Center, Omaha, NE 68131-2100 |
| Stephanie M Tupper | Qualified Speech Language Pathologist | Father Flanagans Boys Home | 425 N 30th St, Lied Learning and Technology Center, Omaha, NE 68131-2100 |
| Elizabeth J Baruch | Speech Language Pathologist | Father Flanagans Boys Home | 425 N 30th St, Lied Learning and Technology Center, Omaha, NE 68131-2100 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Beverly A Doyle | Psychologist, Clinical | 3909 Cuming St, Suite 202, Omaha, NE 68131-1225 | |
| Thomas R Strawmier | Nurse Practitioner | Alegent Creighton Clinic | 2412 Cuming St, Suite 200, Omaha, NE 68131-1601 |
| Ashley M Self | Nurse Practitioner | Emergency Physician Associates of Nebraska PC | 2412 Cuming St, Omaha, NE 68131-1601 |
| Amanda K Bogard | Nurse Practitioner | Emergency Physician Associates of Nebraska PC | 2412 Cuming St, Omaha, NE 68131-1601 |
| Amna Sohail | Neurology | Alegent Creighton Clinic | 2412 Cuming St, Suite 200, Omaha, NE 68131-1601 |
| Matthew A Halfar | Family Medicine | Alegent Creighton Clinic | 2412 Cuming St, Suite 200, Omaha, NE 68131-1601 |
| Andrea George | Endocrinology | Alegent Creighton Clinic | 2412 Cuming St, Suite 200, Omaha, NE 68131-1601 |
| Saleem N Jafilan | Emergency Medicine | Emergency Physician Associates of Nebraska PC | 2412 Cuming St, Omaha, NE 68131-1601 |
| Margaret Kaitlin Sheehy | Emergency Medicine | Emergency Physician Associates of Nebraska PC | 2412 Cuming St, Omaha, NE 68131-1601 |
| Sarah M Waterman | Family Medicine | Alegent Creighton Clinic | 2412 Cuming St, Suite 200, Omaha, NE 68131-1601 |
| Find all physicians in zip 68131 | |||
| City | OMAHA |
| Zip Code | 68131 |
| Specialty | AUDIOLOGIST |
| City + Specialty | OMAHA + AUDIOLOGIST |
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| 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.