MS. SHANNON R MAHONEY (NPI# 1093700858) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093700858 |
| Entity Type | Individual |
| Full Name | MS. SHANNON R MAHONEY |
| Credential | PA-C |
| Practice Address |
5323 Harry Hines Blvd Dallas TX 75390-7208 |
| Mailing Address |
Po Box 845347 Dallas TX 75284-5347 |
| Practice Telephone | 2146454673 |
| Practice Fax Number | 2146452615 |
| Mailing Telephone | 2146454673 |
| Mailing Fax Number | 2146452615 |
| Enumeration Date | 2005-09-16 |
| Last Update Date | 2016-12-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA07353 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
085002384 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962068759 | Shannon Mahoney | Speech-Language Pathologist | 3512 Cresson St, Phila, PA 19129-1648 | 2019-05-16 |
| 1831275973 | Shannon Lee Mahoney | Specialist | 251 N 114th St, Apt 707, Apache Junction, AZ 85120-3535 | 2006-10-31 |
| 1194333906 | Shannon Mahoney | Physical Therapy Assistant | 8810 Se Sunnybrook Blvd Ste 100, Clackamas, OR 97015-6805 | 2020-07-17 |
| 1871143719 | Shannon E Mahoney | Developmental Therapist | 321 Fortune Blvd, Milford, MA 01757-1750 | 2019-09-12 |
| 1093208480 | Shannon Mahoney | Physical Therapist | 10 Columbus Cir, New York, NY 10019-1158 | 2018-06-11 |
| 1235513904 | Shannon Mahoney | Physician Assistant | 3033 Winkler Ave Unit 100, Fort Myers, FL 33916-9523 | 2015-07-13 |
| 1740677319 | Shannon April Mahoney | Clinical Nurse Specialist | 55 Fruit St, Boston, MA 02114-2621 | 2015-04-22 |
| 1417168360 | Shannon M Mahoney | Occupational Therapist | 911 Meals Avenue, Valdez, AK 99686-1316 | 2007-05-24 |
| Street Address |
5323 HARRY HINES BLVD |
| City | DALLAS |
| State | TX |
| Zip Code | 75390-7208 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750384434 | Wayne Edward Vinton | Nurse Anesthetist, Certified Registered | 5323 Harry Hines Blvd, Dallas, TX 75390-7201 | 2005-05-24 |
| 1134726441 | Franco Hernandez | Student in an Organized Health Care Education/Training Program | 5323 Harry Hines Blvd, Dallas, TX 75390-7201 | 2020-10-08 |
| 1902413313 | Suzanne Largent | Student in an Organized Health Care Education/Training Program | 5323 Harry Hines Blvd, Dallas, TX 75390-7201 | 2020-09-29 |
| 1518574540 | Alexandra Abele | Student in an Organized Health Care Education/Training Program | 5323 Harry Hines Blvd, Dallas, TX 75390 | 2020-09-24 |
| 1427660133 | Salman Kazmi | Student in an Organized Health Care Education/Training Program | 5323 Harry Hines Blvd, Dallas, TX 75390-7201 | 2020-08-24 |
| 1356951800 | Teja Sebastian | Student in an Organized Health Care Education/Training Program | 5323 Harry Hines Blvd, Dallas, TX 75390-7201 | 2020-08-08 |
| 1891305454 | Usamah Chaudhary | Student in an Organized Health Care Education/Training Program | 5323 Harry Hines Blvd, Dallas, TX 75390-9006 | 2020-08-07 |
| 1700496999 | Jada Martin | Student in an Organized Health Care Education/Training Program | 5323 Harry Hines Blvd, Dallas, TX 75390-9006 | 2020-08-03 |
| 1790395036 | Glaiza-mae Sande-docor | Student in an Organized Health Care Education/Training Program | 5323 Harry Hines Blvd, Dallas, TX 75390-7201 | 2020-08-02 |
| 1326658675 | Allante Jemar Milsap | Student in an Organized Health Care Education/Training Program | 5323 Harry Hines Blvd, Dallas, TX 75390-7201 | 2020-08-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467075655 | Richard Mark Bresler | Student in an Organized Health Care Education/Training Program | 5323 Harry Hines Blvd, Mc9159, Dallas, TX 75390 | 2020-05-21 |
| 1356970735 | Fabricio Stewan Feltrin | Student in an Organized Health Care Education/Training Program | 5323 Harry Hynes Boulevard, Dallas, TX 75390 | 2020-04-07 |
| 1477016467 | Seagal Raza Dauglas | Student in an Organized Health Care Education/Training Program | 5323 Harry Hines Mc9159, Dallas, TX 75390 | 2019-04-08 |
| 1831674340 | Adwoa Aninkorah | Nurse Practitioner | Ut Southwestern Medical Center 5151 Harry Hines Blvd, Dallas, TX 75390 | 2018-10-01 |
| 1194212712 | Christian Lobue | Clinical Neuropsychologist | 6333 Forest Park Road, 1st Floor, Bla 100, Dallas, TX 75390 | 2018-04-19 |
| 1912439720 | Linsey Lindley | Student in an Organized Health Care Education/Training Program | 5939 Harry Hines Blvd 4th Floor Suite 100, Dallas, TX 75390 | 2017-03-30 |
| 1043759418 | Alyssa Macchiaroli | Registered Nurse | 5323 Harry Hines Blvd Mail Code 8590, Dallas, TX 75390 | 2017-02-18 |
| 1609313980 | Megan Rasmussen Bollner | Physician Assistant | 5303 Harry Hines Blvd Fl 9, Dallas, TX 75390 | 2017-01-25 |
| 1518329168 | Danny Hsu Yang | Hospitalist | 6201 Harry Hines Blved, Dallas, TX 75390 | 2016-03-23 |
| 1780046532 | Omer Mirza | Hospitalist | 6201 Harry Hines Blvd Dallas, Dallas, TX 75390 | 2016-03-22 |
| Find all providers in zip 75390 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821641051 | Kelsey Young | Physician Assistant | 12201 Merit Dr Ste 400, Dallas, TX 75251-3117 | 2019-07-17 |
| 1558863555 | Kyra Nicole Logan | Physician Assistant | 221 W Colorado Blvd Pav II Ste. 425, Dallas, TX 75208-7520 | 2018-03-06 |
| 1386169175 | Lauren Moore | Physician Assistant | 5201 Harry Hines Blvd Fl Htower1, Dallas, TX 75235-7708 | 2017-08-14 |
| 1811427594 | Jena Benik | Physician Assistant | 7777 Forest Ln Ste B122, Dallas, TX 75230-6806 | 2017-06-15 |
| 1881123909 | One Healthcare LLC | Physician Assistant | 1722 Routh St Ste 900, Dallas, TX 75201-2588 | 2017-06-12 |
| 1972037307 | Morrison Medical | Physician Assistant | 17746 Preston Rd Ste 100, Dallas, TX 75252-5736 | 2017-04-12 |
| 1205297652 | Keri Miller | Physician Assistant | 9780 Lbj Fwy Ste 124, Dallas, TX 75243-6847 | 2016-03-14 |
| 1275907776 | Aleshia Mutai | Physician Assistant | 5800 E Lovers Ln, Dallas, TX 75206-2901 | 2015-11-20 |
| 1588049613 | Yvonne Conard | Physician Assistant | 2650 Cedar Springs Rd, #5535, Dallas, TX 75201-1495 | 2015-07-30 |
| 1699174599 | John Michael Cline | Physician Assistant | 5201 Harry Hines Boulevard, Psychiatric Emergency Room, Dallas, TX 75235 | 2014-08-15 |
| Find all providers in DALLAS | ||||
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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.