MS. SHANNON L. CHURCH (NPI# 1164750105) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164750105 |
| Entity Type | Individual |
| Full Name | MS. SHANNON L. CHURCH |
| Other Name | MS. SHANNON L. LAMBERT |
| Credential | PA |
| Practice Address |
271 Carew St Springfield MA 01104-2377 |
| Practice Telephone | 4137489349 |
| Practice Fax Number | 4134526080 |
| Mailing Telephone | 4137489349 |
| Mailing Fax Number | 4134526080 |
| Enumeration Date | 2009-12-03 |
| Last Update Date | 2016-05-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA3911 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | MA PA LICENSE | PA3911 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255619870 | Shannon Church | Doula | 406 Platt St, Rapid City, SD 57702-2310 | 2011-07-31 |
| 1104364686 | Shannon Church | Registered Nurse | 5 Palisades Drive Suite 200, St. Peter's Internal Medicine, Albany, NY 12205-6433 | 2017-02-06 |
| 1164767778 | Shannon Ann Church | Social Worker | 1340 Broad Ave, Ste 410, Gulfport, MS 39501-2404 | 2012-12-07 |
| Street Address |
271 CAREW ST |
| City | SPRINGFIELD |
| State | MA |
| Zip Code | 01104-2377 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013911957 | Jeffrey Lawrence Friedman | Specialist | 271 Carew St, Springfield, MA 01104-2377 | 2005-06-09 |
| 1700401213 | Laura Quink | Physician Assistant | 271 Carew St, Springfield, MA 01104-2377 | 2020-06-10 |
| 1235784943 | Alyssa L. Fleurent | Physician Assistant | 271 Carew St, Springfield, MA 01104-2377 | 2019-08-08 |
| 1962061929 | Emily Mckenna Clough | Physician Assistant | 271 Carew St, Springfield, MA 01104-2377 | 2019-06-12 |
| 1508425109 | Christopher Clark | Physician Assistant | 271 Carew St, Springfield, MA 01104-2377 | 2019-06-07 |
| 1851955256 | Bernard Sanvie | Physician Assistant | 271 Carew St, Springfield, MA 01104-2377 | 2019-05-01 |
| 1669036737 | Adfinitas Health At The Mercy Hospital Pllc | Hospitalist | 271 Carew St, Springfield, MA 01104-2377 | 2019-04-24 |
| 1326502238 | Woodland Anesthesiology Associates, P.C. | Anesthesiology | 271 Carew St, Springfield, MA 01104-2377 | 2019-01-24 |
| 1912480351 | Sarah Gagnon | Nurse Practitioner | 271 Carew St, Springfield, MA 01104-2377 | 2018-09-12 |
| 1922580984 | Samantha Abraham | Physician Assistant | 271 Carew St, Springfield, MA 01104-2377 | 2018-09-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346727567 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 2155 Main Street, Suite 131/133, Springfield, MA 01104 | 2018-07-20 |
| 1508385618 | Demetrios Sotiropoulos | Physician Assistant | 175 Carew St Ste 250, Springfield, MA 01104 | 2017-09-11 |
| 1114382942 | Rosana Rivera-delgado | Psychologist | 4017 Liberty St, Springfield, MA 01104 | 2015-12-21 |
| 1417363516 | Springfield Family Pharmacy, Inc | Pharmacy | 175 Carew St, Suite 100, Springfield, MA 01104 | 2014-07-09 |
| 1437588837 | Ariam Ivette Pena | Counselor | 85 St. George Road, Springfield, MA 01104 | 2013-11-06 |
| 1891124293 | Ana E. Centeno | Counselor | 85 St. George Road., Springfield, MA 01104 | 2013-11-06 |
| 1275962003 | Swany Matos | Counselor | 2155 Main St., Springfield, MA 01104 | 2013-11-02 |
| 1184053910 | Claudia Eileen Quesada | Counselor | 2155 Main Street and St. George Road, The Gandara Center, Springfield, MA 01104 | 2013-11-02 |
| 1194023044 | Hungry Hill Family Practice | Clinic/Center | 776 Liberty Street, Hungry Hill Family Practice, Springfield, MA 01104 | 2011-03-02 |
| 1710115308 | Michael Allen Roche | Counselor | 332 Bernie Ave, Center for Human Development, Springfield, MA 01104 | 2009-06-23 |
| Find all providers in zip 01104 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629592225 | Justin William Starling | Physician Assistant | 1515 Keys Ave, Springfield, IL 62702-2933 | 2017-07-26 |
| 1710435011 | Alexander Andersen | Physician Assistant | 445 Harlow Rd Ste 200, Springfield, OR 97477-1341 | 2016-09-14 |
| 1932538980 | Emily Baecher | Physician Assistant | 2 Medical Cetner Dr, Suite 205, Springfield, MA 01199-1619 | 2013-11-09 |
| 1699114421 | Lauren M Kendall | Physician Assistant | 960 N 16th St Ste 108, Springfield, OR 97477-4175 | 2013-06-14 |
| 1750660148 | Daniel Francis Reilly Jr. | Physician Assistant | 2 Medical Center Dr Ste 308, Springfield, MA 01107-1271 | 2011-08-16 |
| 1831499383 | Christin Wolak | Physician Assistant | 300 Birnie Ave Ste 201, Springfield, MA 01107-1121 | 2010-11-01 |
| 1811200710 | Jessica Anne White | Physician Assistant | 25 Ridgewood Rd., Esne, Springfield, VT 05156 | 2010-07-20 |
| 1043540669 | Kristen Dawn Dodd | Physician Assistant | 960 N 16th St Ste 207, Springfield, OR 97477-4175 | 2010-01-04 |
| 1831337765 | Cynthia R. Krinochkin | Physician Assistant | 3801 S. National, 5th Floor, Springfield, MO 65807-5210 | 2009-01-30 |
| 1578746079 | Jamie Moore | Physician Assistant | 2 Medical Center Drive Suite 503, Springfield, MA 01199-0001 | 2007-12-07 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 01104 |
Please comment or provide details below to improve the information on MS. SHANNON L. CHURCH.
| 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.