Shannon M Juno (NPI# 1104818624, PAC ID# 7315936770) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OBSTETRICS/GYNECOLOGY.
| Nation Provider ID (NPI) | 1104818624 |
| PAC ID by PECOS | 7315936770 |
| Professional Enrollment ID | I20070124000118 |
| Full Name | Shannon M Juno |
| Organization Legal Name | SHANNON M JUNO M.D. P.A. |
| Address |
1720 N Von Minden Lagrange TX 78945-2419 |
| Phone Number | 9799682700 |
| Gender | F |
| Credential | MD |
| Medical School | UNIVERSITY OF TEXAS MEDICAL SCHOOL AT HOUSTON |
| Graduation Year | 2000 |
| Primary Specialty | OBSTETRICS/GYNECOLOGY |
| Group Practice PAC ID | 5799854998 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 670004 | ST MARKS MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1720 N Von Minden, Lagrange, TX 78945-2419 | 9799682700 | SHANNON M JUNO M.D. P.A. |
| Organization Legal Name | SHANNON M JUNO M.D. P.A. |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Russell J Juno | General Surgery | Shannon M Juno M.d. P.a. | 1720 N Von Minden, Lagrange, TX 78945-2419 |
| Street Address |
1720 N VON MINDEN |
| City | LAGRANGE |
| State | TX |
| Zip | 78945-2419 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Russell J Juno | General Surgery | Shannon M Juno M.d. P.a. | 1720 N Von Minden, Lagrange, TX 78945-2419 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lisa D Henderson | Certified Registered Nurse Anesthetist (crna) | Youngs Professional Services LLC | 1 Saint Marks Pl, La Grange, TX 78945-1250 |
| Diana Wilson | Certified Registered Nurse Anesthetist (crna) | Youngs Professional Services LLC | 1 Saint Marks Pl, La Grange, TX 78945-1250 |
| Elizabeth A Hewett | Certified Registered Nurse Anesthetist (crna) | Youngs Professional Services LLC | 1 Saint Marks Pl, La Grange, TX 78945-1250 |
| Scarlett B Nakajima | Certified Registered Nurse Anesthetist (crna) | Youngs Professional Services LLC | 1 Saint Marks Pl, La Grange, TX 78945-1250 |
| Karrie M Rutherford | Certified Registered Nurse Anesthetist (crna) | Youngs Professional Services LLC | 1 Saint Marks Pl, La Grange, TX 78945-1250 |
| Cliff Bo En Yu | Certified Registered Nurse Anesthetist (crna) | Youngs Professional Services LLC | 1 Saint Marks Pl, La Grange, TX 78945-1250 |
| Jason M Lamboley | Certified Registered Nurse Anesthetist (crna) | Youngs Professional Services LLC | 1 Saint Marks Pl, La Grange, TX 78945-1250 |
| Mark W Adams | Certified Registered Nurse Anesthetist (crna) | Youngs Professional Services LLC | 1 Saint Marks Pl, La Grange, TX 78945-1250 |
| Alison Leana Smiley | Certified Registered Nurse Anesthetist (crna) | Youngs Professional Services LLC | 1 Saint Marks Pl, La Grange, TX 78945-1250 |
| Arush K Angirasa | Podiatry | St Marks Medical Center | 1 Saint Marks Pl, La Grange, TX 78945-1250 |
| Find all physicians in zip 78945 | |||
| City | LAGRANGE |
| Zip Code | 78945 |
| Specialty | OBSTETRICS/GYNECOLOGY |
| City + Specialty | LAGRANGE + OBSTETRICS/GYNECOLOGY |
Please comment or provide details below to improve the information on Shannon M Juno.
| 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.