AMY K SHANNON (NPI# 1194798413) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1194798413 |
Entity Type | Individual |
Full Name | AMY K SHANNON |
Other Name | AMY K LOWERY |
Credential | DO |
Practice Address |
33 Beaver Dr Ste 1 Du Bois PA 15801-2434 |
Practice Telephone | 8145038070 |
Practice Fax Number | 8145038531 |
Mailing Telephone | 8145038070 |
Mailing Fax Number | 8145038531 |
Enumeration Date | 2006-02-08 |
Last Update Date | 2017-03-09 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207V00000X | Obstetrics & Gynecology | OS012796 | PA | Allopathic & Osteopathic Physicians |
N | 208D00000X | General Practice | OS012796 | PA | Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881104115 | Amy Shannon | Counselor | 1 W Main St, Fleetwood, PA 19522-1323 | 2017-09-29 |
1891188868 | Amy Shannon | Dental Hygienist | 153 Manchester St, Suite #5, Concord, NH 03301-5142 | 2015-03-14 |
1255655718 | Amy Accettola Shannon | Nurse Practitioner | 3737 High St, Portsmouth, VA 23707-2405 | 2010-03-26 |
1023268281 | Amy Jo Shannon | Speech-Language Pathologist | 200 Gaston Ave, Fairmont, WV 26554-2739 | 2008-09-24 |
1730202672 | Amy Ann Shannon | Speech-Language Pathologist | 2805 Charles Bryan Rd, Bartlett, TN 38134-4756 | 2007-04-07 |
1841264322 | Amy Shannon | Nurse Practitioner | 282 Washington St, Hartford, CT 06106-3322 | 2006-02-14 |
Street Address |
33 BEAVER DR STE 1 |
City | DU BOIS |
State | PA |
Zip Code | 15801-2434 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437691284 | Melissa R Powell | Nurse Practitioner | 33 Beaver Dr, Ste 1, Du Bois, PA 15801-2434 | 2016-11-10 |
1700334141 | Amanda Greenblatt | Nurse Practitioner | 33 Beaver Dr, Ste 1, Du Bois, PA 15801-2434 | 2016-09-14 |
1629498423 | Amanda Rae Baker | Nurse Practitioner | 33 Beaver Dr, Suite 1, Du Bois, PA 15801-2434 | 2014-04-18 |
1972932101 | Deborah Lynn Rummel | Registered Nurse | 33 Beaver Dr, Ste 1, Du Bois, PA 15801-2434 | 2013-11-07 |
1700121258 | Margo Puhala | Physician Assistant | 33 Beaver Dr, Ste 1, Du Bois, PA 15801-2434 | 2012-12-10 |
1710233895 | Clearfield-jefferson Primary Care Associates PC | Family Medicine | 33 Beaver Dr, Ste 1, Du Bois, PA 15801-2434 | 2012-07-26 |
1386869774 | Nico D Roscoe | Family Medicine | 33 Beaver Dr, Suite 1, Du Bois, PA 15801-2434 | 2007-04-13 |
1639394034 | Brandon M Roscoe | Family Medicine | 33 Beaver Dr, Suite 1, Du Bois, PA 15801-2434 | 2007-04-13 |
1548228760 | Lauren Renee Bohley | Physician Assistant | 33 Beaver Dr, Ste 1, Du Bois, PA 15801-2434 | 2006-05-04 |
1720041734 | Constance B. Smith | Nurse Practitioner | 33 Beaver Dr, Suite 1, Du Bois, PA 15801-2434 | 2006-04-10 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215551452 | Grace Polohonki | Counselor | 490 Jefers Street, Dubois, PA 15801 | 2020-06-03 |
1144869231 | Richard Lee Kerstetter II | Hearing Instrument Specialist | 124 San Juan Rd, Du Bois, PA 15801 | 2020-01-06 |
1700368487 | Holly Noel Knoll | Counselor | 490 Jeffers Street, Dubois, PA 15801 | 2018-08-30 |
1992298160 | Dubois Regional Medical Center | Family Medicine | 145 Hospital Ave Ste 315, Du Bois, PA 15801 | 2018-06-12 |
1154814846 | Sara Beth Stone | Dietitian, Registered | 16288 Treasure Lk, Du Bois, PA 15801 | 2018-06-07 |
1942790779 | Wendi Dawn Wenzel | Counselor | 490 Jeffers St., Dubois, PA 15801 | 2018-05-17 |
1144748443 | Nancy Foradora | Massage Therapist | 200 Narrows Creek Park Road, Dubois, PA 15801 | 2017-09-07 |
1679098891 | Deborah Jean Mitchell | Hearing Instrument Specialist | 900 Beaver Drive, Dubois, PA 15801 | 2017-08-09 |
1861937757 | Shaun M Kanouff | Counselor | 100 Caldwell Dr., Dubois, PA 15801 | 2016-12-30 |
1164897740 | Drayer Physical Therapy Institute LLC | Physical Therapist | 873 Beaver Drive, Dubois, PA 15801 | 2015-12-08 |
Find all providers in zip 15801 |
Taxonomy Code | 207V00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Obstetrics & Gynecology |
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366659435 | Kelly Snyder | Obstetrics & Gynecology | 190 W Park Ave Ste 109, Du Bois, PA 15801-2277 | 2007-05-17 |
1912204074 | Kristina Flora Brown | Obstetrics & Gynecology | 190 W Park Ave Ste 9, Du Bois, PA 15801-2277 | 2011-02-24 |
1093907362 | Womens Care of Western Pennsylvania LLC | Obstetrics & Gynecology | 145 Hospital Ave, Suite 315, Du Bois, PA 15801-1462 | 2007-08-10 |
1932282738 | Ioanna Kanellitsas | Obstetrics & Gynecology | 145 Hospital Ave, Suite 315, Du Bois, PA 15801-1462 | 2006-10-23 |
1669564597 | Geoffrey P Wong | Obstetrics & Gynecology | 869 Beaver Dr, Du Bois, PA 15801-2511 | 2006-09-28 |
1730194309 | Adolfo Rapaport | Obstetrics & Gynecology | 90 Beaver Dr, Suite 211d, Du Bois, PA 15801-2440 | 2006-07-30 |
1225009640 | Sanjay Mohan Ramchandani | Obstetrics & Gynecology | 145 Hospital Ave, Suite 315, Du Bois, PA 15801-1462 | 2006-02-01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871103069 | Kongoormutt Ramakrishna Bhat | Obstetrics & Gynecology | 3 Jamison Dr, York, PA 17402-2615 | 2020-08-03 |
1811515307 | St. Luke's Physician Group, Inc. | Obstetrics & Gynecology | 3311 Nazareth Rd Fl 1, Easton, PA 18045-2017 | 2020-07-10 |
1962027557 | Tal Avigal Lee | Obstetrics & Gynecology | 1109 Green St Apt 11, Philadelphia, PA 19123-3326 | 2020-06-10 |
1184257826 | St. Luke's Physician Group Inc., Dba | Obstetrics & Gynecology | 2925 William Penn Hwy Ste 104, Easton, PA 18045-5283 | 2020-02-21 |
1821633694 | Julia Claire Moran | Obstetrics & Gynecology | 1800 Union Ave, Natrona Heights, PA 15065-2201 | 2019-11-15 |
1851957948 | Stacie Marie Rickley | Obstetrics & Gynecology | 1265 New Germany Rd, Summerhill, PA 15958-5301 | 2019-05-14 |
1477011401 | Diane D. Harrison | Obstetrics & Gynecology | 236 Philip Pl, Philadelphia, PA 19106-3902 | 2019-03-08 |
1003387572 | Carissa Susan Mcilwain | Obstetrics & Gynecology | 25 Bala Ave Ste 205, Bala Cynwyd, PA 19004-3215 | 2018-12-10 |
1720570963 | Tiffany Fernandes Gee | Obstetrics & Gynecology | 3401 N Broad St Fl 7, Philadelphia, PA 19140-5189 | 2018-06-04 |
1689164196 | St. Luke's Physician Group Inc. | Obstetrics & Gynecology | 450 Chew St Ste 204, Allentown, PA 18102-3434 | 2018-05-10 |
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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.