MS. SHANNON MARJORIE FISH (NPI# 1255598793) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255598793 |
| Entity Type | Individual |
| Full Name | MS. SHANNON MARJORIE FISH |
| Credential | SHANNON FISH PA-C |
| Practice Address |
450 Broadway St Pavilion A, 1st Floor Redwood City CA 94063-3132 |
| Practice Telephone | 6507236238 |
| Practice Fax Number | 6507213417 |
| Mailing Telephone | 6507236238 |
| Mailing Fax Number | 6507213417 |
| Enumeration Date | 2008-05-21 |
| Last Update Date | 2012-08-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA17422 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
450 BROADWAY ST PAVILION A, 1ST FLOOR |
| City | REDWOOD CITY |
| State | CA |
| Zip Code | 94063-3132 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780675181 | Sumaira Zareen Aasi | Dermatology | 450 Broadway St, Pavilion B, 4th Floor, Redwood City, CA 94063-3132 | 2005-11-03 |
| 1174137186 | Whitney L Weyhing | Family Medicine | 450 Broadway St, Redwood City, CA 94063-3132 | 2020-09-07 |
| 1659983088 | Iain Robert Murray | Student in an Organized Health Care Education/Training Program | 450 Broadway St, Redwood City, CA 94063-3132 | 2020-08-18 |
| 1366062770 | George Bugarinovic | Student in an Organized Health Care Education/Training Program | 450 Broadway St, Redwood City, CA 94063-3132 | 2020-04-26 |
| 1629625793 | Dokyoung Sophia You | Psychologist | 450 Broadway St, Redwood City, CA 94063-3132 | 2019-08-22 |
| 1265095350 | Kenneth Miller | Student in an Organized Health Care Education/Training Program | 450 Broadway St, Redwood City, CA 94063-3132 | 2019-04-15 |
| 1568951838 | Lucy Yichu Liu | Student in an Organized Health Care Education/Training Program | 450 Broadway St, Pavilion C, 2nd Floor - Mc5334, Redwood City, CA 94063-3132 | 2018-05-02 |
| 1477079150 | James Khan | Anesthesiology | 450 Broadway St, Redwood City, CA 94063-3132 | 2017-08-15 |
| 1093248619 | Akaila Cabell | Student in an Organized Health Care Education/Training Program | 450 Broadway St, M/c 6342, Redwood City, CA 94063-3132 | 2017-04-10 |
| 1205369964 | Deepak Chona | Student in an Organized Health Care Education/Training Program | 450 Broadway St, M/c 6342, Redwood City, CA 94063-3132 | 2017-04-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578104378 | Jade Francetich | Psychologist | 450 Broadway St., Pavilion B 2nd Floor, Redwood City, CA 94063 | 2019-10-02 |
| 1861052060 | County of San Mateo | Clinic/Center | 1300 Maple St., Redwood City, CA 94063 | 2019-06-19 |
| 1750941977 | County of San Mateo | Clinic/Center | 300 Bradford St., Redwood City, CA 94063 | 2019-06-19 |
| 1023678661 | Linda K Watanabe | Preventive Medicine | 700 Bay Rd. #2803, Redwood City, CA 94063 | 2019-06-17 |
| 1235630369 | Waverly Place Apartments, Lp | Case Management | 105 Waverly Place, Redwood City, CA 94063 | 2018-02-23 |
| 1306371679 | Caely Alise Hambro | Student in an Organized Health Care Education/Training Program | Stanford Dermatology, 430 Broadway, Redwood City, CA 94063 | 2017-04-25 |
| 1609316736 | Justine Nicole Dela Cruz | Nurse Practitioner | 420 Broadway St # D, Redwood City, CA 94063 | 2017-03-08 |
| 1336683234 | Babita Chopra | Pharmacist | 2300 Middlefield Road, Redwood City, CA 94063 | 2016-12-12 |
| 1073065595 | Diana Genoveva Posner I | Counselor | 604 Prince Ave. Ste A, Redwood City, CA 94063 | 2016-11-01 |
| 1295288264 | Benjamin Dickter | Student in an Organized Health Care Education/Training Program | 1107 2nd Ave, Apt 103, Redwood City, CA 94063 | 2016-07-26 |
| Find all providers in zip 94063 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578986048 | Kathleen Martino | Physician Assistant | 617 Veterans Blvd Ste 101, Redwood City, CA 94063-1404 | 2014-02-03 |
| 1114157211 | Elizabeth S Papp | Physician Assistant | 3060 Broadway, Redwood City, CA 94062-1512 | 2009-07-23 |
| 1598938284 | Errill Cruz Avecilla | Physician Assistant | 450 Broadway Street Stanford Hospital and Clinics, Hand-plastics, Pavillion A, 2nd Floor, Redwood City, CA 94063 | 2008-04-02 |
| 1568841393 | Angel Segura | Physician Assistant | 2900 Whipple Ave, Ste 230, Redwood City, CA 94062 | 2015-05-26 |
| 1962822254 | Kathleen Tam Mcmanus | Physician Assistant | 450 Broadway St, Redwood City, CA 94063-3132 | 2014-04-24 |
| 1124386396 | Linda Gabriella Cadelago | Physician Assistant | 170 Alameda De Las Pulgas, Redwood City, CA 94062 | 2012-04-25 |
| 1295979227 | David Augustine Lague | Physician Assistant | 363 Main St, Suite C, Redwood City, CA 94063-1729 | 2009-04-21 |
| 1801051529 | Diana Michelle Bruce | Physician Assistant | 1150 Veterans Blvd, Neurosurgery Dept., Redwood City, CA 94063-2037 | 2008-07-22 |
| 1881736155 | Linda Mieses Magness | Physician Assistant | 900 Veterans Blvd Ste 150, Redwood City, CA 94063-1741 | 2007-02-13 |
| 1356454698 | Liza Hoen Reichenberger | Physician Assistant | 2900 Whipple Ave, Suite 210, Redwood City, CA 94062-2843 | 2006-08-17 |
| Find all providers in REDWOOD CITY | ||||
| City | REDWOOD CITY |
| Zip Code | 94063 |
Please comment or provide details below to improve the information on MS. SHANNON MARJORIE FISH.
| 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.