Shayna Dallas (NPI# 1962979732, PAC ID# 4284988742) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1962979732 |
| PAC ID by PECOS | 4284988742 |
| Professional Enrollment ID | I20181120000053 |
| Full Name | Shayna Dallas |
| Organization Legal Name | SHANNON CLINIC |
| Address |
4141 S College Hills Blvd San Angelo TX 76904-6506 |
| Phone Number | 3259428611 |
| Gender | F |
| Graduation Year | 2018 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 0840103727 |
| Number of Group Practice Members | 279 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 450571 | SHANNON MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 4141 S College Hills Blvd, San Angelo, TX 76904-6506 | 3259428611 | SHANNON CLINIC |
| Organization Legal Name | SHANNON CLINIC |
| Physicians | 315 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kaushal Sondarwa | Nephrology | Shannon Clinic | 220 E Harris, San Angelo, TX 76903 |
| Mark Hinton | Psychiatry | Shannon Clinic | 2018 Pulliam St, San Angelo, TX 76905-5148 |
| Roxanne Timm | Nurse Practitioner | Shannon Clinic | 225 E Beauregard, San Angelo, TX 76903 |
| Kathie M Horrace Voigt | Family Medicine | Shannon Clinic | 4251 Sunset Dr, San Angelo, TX 76904-5653 |
| Maegin M Carlile | Nurse Practitioner | Shannon Clinic | 120 E Beauregard, San Angelo, TX 76903 |
| Natalie Marie Mcdonald | Physician Assistant | Shannon Clinic | 2626 N Bryant Blvd, San Angelo, TX 76903-2861 |
| Glen M Mcferren | Psychiatry | Shannon Clinic | 2020 Pulliam St, San Angelo, TX 76905-5148 |
| Brandi Lynn Whitehead | Physician Assistant | Shannon Clinic | 102 N Magdalen, San Angelo, TX 76903 |
| Buren A Whitten | Physician Assistant | Shannon Clinic | 104 N Ave H, Ozona, TX 76943-0907 |
| Edward L Grimes | Optometry | Shannon Clinic | 4450 Sunset Dr, San Angelo, TX 76904 |
| Street Address |
4141 S COLLEGE HILLS BLVD |
| City | SAN ANGELO |
| State | TX |
| Zip | 76904-6506 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alice B Blount | Family Medicine | Shannon Clinic | 4141 S College Hills Blvd, San Angelo, TX 76904-6506 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Edward L Grimes | Optometry | Shannon Clinic | 4450 Sunset Dr, San Angelo, TX 76904 |
| Lance Pt Ayers | Physical Therapy | Shannon Clinic | 4450 Sunset Dr, San Angelo, TX 76904 |
| Scott Westmoreland | Podiatry | Shannon Clinic | 4450 Sunset Dr, San Angelo, TX 76904 |
| Milo D Anderson | Podiatry | Shannon Clinic | 4450 Sunset Dr, San Angelo, TX 76904 |
| Amber Michelle Moreland | Gastroenterology | Shannon Clinic | 4450 Sunset Dr, San Angelo, TX 76904 |
| Shun H Lui | Ophthalmology | Shannon Clinic | 4450 Sunset Dr, San Angelo, TX 76904 |
| Shauna Owens | Physical Therapy | Shannon Clinic | 4450 Sunset Dr, San Angelo, TX 76904 |
| Matthew A Goldman | Ophthalmology | Shannon Clinic | 4450 Sunset Dr, San Angelo, TX 76904 |
| Eugene W Stokes | Gastroenterology | Shannon Clinic | 4450 Sunset Dr, San Angelo, TX 76904 |
| Debra J Hamilton | Qualified Audiologist | Shannon Clinic | 4450 Sunset Dr, San Angelo, TX 76904 |
| Find all physicians in zip 76904 | |||
| City | SAN ANGELO |
| Zip Code | 76904 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | SAN ANGELO + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Shayna Dallas.
| 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.