DR. WILLIAM SHANNON (NPI# 1174081707) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1174081707 |
Entity Type | Individual |
Full Name | DR. WILLIAM SHANNON |
Credential | MD |
Practice Address |
1751 Admiral Taussig Blvd Norfolk VA 23511-2802 |
Mailing Address |
503 Waveny Rd Henrico VA 23229-6741 |
Practice Telephone | 7579532339 |
Enumeration Date | 2019-03-02 |
Last Update Date | 2020-09-15 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208D00000X | General Practice | 0101270192 | VA | Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629387261 | William Michael Shannon | Family Medicine | 100 John Dantis Dr, Albuquerque, NM 87151-0100 | 2010-09-30 |
1063668275 | William Mack Shannon | Psychologist | 1207 Indiana St Apt 5, San Francisco, CA 94107-3466 | 2008-08-07 |
1457465544 | William Francis Shannon | Dentist | 1835 Oakland Avenue, Mercy Medical Plaza Bldg A, Portsmouth, OH 45662 | 2006-08-18 |
1043282221 | William P Shannon | Physical Medicine & Rehabilitation | 6630 University Ave, Middleton, WI 53562-3036 | 2006-02-02 |
1619958139 | William Bartholomew Shannon | Ophthalmology | 1061 X Ray Dr, Gastonia, NC 28054-7489 | 2005-11-10 |
Street Address |
1751 ADMIRAL TAUSSIG BLVD |
City | NORFOLK |
State | VA |
Zip Code | 23511-2802 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215591888 | Nash Richard Galvan | Military Health Care Provider | 456-462 Pocahontas St, Norfolk, VA 23511 | 2019-04-29 |
1578059481 | Hillary Anne Diffee | Dentist | Navsta Norfolk Sewells Point Branch Clinic, 1647 Admiral Taussig Blvd, Norfolk, VA 23511 | 2018-07-03 |
1154860237 | Alexander Blau | General Practice | 1751 Morris Street, Comnavsurflant - Medical Readiness Division, Norfolk, VA 23511 | 2017-02-22 |
1205188307 | Agnes Bautista Banias | Dental Hygienist | 1647 Admiral Taussig Blvd Br Health Clinic, Naval Medical Center Portsmouth, Norfolk, VA 23511 | 2012-10-12 |
1891052676 | Conor Francis Hynes | Surgery | 1530 Gilbert St Ste 2000, Norfolk, VA 23511 | 2012-04-18 |
1871867747 | Brian Joseph Kennerley | Surgery | U. S. Marine Corps Forces Command, 1775 Forrestal Drive Bldg 33, Norfolk, VA 23511 | 2012-02-23 |
1053629964 | Shawnly Heath Ward | Military Health Care Provider | Surface Warfare Medical Institute - East, 459 Bellinger Blvd, Norfolk, VA 23511 | 2010-09-14 |
1225351760 | Jocelyn Martinezdelgado | Military Health Care Provider | 8857 1st Street, Pcu Jason Dunham Suite 400, Norfolk, VA 23511 | 2010-03-11 |
1245480854 | Vanessa O Hofilena | Dentist | 1647 Admiral Taussig Boulevard, Naval Medical Center Portsmouth - Dental Center, Norfolk, VA 23511 | 2008-09-19 |
1780833954 | Cecilia M Brownblake | Dentist | 1647 Admiral Taussig Blvd., Norfolk, VA 23511 | 2008-09-12 |
Find all providers in zip 23511 |
Taxonomy Code | 208D00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | General Practice |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033617485 | John Michael Kerber | General Practice | 1562 Mitscher Ave Ste 250, Norfolk, VA 23551-2111 | 2018-01-30 |
1295276186 | John Michael Curnes | General Practice | 200 College Pl Apt 215, Norfolk, VA 23510 | 2017-03-13 |
1154860237 | Alexander Blau | General Practice | 1751 Morris Street, Comnavsurflant - Medical Readiness Division, Norfolk, VA 23511 | 2017-02-22 |
1881018521 | Emily Alison Bond | General Practice | 116 E Bayview Blvd, Norfolk, VA 23503-4834 | 2014-02-18 |
1649608258 | Gad Brosch | General Practice | 239 Duke St, 208, Norfolk, VA 23510-0916 | 2013-10-16 |
1922386291 | Julian S Ku | General Practice | 418 Warren Cres, Apt 5, Norfolk, VA 23507-2240 | 2011-08-03 |
1598998189 | Mallory J. Read Jr. | General Practice | 551 Warren Cres, Norfolk, VA 23507-2128 | 2009-08-28 |
1023232790 | Ann Elizabeth Rawlings | General Practice | 7510 Major Ave, Norfolk, VA 23505-3024 | 2007-04-12 |
1700959632 | Scott J Carlson | General Practice | 1721 Taussig, Norfolk, VA 23511 | 2006-11-16 |
1871665307 | Keisha Natasha Blair | General Practice | Uss Fort Mchenry (lsd 43), Fpo Ae 09569-1731, Norfolk, VA 09569-1731 | 2006-11-13 |
Find all providers in NORFOLK |
Please comment or provide details below to improve the information on DR. WILLIAM SHANNON.
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.