SHANNON MAHONEY (NPI# 1235513904) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235513904 |
| Entity Type | Individual |
| Full Name | SHANNON MAHONEY |
| Credential | PA-C |
| Practice Address |
3033 Winkler Ave Unit 100 Fort Myers FL 33916-9523 |
| Practice Telephone | 2392777070 |
| Practice Fax Number | 2392777071 |
| Mailing Telephone | 2392777070 |
| Mailing Fax Number | 2392777071 |
| Enumeration Date | 2015-07-13 |
| Last Update Date | 2018-10-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA9108766 | FL | 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 |
| 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 |
| 1093700858 | Shannon R Mahoney | Physician Assistant | 5323 Harry Hines Blvd, Dallas, TX 75390-7208 | 2005-09-16 |
| Street Address |
3033 WINKLER AVE UNIT 100 |
| City | FORT MYERS |
| State | FL |
| Zip Code | 33916-9523 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255334488 | Ronald D Gardner | Orthopaedic Surgery | 3033 Winkler Ave Unit 100, Fort Myers, FL 33916-9523 | 2005-05-23 |
| 1174122139 | Nicole Stegawski | Physician Assistant | 3033 Winkler Ave Unit 100, Fort Myers, FL 33916-9523 | 2020-10-21 |
| 1235745076 | Jennifer May | Physical Therapist | 3033 Winkler Ave Unit 100, Fort Myers, FL 33916-9523 | 2020-09-17 |
| 1700361078 | Nicholas Larghi | Physical Therapist | 3033 Winkler Ave Unit 100, Fort Myers, FL 33916-9523 | 2018-10-02 |
| 1033627419 | Sherry Valverde | Nurse Practitioner | 3033 Winkler Ave Unit 100, Fort Myers, FL 33916-9523 | 2018-01-18 |
| 1760875975 | Anne Bailey | Nurse Practitioner | 3033 Winkler Ave Unit 100, Fort Myers, FL 33916-9523 | 2015-03-12 |
| 1669886446 | Richard Romeis | Physical Therapist | 3033 Winkler Ave Unit 100, Fort Myers, FL 33916-9523 | 2014-06-19 |
| 1477682185 | Jeffrey Stuart Finn | Physician Assistant | 3033 Winkler Ave Unit 100, Fort Myers, FL 33916-9523 | 2007-03-06 |
| 1811933518 | William Andrew Hodge | Orthopaedic Surgery | 3033 Winkler Ave Unit 100, Fort Myers, FL 33916-9523 | 2006-06-21 |
| 1902843352 | John Peter Kmetz | Physician Assistant | 3033 Winkler Ave Unit 100, Fort Myers, FL 33916-9523 | 2006-06-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982251377 | Tamara Alvarez | Behavioral Analyst | 3717 Metro Pkey, Apt 3207, Fort Myers, FL 33916 | 2019-08-21 |
| 1457853798 | Grant Community Residential Home | Community Health Worker | 2252 Wright Street (a), Fort Myers, FL 33916 | 2018-03-02 |
| 1811345887 | Alexis Walker | Specialist/Technologist | 1407 Gardenia Avenue, Fort Myers, FL 33916 | 2016-05-31 |
| 1346698669 | Irving Radiology, Inc | Radiology | 4110 Center Pointe Dr Ste 210, Fort Myers, FL 33916 | 2016-05-26 |
| 1629452347 | Ashley Ann Alberts | Nurse Practitioner | 4315 Metro Parkway, Suite 150, Fort Myers, FL 33916 | 2015-07-13 |
| 1932442837 | Nicolas Alonzo Bolanos | Counselor | 4150 Ford Street Extension, Fort Myers, FL 33916 | 2013-03-29 |
| 1588936785 | Optum Infusion Services 204, Inc. | Home Health | 4220 Executive Circle, Suite 62, Fort Myers, FL 33916 | 2012-02-02 |
| 1700181047 | Michele Lintz | Case Manager/Care Coordinator | 1280 Maravilla Lane, Ft Myers, FL 33916 | 2011-01-18 |
| 1821399114 | Dollar Rx Pharmacy | Pharmacy | 2950 Winkler Ave # 701, Fort Myers, FL 33916 | 2010-11-03 |
| 1942494687 | Benjamin M. Lowe | Pharmacist | 3033 Winkler Ave Ext, Fort Myers, FL 33916 | 2007-09-05 |
| Find all providers in zip 33916 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679981641 | Corbett Family Medical Center Plc | Physician Assistant | 4991 Royal Gulf Cir, Fort Myers, FL 33966-7006 | 2014-07-23 |
| 1437599438 | A&b Premier Medical Services | Physician Assistant | 10390 Washingtonia Palm Way Apt 4424, Fort Myers, FL 33966-7992 | 2013-07-05 |
| 1609118645 | Sunshine Mobile Medical Services, LLC | Physician Assistant | 2301 Harvard Ave, Fort Myers, FL 33907-4232 | 2013-03-16 |
| 1821272774 | Ashokkumar B Chaudhari | Physician Assistant | 6599 Plantation Preserve Cir N, Fort Myers, FL 33966-8366 | 2007-12-27 |
| 1982767745 | Elaine-maria Zafar | Physician Assistant | 8381 Riverwalk Park Blvd Ste 202, Fort Myers, FL 33919-8760 | 2006-12-19 |
| 1093707341 | Richard D Ornato | Physician Assistant | 9400 Gladiolus Dr, Suite 250, Fort Myers, FL 33908-6699 | 2005-08-22 |
| 1841841822 | Anisa Meghan Jallal | Physician Assistant | 7335 Gladiolus Dr, Fort Myers, FL 33908-5101 | 2019-09-22 |
| 1275181265 | Rachel Michele Bautsch | Physician Assistant | 7335 Gladiolus Dr, Fort Myers, FL 33908-5101 | 2019-09-03 |
| 1447758818 | William Floyd Meyer | Physician Assistant | 11300 Lindbergh Blvd Ste 110, Fort Myers, FL 33913 | 2018-01-31 |
| 1902325681 | Jason Anthony Moore | Physician Assistant | 13861 Plantation Rd Ste 104, Fort Myers, FL 33912-4342 | 2017-09-14 |
| Find all providers in FORT MYERS | ||||
| City | FORT MYERS |
| Zip Code | 33916 |
Please comment or provide details below to improve the information on SHANNON MAHONEY.
| 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.