SHANNON M BERRY (NPI# 1013909811) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013909811 |
| Entity Type | Individual |
| Full Name | SHANNON M BERRY |
| Credential | M.D. |
| Practice Address |
295 Posada Ln Suite D Templeton CA 93465-4055 |
| Practice Telephone | 8054349900 |
| Practice Fax Number | 8054349933 |
| Mailing Telephone | 8054349900 |
| Mailing Fax Number | 8054349933 |
| Enumeration Date | 2005-08-17 |
| Last Update Date | 2008-04-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | A070193 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | BLUE SHIELD | A070193 | 01 |
| CA | 00A701930 | 05 | |
| CA | BLUE CROSS | A070193 | 01 |
| DEA | BB5890264 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720401714 | Shannon D. Berry | Speech-Language Pathologist | 1231 Harbor River Dr, Memphis, TN 38103-8980 | 2014-01-27 |
| 1922141555 | Shannon Lee Jett Berry | Speech-Language Pathologist | 218 N Florida St, Suite 3, Bushnell, FL 33513-6150 | 2007-02-14 |
| 1679174643 | Shannon Berry | Pharmacist | 1712 E Ohio St, Clinton, MO 64735-2402 | 2020-11-05 |
| 1205253267 | Shannon Berry | Emergency Medicine | 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 | 2014-03-27 |
| 1295057818 | Shannon Berry | Occupational Therapy Assistant | 420 Gaffney Dr, Watertown, NY 13601-1823 | 2010-02-23 |
| 1770719668 | Shannon Gammill Berry | Emergency Medicine | 1635 Marvel St, Coushatta, LA 71019-9022 | 2009-06-05 |
| 1649381245 | Shannon Berry | Advanced Practice Midwife | 100 Brewster Blvd, Medical Staff Services, Camp Lejeune, NC 28547-2538 | 2006-08-31 |
| Street Address |
295 POSADA LN SUITE D |
| City | TEMPLETON |
| State | CA |
| Zip Code | 93465-4055 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205836954 | Roman Platon Bukachevsky | Otolaryngology | 295 Posada Ln, Suite B, Templeton, CA 93465-4055 | 2005-07-22 |
| 1447471883 | Libby A Kerr | Registered Nurse | 295 Posada Ln, Suite C, Templeton, CA 93465-4055 | 2007-05-02 |
| 1528195625 | Roman P. Bukachevsky, Md, Inc | Specialist | 295 Posada Ln, Suite B, Templeton, CA 93465-4055 | 2007-02-27 |
| 1013085810 | Andrew S Dennish | Internal Medicine | 295 Posada Ln, Suite A, Templeton, CA 93465 | 2006-12-01 |
| 1023109048 | Lawrence E Vondollen | Internal Medicine | 295 Posada Ln, Ste A, Templeton, CA 93465-4055 | 2006-09-27 |
| 1083671358 | Central Coast Facial Surgery Center | Clinic/Center | 295 Posada Ln, Suite B, Templeton, CA 93465-4055 | 2006-04-28 |
| 1104805837 | Michael L Wiechmann | Internal Medicine | 295 Posada Ln, Ste A, Templeton, CA 93465 | 2006-01-11 |
| 1821081043 | Steven Jerome Mcallen | Internal Medicine | 295 Posada Ln, Suite C, Templeton, CA 93465-4055 | 2005-08-23 |
| 1790777506 | Julie C Fallon | Internal Medicine | 295 Posada Ln, Suite D, Templeton, CA 93465-4055 | 2005-08-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346773306 | Edward Delos Trino | Nurse Practitioner | 350 Posada Ln # 102, Templeton, CA 93465 | 2017-04-06 |
| 1497102883 | Miriam Castillo | Counselor | 44 Brewer St, Templeton, CA 93465 | 2016-05-16 |
| 1013395821 | Marna Moore-barr | Registered Nurse | 90 Dandelion Ln, Templeton, CA 93465 | 2015-05-12 |
| 1396007308 | Melissa Lee Gaidis | Psychologist | 225 Posada Lane, Suite L, Templeton, CA 93465 | 2012-06-14 |
| 1033418736 | Central Coast Associated Physicians, Inc. | Internal Medicine | 1220 Las Tablas Rd, Suite 1418, Templeton, CA 93465 | 2011-03-21 |
| 1922306281 | Benjamin Ernest Bartel | Counselor | 1827 Orlen Lane, Templeton, CA 93465 | 2011-03-09 |
| 1003116674 | Tiffney Taylor | Internal Medicine | 265 Posada Ln Ste B, Templeton, CA 93465 | 2010-10-28 |
| 1124355342 | Mary Christine Schaff | Nurse Practitioner | 1111 Las Tablas Rd., Ste. M, Templeton, CA 93465 | 2009-11-09 |
| 1417196890 | Liberty Michael Romig | Marriage & Family Therapist | 318 Crocker Street, Templeton, CA 93465 | 2009-02-09 |
| 1427212273 | Linda Kay Shaleen | Social Worker | 212 Main Street Suite 201, Templeton, CA 93465 | 2008-07-10 |
| Find all providers in zip 93465 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033418736 | Central Coast Associated Physicians, Inc. | Internal Medicine | 1220 Las Tablas Rd, Suite 1418, Templeton, CA 93465 | 2011-03-21 |
| 1003116674 | Tiffney Taylor | Internal Medicine | 265 Posada Ln Ste B, Templeton, CA 93465 | 2010-10-28 |
| 1972799187 | Thomas C Harper, M.d. A Medical Corporation | Internal Medicine | 265 Posada Ln Ste D, Templeton, CA 93465-4056 | 2007-09-20 |
| 1700846607 | Stephen Tracy Sigmund | Internal Medicine | 1310 Las Tablas, Suite 102, Suite 102, Templeton, CA 93465 | 2006-03-24 |
| 1770542268 | Kevin Francis Colton | Internal Medicine | 1105 Las Tablas Rd, Suite F, Templeton, CA 93465 | 2006-03-22 |
| 1497738348 | Diane K. Noyes | Internal Medicine | 1100 Las Tablas Rd, Templeton, CA 93465-9704 | 2005-11-23 |
| 1902455496 | Kristine Hunter | Internal Medicine | 1255 Las Tablas Rd Ste 201, Templeton, CA 93465-9750 | 2019-09-06 |
| 1003340423 | Allen Avedian | Internal Medicine | 325 Posada Ln, Templeton, CA 93465-4003 | 2017-04-12 |
| 1841633948 | Kevin Connolly | Internal Medicine | 1310 Las Tablas Rd Ste 103, Templeton, CA 93465 | 2013-04-09 |
| 1578855995 | Suvarna Choudhari | Internal Medicine | 959 Las Tablas Rd, B3, Templeton, CA 93465-9703 | 2011-05-03 |
| Find all providers in TEMPLETON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.