SHANNON BEDNARZ (NPI# 1023519246) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023519246 |
| Entity Type | Individual |
| Full Name | SHANNON BEDNARZ |
| Credential | PA-C |
| Practice Address |
1370 E Venice Ave Ste 205 Venice FL 34285-9084 |
| Mailing Address |
1360 E Venice Ave Venice FL 34285-9066 |
| Practice Telephone | 9414882020 |
| Mailing Telephone | 9414802135 |
| Enumeration Date | 2018-02-22 |
| Last Update Date | 2020-05-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 8647 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1800 S Mccall Rd, Englewood, FL 342234958 | 9414802135 | |
| 1370 E Venice Ave Ste 205, Venice, FL 342859084 | 9414882020 |
| Street Address |
1370 E VENICE AVE STE 205 |
| City | VENICE |
| State | FL |
| Zip Code | 34285-9084 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609967603 | Joshua M Newman | Dermatology | 1370 E Venice Ave Ste 205, Venice, FL 34285-9084 | 2006-09-27 |
| 1891104766 | Kalie Kosek | Physician Assistant | 1370 E Venice Ave Ste 205, Venice, FL 34285-9084 | 2014-08-05 |
| 1184715187 | John P Fezza | Ophthalmology | 1370 E Venice Ave Ste 205, Venice, FL 34285-9084 | 2006-09-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972139871 | Safe Haven Counseling LLC | Clinic/Center | 333 S. Tamiami Trail, Suite 284, Venice, FL 34285 | 2020-03-23 |
| 1518445857 | American Eagle Venice Island LLC | Alzheimer Center (Dementia Center) | 1200 Avenida Del Circo, Venice, FL 34285 | 2018-07-30 |
| 1851886915 | Jafet Baxter | Nurse Practitioner | 333 South Tamiami Trail Suite 307, Venice, FL 34285 | 2018-06-29 |
| 1023538345 | Mary Laurie | Durable Medical Equipment & Medical Supplies | 234 Tamiami Trail S, Venice, FL 34285 | 2017-06-27 |
| 1689121584 | The Sky Family Ymca Inc. | Health Educator | 701 Center Rd, Venice, FL 34285 | 2016-09-08 |
| 1033576137 | Broy Enterprises Inc. | Durable Medical Equipment & Medical Supplies | 1205 U.S. 41 Bypass South, Venice, FL 34285 | 2016-01-20 |
| 1629444013 | George C Chamberlain | Hearing Instrument Specialist | 836 Pinebrook Rd Ste D5, Venice, FL 34285 | 2015-08-19 |
| 1801287123 | Cory O'neel | Pharmacist | 1229 Us Highway 41 Byp S, Venice, FL 34285 | 2015-02-09 |
| 1831516418 | Home Detox Inc | Counselor | 530 Us 41 Bypass So, Unit 12b, Venice, FL 34285 | 2014-03-21 |
| 1922440742 | Lynn Zittel | Occupational Therapist | 841 Venetia Bay Blvd, Venice, FL 34285 | 2013-07-22 |
| Find all providers in zip 34285 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730730250 | Ciara O'connor | Physician Assistant | 836 Sunset Lake Blvd Ste 102, Venice, FL 34292-7555 | 2019-09-25 |
| 1386005585 | Maris Smith | Physician Assistant | 429 Park Lane Dr, Venice, FL 34285-1424 | 2016-03-15 |
| 1205259108 | Michelle Emily Fallis | Physician Assistant | 8431 Pointe Loop Dr Fl 1, Venice, FL 34293 | 2014-01-28 |
| 1942556121 | Charles Michael Kayat | Physician Assistant | 109 Venice Palms Blvd, Venice, FL 34292-2446 | 2012-07-25 |
| 1497016877 | Carrie Lynn Kowalski | Physician Assistant | 604 Rose Avenue, Venice, CA 90291 | 2012-06-02 |
| 1265669311 | James E Asaph | Physician Assistant | 1505 Tamiami Trl S Ste 405, Venice, FL 34285-5547 | 2009-06-16 |
| 1922167550 | Krista Rene Gorman | Physician Assistant | 959 E Venice Ave, Venice, FL 34285-7056 | 2006-12-08 |
| 1851472187 | Michael A Banuchi | Physician Assistant | 1295 Jacaranda Blvd., Venice, FL 34292-4522 | 2006-10-17 |
| 1679669402 | Barbara B. Burke | Physician Assistant | 516 Venezia Pkwy, Venice, FL 34285 | 2006-10-05 |
| 1073525655 | Ryan Beadle | Physician Assistant | 21550 Angela Ln, Venice, FL 34293-2017 | 2006-08-12 |
| Find all providers in VENICE | ||||
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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.