Shannon E Phillips Jr. (NPI# 1811969165, PAC ID# 6800867136) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1811969165 |
| PAC ID by PECOS | 6800867136 |
| Professional Enrollment ID | I20040802001049 |
| Full Name | Shannon E Phillips Jr. |
| Organization Legal Name | DAILEY MEDICAL CLINIC |
| Address |
1108 S Buffalo Canton TX 75103-2304 |
| Phone Number | 9035671910 |
| Gender | M |
| Credential | NP |
| Graduation Year | 2003 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 5991858243 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1108 S Buffalo, Canton, TX 75103-2304 | 9035671910 | DAILEY MEDICAL CLINIC |
| Organization Legal Name | DAILEY MEDICAL CLINIC |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jimmy W Dailey | Family Medicine | Dailey Medical Clinic | 1108 S Buffalo, Canton, TX 75103-2304 |
| Melissa Williams | Nurse Practitioner | Dailey Medical Clinic | 1108 S Buffalo, Canton, TX 75103-2304 |
| Angela C Whitton | Physician Assistant | Dailey Medical Clinic | 1108 S Buffalo, Canton, TX 75103-2304 |
| Street Address |
1108 S BUFFALO |
| City | CANTON |
| State | TX |
| Zip | 75103-2304 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jimmy W Dailey | Family Medicine | Dailey Medical Clinic | 1108 S Buffalo, Canton, TX 75103-2304 |
| Melissa Williams | Nurse Practitioner | Dailey Medical Clinic | 1108 S Buffalo, Canton, TX 75103-2304 |
| Dustin W Smith | Podiatry | Foot Clinic of East Texas, PC | 1108 S Buffalo, Canton, TX 75103-2304 |
| Angela C Whitton | Physician Assistant | Dailey Medical Clinic | 1108 S Buffalo, Canton, TX 75103-2304 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kristofer T Ingram | Chiropractic | Ingram Health Care PC | 921 W Dallas St, Canton, TX 75103-1009 |
| Tina M Ingram | Chiropractic | Ingram Health Care PC | 921 W Dallas St, Canton, TX 75103-1009 |
| Himanshu Kaushik | Physical Therapy | A Medical Advantage Healthcare Systems Associated | 300 S Main St, Canton, TX 75103-1439 |
| Robin G Fincher | Certified Nurse Midwife | 602 S Trade Days Blvd, Canton, TX 75103-1826 | |
| R A Lester Iii | Family Medicine | 1108 S Buffalo St, Diabetic Renewal Ctr, Canton, TX 75103-2304 | |
| Betsy Jill Chappell | Nurse Practitioner | Etmc Physician Group, Inc. | 406 E Hwy 243, Canton, TX 75103-2409 |
| Moises Adrian Sidransky | Pain Management | Etmc Physician Group, Inc. | 406 E Hwy 243, Canton, TX 75103-2409 |
| John Turner | General Practice | Etmc Physician Group, Inc. | 406 E Hwy 243, Canton, TX 75103-2409 |
| Jonathan W Pino | Family Medicine | 301 E State Hwy 243 121, Canton Xpressmed, Canton, TX 75103-2418 | |
| James Darryl Rosson | Optometry | 603e Hwy 243, Canton, TX 75103-2420 | |
| Find all physicians in zip 75103 | |||
| City | CANTON |
| Zip Code | 75103 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | CANTON + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Shannon E Phillips Jr..
| 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.