SHANNON MARIE TRANTHAM (NPI# 1255969580) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255969580 |
| Entity Type | Individual |
| Full Name | SHANNON MARIE TRANTHAM |
| Credential | PA |
| Practice Address |
11960 Clark Rd Davisburg MI 48350-2608 |
| Practice Telephone | 2485340622 |
| Mailing Telephone | 2485340622 |
| Enumeration Date | 2020-03-31 |
| Last Update Date | 2020-03-31 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
11960 CLARK RD |
| City | DAVISBURG |
| State | MI |
| Zip Code | 48350-2608 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720283856 | Mark Allen Dennis | Dentist | 16104 Dixie Hwy, Davisburg, MI 48350 | 2007-06-19 |
| 1497848121 | William Sophiea | Psychologist | 6887 Dixie, Hwy, Clarkston, MI 48350 | 2006-10-02 |
| 1376641803 | Bonnie Sue Blanzy | Counselor | 12850 Fountain Sq., Ste. 106, Davisburg, MI 48350 | 2006-09-20 |
| 1194207548 | Christopher Elliot | Nurse Practitioner | 6690 Rolling Meadow Dr, Davisburg, MI 48350 | 2018-09-02 |
| 1841384328 | Elise Finch-sophiea | Social Worker | 6887 Dixie Hwy, Clarkston, MI 48350 | 2006-10-02 |
| 1063520435 | Pine Knob Pharmacy 5 Inc | Pharmacy | 10740 Dixie Hwy, Davisburg, MI 48350-1123 | 2006-08-27 |
| 1174866982 | North Oakland Family Medical, PC | General Practice | 10740 Dixie Hwy, Davisburg, MI 48350-1123 | 2013-03-29 |
| 1538464953 | Ramla Shahab Moghul | Family Medicine | 10740 Dixie Hwy, Davisburg, MI 48350-1123 | 2011-01-15 |
| 1881836435 | Opdyke Diagnostic Center Plc | Specialist | 10740 Dixie Hwy, Davisburg, MI 48350-1123 | 2009-03-28 |
| 1598933772 | Pine Knob Pharmacy #5 | Durable Medical Equipment & Medical Supplies | 10740 Dixie Hwy, Davisburg, MI 48350-1123 | 2008-02-11 |
| Find all providers in zip 48350 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326648940 | Danielle Johne | Student in an Organized Health Care Education/Training Program | 1623 W Sharon Rd Sw, Fife Lake, MI 49633-7214 | 2020-11-01 |
| 1285234062 | Christopher Michael Kemp | Student in an Organized Health Care Education/Training Program | 1710 Hermitage Rd, Ann Arbor, MI 48104-4503 | 2020-10-29 |
| 1326647728 | Sevcan Turk | Student in an Organized Health Care Education/Training Program | 1500 E. Medical Center Drive, Uh B2-a209, Dept. of Radiology, Neuroradiology Division, Ann Arbor, MI 48109-5030 | 2020-10-19 |
| 1013514702 | Leeza Fortner | Student in an Organized Health Care Education/Training Program | 259 Mack Ave Ste 4514, Detroit, MI 48201-2427 | 2020-10-06 |
| 1083221345 | Katelynn Ann Millard | Student in an Organized Health Care Education/Training Program | 3710 Tartan Cir, Portage, MI 49024-4094 | 2020-09-29 |
| 1952918377 | Ereny Demian | Student in an Organized Health Care Education/Training Program | 443 Phillips Ave, Clawson, MI 48017-1546 | 2020-09-29 |
| 1629685151 | Nicole Hiltner | Student in an Organized Health Care Education/Training Program | 391 Quail Ridge Ct, Waterford, MI 48327-4332 | 2020-09-29 |
| 1306453303 | Eddie D Williams | Student in an Organized Health Care Education/Training Program | 507 Pearl St, Ypsilanti, MI 48197-2076 | 2020-09-24 |
| 1538774849 | Grace Frederickson | Student in an Organized Health Care Education/Training Program | 820 Meadow Dr, Wayland, MI 49348-1369 | 2020-09-14 |
| 1215541685 | Rebecca Frey | Student in an Organized Health Care Education/Training Program | 3955 Mayfair St, Dearborn Heights, MI 48125-3039 | 2020-09-03 |
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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.