Maryellen Shannon (NPI# 1033227483, PAC ID# 7113831694) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OBSTETRICS/GYNECOLOGY.
| Nation Provider ID (NPI) | 1033227483 |
| PAC ID by PECOS | 7113831694 |
| Professional Enrollment ID | I20150701002404 |
| Full Name | Maryellen Shannon |
| Organization Legal Name | SOUTH COAST MEDICAL CENTER FOR NEW MEDICINE,.INC |
| Address |
6 Hughes Suite 100 Irvine CA 92618-2060 |
| Phone Number | 9496801880 |
| Gender | F |
| Medical School | CHICAGO COLLEGE OF MEDICINE AND SURGERY |
| Graduation Year | 1987 |
| Primary Specialty | OBSTETRICS/GYNECOLOGY |
| Group Practice PAC ID | 0345427522 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 6 Hughes, Suite 100, Irvine, CA 92618-2060 | 9496801880 | SOUTH COAST MEDICAL CENTER FOR NEW MEDICINE,.INC |
| Organization Legal Name | SOUTH COAST MEDICAL CENTER FOR NEW MEDICINE,.INC |
| Physicians | 7 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Leigh E Connealy | Family Medicine | South Coast Medical Center for New Medicine,.inc | 6 Hughes, Suite 100, Irvine, CA 92618-2060 |
| Bita Badakhshan | Family Medicine | South Coast Medical Center for New Medicine,.inc | 6 Hughes, Suite 100, Irvine, CA 92618-2060 |
| Ariel Causey | Nurse Practitioner | South Coast Medical Center for New Medicine,.inc | 6 Hughes, Suite 100, Irvine, CA 92618-2060 |
| Cambria A Judd | Family Practice | South Coast Medical Center for New Medicine,.inc | 6 Hughes, Irvine, CA 92618-2060 |
| Brandi Morinoue | Physician Assistant | South Coast Medical Center for New Medicine,.inc | 6 Hughes, Suite 100, Irvine, CA 92618-2060 |
| Suzanne O Kim | Family Practice | South Coast Medical Center for New Medicine,.inc | 6 Hughes, Irvine, CA 92618-2060 |
| Street Address |
6 HUGHES SUITE 100 |
| City | IRVINE |
| State | CA |
| Zip | 92618-2060 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Leigh E Connealy | Family Medicine | South Coast Medical Center for New Medicine,.inc | 6 Hughes, Suite 100, Irvine, CA 92618-2060 |
| Bita Badakhshan | Family Medicine | South Coast Medical Center for New Medicine,.inc | 6 Hughes, Suite 100, Irvine, CA 92618-2060 |
| Ariel Causey | Nurse Practitioner | South Coast Medical Center for New Medicine,.inc | 6 Hughes, Suite 100, Irvine, CA 92618-2060 |
| Cambria A Judd | Family Practice | South Coast Medical Center for New Medicine,.inc | 6 Hughes, Irvine, CA 92618-2060 |
| Brandi Morinoue | Physician Assistant | South Coast Medical Center for New Medicine,.inc | 6 Hughes, Suite 100, Irvine, CA 92618-2060 |
| Suzanne O Kim | Family Practice | South Coast Medical Center for New Medicine,.inc | 6 Hughes, Irvine, CA 92618-2060 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Benjamin Y Chen | Diagnostic Radiology | Summit Radiology PC | 41 Modena, Irvine, CA 92618-0104 |
| Jim Yung Chun Chung | Chiropractic | 14785 Jeffrey Rd, Suite 102, Irvine, CA 92618-0409 | |
| Tzong-shin S Yang | Physical Therapy | Unicare Physical Therapy, Inc.. | 14785 Jeffrey Rd, Suite 108, Irvine, CA 92618-0410 |
| Jenn Tih Yang | Physical Therapy | Unicare Physical Therapy, Inc.. | 14785 Jeffrey Rd, Suite 108, Irvine, CA 92618-0410 |
| Roger Lee | Chiropractic | 14795 Jeffrey Rd, Suite 103, Irvine, CA 92618-0417 | |
| Nuha Krad | Diagnostic Radiology | Central Illinois Radiological Associates Ltd | 172 Gitano, Irvine, CA 92618-1115 |
| Kenneth A Cantos | Pathology | Newport Harbor Pathology Medical Group Inc | 20 Fairbanks, Suite 184, Irvine, CA 92618-1673 |
| Parkson J Lin | Podiatry | 2 Hughes, Suite 150, Irvine, CA 92618-2036 | |
| Brent Silvers | Internal Medicine | 2 Hughes, Suite 150, Irvine, CA 92618-2036 | |
| Martha E Wittenberg | Family Practice | Institute for Progressive Medicine A Professional Medical Corporation | 4 Hughes, Suite 175, Irvine, CA 92618-2045 |
| Find all physicians in zip 92618 | |||
| City | IRVINE |
| Zip Code | 92618 |
| Specialty | OBSTETRICS/GYNECOLOGY |
| City + Specialty | IRVINE + OBSTETRICS/GYNECOLOGY |
Please comment or provide details below to improve the information on Maryellen Shannon.
| 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.