Shannon M King (NPI# 1902048176, PAC ID# 3072665256) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL SOCIAL WORKER.
| Nation Provider ID (NPI) | 1902048176 |
| PAC ID by PECOS | 3072665256 |
| Professional Enrollment ID | I20120405000108 |
| Full Name | Shannon M King |
| Address |
1690 Dunlawton Ave Suite 125 Port Orange FL 32127-8980 |
| Gender | F |
| Graduation Year | 2002 |
| Primary Specialty | CLINICAL SOCIAL WORKER |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1690 Dunlawton Ave, Suite 125, Port Orange, FL 32127-8980 |
| Street Address |
1690 DUNLAWTON AVE SUITE 125 |
| City | PORT ORANGE |
| State | FL |
| Zip | 32127-8980 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Chaz Kisgeropoulos | Physician Assistant | Urgent Care Center of Port Orange LLC | 1690 Dunlawton Ave, Suite 120, Port Orange, FL 32127-8980 |
| Vickie L Sorrell | Nurse Practitioner | Urgent Care Center of Port Orange LLC | 1690 Dunlawton Ave, Suite 120, Port Orange, FL 32127-8980 |
| Melody M Johnson | Physician Assistant | Urgent Care Center of Port Orange LLC | 1690 Dunlawton Ave, Suite 120, Port Orange, FL 32127-8980 |
| Nancy B Braddock | Physician Assistant | Advanced Gastroenterology Health Care Centers | 1690 Dunlawton Ave, Suite 210, Port Orange, FL 32127-8980 |
| Osman Zaki Ahmad | Pediatric Medicine | Town Center Medical Services LLC | 1690 Dunlawton Ave, Suite 120, Port Orange, FL 32127-8980 |
| Arsheema Abdurahman | Nurse Practitioner | Town Center Medical Services LLC | 1690 Dunlawton Ave, Suite 120, Port Orange, FL 32127-8980 |
| Scott T Gilroy | Family Medicine | Urgent Care Center of Port Orange LLC | 1690 Dunlawton Ave, Suite 120, Port Orange, FL 32127-8980 |
| Tammy Grayson | Physician Assistant | Urgent Care Center of Port Orange LLC | 1690 Dunlawton Ave, Suite 120, Port Orange, FL 32127-8980 |
| Rehana Siddiqui | Family Medicine | Town Center Medical Services LLC | 1690 Dunlawton Ave, Suite 120, Port Orange, FL 32127-8980 |
| Bessie Kueffler | Nurse Practitioner | Town Center Medical Services LLC | 1690 Dunlawton Ave, Suite 120, Port Orange, FL 32127-8980 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kathleen Williams | Colorectal Surgery (proctology) | Meese Tolland Ritter and Williams Md Pa | 1185 Dunlawton Ave, Suite 100, Port Orange, FL 32127-2906 |
| David L Meese | Colorectal Surgery (proctology) | Meese Tolland Ritter and Williams Md Pa | 1185 Dunlawton Ave, Suite 100, Port Orange, FL 32127-2906 |
| Joseph Mirante | Otolaryngology | Coastal Ear Nose and Throat Pa | 1185 Dunlawton Ave, Suite 102, Port Orange, FL 32127-2906 |
| Michael Munier | Otolaryngology | Coastal Ear Nose and Throat Pa | 1185 Dunlawton Ave, Suite 102, Port Orange, FL 32127-2906 |
| Andrew H Ritter | Colorectal Surgery (proctology) | Meese Tolland Ritter and Williams Md Pa | 1185 Dunlawton Ave, Suite 100, Port Orange, FL 32127-2906 |
| John S Newman | Certified Registered Nurse Anesthetist (crna) | Meese Tolland Ritter and Williams Md Pa | 1185 Dunlawton Ave, Suite 100, Port Orange, FL 32127-2906 |
| Anthony T Tucker | Otolaryngology | Coastal Ear Nose and Throat Pa | 1185 Dunlawton Ave, Suite 102, Port Orange, FL 32127-2906 |
| John T Tolland | Colorectal Surgery (proctology) | Meese Tolland Ritter and Williams Md Pa | 1185 Dunlawton Ave, Suite 100, Port Orange, FL 32127-2906 |
| Robert J Yu | Colorectal Surgery (proctology) | Meese Tolland Ritter and Williams Md Pa | 1185 Dunlawton Ave, Suite 100, Port Orange, FL 32127-2906 |
| Timothy J Wierzbicki | Neurology | 1211 Dunlawton Ave, Port Orange, FL 32127-2913 | |
| Find all physicians in zip 32127 | |||
| City | PORT ORANGE |
| Zip Code | 32127 |
| Specialty | CLINICAL SOCIAL WORKER |
| City + Specialty | PORT ORANGE + CLINICAL SOCIAL WORKER |
Please comment or provide details below to improve the information on Shannon M King.
| 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.