SHANNON PATRICIA O'DRISCOLL (NPI# 1174099386) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174099386 |
| Entity Type | Individual |
| Full Name | SHANNON PATRICIA O'DRISCOLL |
| Credential | PA-C |
| Practice Address |
777 North St Pittsfield MA 01201-4147 |
| Mailing Address |
86 Dartmouth St Holyoke MA 01040-2002 |
| Practice Telephone | 4134998590 |
| Mailing Telephone | 4132725533 |
| Enumeration Date | 2018-10-16 |
| Last Update Date | 2018-10-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
777 NORTH ST |
| City | PITTSFIELD |
| State | MA |
| Zip Code | 01201-4147 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053313197 | Kyle A. Cooper | Internal Medicine | 777 North St, Cardiology, Pittsfield, MA 01201-4147 | 2005-06-01 |
| 1720606387 | Autumn Marie Wood | Counselor | 777 North St, Pittsfield, MA 01201-4147 | 2020-07-10 |
| 1538716147 | Robert James Shearer | General Acute Care Hospital | 777 North St, Pittsfield, MA 01201-4147 | 2019-08-20 |
| 1659840825 | Bridget Marie Brockway | Nurse Practitioner | 777 North St, Pittsfield, MA 01201-4147 | 2018-11-17 |
| 1780178434 | Sharon Parmenter | Nurse Practitioner | 777 North St, Pittsfield, MA 01201-4147 | 2018-06-17 |
| 1023535259 | Lauren Fleury | Nurse Practitioner | 777 North St, Pittsfield, MA 01201 | 2017-08-28 |
| 1831636224 | Shannon Marie Mclaughlin | Nurse Practitioner | 777 North St, Berkshire Ob/gyn Suite, Pittsfield, MA 01201-4147 | 2017-01-24 |
| 1841654399 | Kelly Kennedy | Dietitian, Registered | 777 North St, Pittsfield, MA 01201-4147 | 2016-04-11 |
| 1194128439 | Berkshire Faculty Services | Clinic/Center | 777 North St, Pittsfield, MA 01201-4147 | 2014-10-01 |
| 1346655388 | Katsiaryna Tsyrkunova | Internal Medicine | 777 North St, Pittsfield, MA 01201-4147 | 2014-06-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194292326 | Dominic Boudini | Social Worker | Berkshire Medical Center Jones IIi, 777 North Street, Pittsfield, MA 01201 | 2018-10-25 |
| 1770066433 | Michelle P Racicot | Physical Therapy Assistant | 144 Brighton Ave, Pittsfield, MA 01201 | 2018-09-10 |
| 1659853927 | Janis W. Zimbler | Social Worker | 49 Kenilworth Street, Pittsfield, MA 01201 | 2018-09-04 |
| 1528545225 | Claudia L Coplan | Social Worker | 262 Appleton Avenue, Pittsfield, MA 01201 | 2018-07-25 |
| 1255852083 | Vandana Sethi | Dentist | Chp Neighborhood Dental Center, 510 North Street, Suite 1, Pittsfield, MA 01201 | 2017-07-01 |
| 1770011819 | Vladimir Nazarov | Dentist | 690 Merrill Road, Pittsfield, MA 01201 | 2017-06-02 |
| 1215462254 | Anqi Hu | Dentist | 788 South Street, Pittsfield, Ma 01201, Pittsfield, MA 01201 | 2017-04-27 |
| 1942759162 | Community Health Programs, Inc | Clinic/Center | 510 North St., Pittsfield, MA 01201 | 2016-09-29 |
| 1366990590 | Daniel Pinsky I | Counselor | 877 South Street, Clinical Support Options Suite 200, Pittsfiled, MA 01201 | 2016-09-16 |
| 1275086746 | Berkshire Medical Center, Inc | Substance Abuse Rehabilitation Facility | 48 Kent Ave, Pittsfield, MA 01201 | 2016-08-01 |
| Find all providers in zip 01201 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225503410 | Sarah Elizabeth Lui | Physician Assistant | 725 North Street, Hospitalist Office, Pittsfield, MA 01201-4109 | 2018-10-04 |
| 1972996551 | Chelsea Palmeri | Physician Assistant | 725 North St, Pittsfield, MA 01201-4109 | 2015-03-06 |
| 1831589092 | Whitney Elan Colella | Physician Assistant | 426 South St, Pittsfield, MA 01201-8228 | 2015-01-27 |
| 1679988737 | Nicole Moore | Physician Assistant | 447 N Main St, Pittsfield, ME 04967-3707 | 2014-06-27 |
| 1174886469 | Austin James Michael | Physician Assistant | 725 North St, Pittsfield, MA 01201-4109 | 2012-06-21 |
| 1124307681 | Elyse N Levesque | Physician Assistant | 725 North St, Pittsfield, MA 01201-4109 | 2011-08-15 |
| 1972890929 | Mark D Mozzi | Physician Assistant | 725 North St, Pittsfield, MA 01201-4109 | 2011-06-28 |
| 1538492848 | Erika L Valenzuela | Physician Assistant | 195 South St, Pittsfield, MA 01201-6866 | 2009-09-18 |
| 1104078120 | Glenda Boykin | Physician Assistant | 165 Tor Ct, Pain Center, Pittsfield, MA 01201-3001 | 2008-10-22 |
| 1265551261 | Deanna Traversa | Physician Assistant | 426 East St, Pittsfield, MA 01201-5308 | 2007-03-29 |
| Find all providers in PITTSFIELD | ||||
| City | PITTSFIELD |
| Zip Code | 01201 |
Please comment or provide details below to improve the information on SHANNON PATRICIA O'DRISCOLL.
| 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.