SHANNON S MEYER (NPI# 1316933542) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316933542 |
| Entity Type | Individual |
| Full Name | SHANNON S MEYER |
| Credential | DPM |
| Practice Address |
311 Elm St Woodruff WI 54568-9149 |
| Mailing Address |
7428 Loon Landing Shores Lake Tomahawk WI 54539-9110 |
| Practice Telephone | 7156349023 |
| Practice Fax Number | 7156349935 |
| Mailing Telephone | 8772655225 |
| Mailing Fax Number | 7152774944 |
| Enumeration Date | 2005-09-22 |
| Last Update Date | 2017-08-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | 726-25 | WI | Podiatric Medicine & Surgery Service Providers |
| N | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
726-25 | WI | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RAILROAD MEDICARE | CG4176 | 01 | |
| WI | 43222500 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386274686 | Shannon Meyer | Counselor | 348 Cove Rd, Bellingham, WA 98229-8924 | 2020-01-25 |
| 1992044465 | Shannon Meyer | Counselor | 216 Stewart Pkwy, Washington, NC 27889-4972 | 2013-02-04 |
| 1982987970 | Shannon Marie Meyer | Counselor | 6424 N 9th St, Tacoma, WA 98406-2091 | 2011-09-26 |
| 1487817227 | Shannon Meyer | Dietitian, Registered | 2401 Gillham Rd, Kansas City, MO 64108-4619 | 2008-07-02 |
| Street Address |
311 ELM ST |
| City | WOODRUFF |
| State | WI |
| Zip Code | 54568-9149 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841589199 | Total Renal Care Inc | Clinic/Center | 311 Elm St, Woodruff, WI 54568-9149 | 2011-04-06 |
| 1285757872 | Comprehensive Foot & Ankle, Sc | Podiatrist | 311 Elm St, Woodruff, WI 54568-9149 | 2007-04-09 |
| 1083704118 | Jaime L Bollmann Sr. | Counselor | 311 Elm St, Woodruff, WI 54568-9149 | 2006-10-12 |
| 1164462743 | Julie M Vonderhoff Sr. | Social Worker | 311 Elm St, Woodruff, WI 54568-9149 | 2006-06-08 |
| 1427098045 | Harriet I Walker | Counselor | 311 Elm St, Woodruff, WI 54568-9149 | 2006-06-08 |
| 1659311264 | Susan Anderson | Nurse Practitioner | 311 Elm St, Woodruff, WI 54568-9149 | 2006-06-08 |
| 1235125204 | David C Larsen | Podiatrist | 311 Elm St, Woodruff, WI 54568-9149 | 2005-09-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316393226 | Heidi Ann Pritzl | Social Worker | 240 Maple St., Woodruff, WI 54568 | 2016-05-10 |
| 1295098523 | Christine Liesen John J Pinzl Dds Sc | Dentist | 240 Oak Street, Woodruff, WI 54568 | 2012-06-21 |
| 1598072191 | Jodi L Metropulos | Dental Hygienist | 8815 Cty Rd J, Woodruff, WI 54568 | 2010-09-03 |
| 1033367438 | Robert M Borger | Pharmacist | 1143 West Highway 47, Post Office Box 1992, Woodruff, WI 54568 | 2008-08-28 |
| 1316135973 | William Chad Mcgrath | Counselor | 311 Elm Street, Woodruff, WI 54568 | 2007-10-09 |
| 1851583629 | Island Pharmacy Services, Inc. | Pharmacy | 1256 Old Highway 51 South, Arbor Vitae, WI 54568 | 2007-08-15 |
| 1881817161 | Achilles Foot and Ankle Clinic Sc | Podiatrist | 728 Elm Street, Woodruff, WI 54568 | 2007-04-11 |
| 1427187053 | Jennifer A Vojta | Specialist/Technologist | 1446 Hwy 47, Woodruff, WI 54568 | 2007-03-02 |
| 1336294669 | Kati L Havel | Chiropractor | 521 Hemlock St., Woodruff, WI 54568 | 2007-01-25 |
| 1275697773 | John J Pinzl | Dentist | 1105 4th Ave, Woodruff, WI 54568 | 2006-12-20 |
| Find all providers in zip 54568 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881817161 | Achilles Foot and Ankle Clinic Sc | Podiatrist | 728 Elm Street, Woodruff, WI 54568 | 2007-04-11 |
| 1912525882 | Family Foot and Ankle Clinic LLC | Podiatrist | 611 Veterans Pkwy, Woodruff, WI 54568-9195 | 2020-07-08 |
| 1396968673 | Mindy Lee Wolf | Podiatrist | 728 Elm Street, Woodruff, WI 54568 | 2007-04-11 |
| 1285757872 | Comprehensive Foot & Ankle, Sc | Podiatrist | 311 Elm St, Woodruff, WI 54568-9149 | 2007-04-09 |
| 1235125204 | David C Larsen | Podiatrist | 311 Elm St, Woodruff, WI 54568-9149 | 2005-09-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376161976 | Family Foot and Ankle Clinic LLC | Podiatrist | 1901 Westwood Boulevard, Wausau, WI 54401 | 2020-07-09 |
| 1588282453 | Family Foot and Ankle Clinic LLC | Podiatrist | 1021 Western Ave Ste C, Mosinee, WI 54455-1511 | 2020-07-08 |
| 1376161240 | Family Foot and Ankle Clinic LLC | Podiatrist | 1439 Churchill St Ste 202, Waupaca, WI 54981-2089 | 2020-07-08 |
| 1083237754 | Baycare Clinic LLP | Podiatrist | 630 Riverfront Dr, Sheboygan, WI 53081-4615 | 2020-05-28 |
| 1922637107 | Torhorst Foot and Ankle Clinic, Sc | Podiatrist | 2823 Post Rd, Stevens Point, WI 54481-6416 | 2020-04-08 |
| 1528446713 | Jonathan Shih | Podiatrist | 9200 W Loomis Rd Ste 116, Franklin, WI 53132 | 2015-05-08 |
| 1912310152 | Wyatt Isaac Wiedenfeld | Podiatrist | 853 S Main St, Oconto Falls, WI 54154-1203 | 2014-06-05 |
| 1710397039 | Kristina Lorene Thompson | Podiatrist | 37868 Us-18, Prairie Du Chien, WI 53821 | 2014-05-08 |
| 1972856169 | Midwest Foot and Wound Care Center LLC | Podiatrist | W3853 Stoneridge Dr, Fond Du Lac, WI 54937-6201 | 2012-10-25 |
| 1073880936 | Tahir A Khan | Podiatrist | 6001 W Center St Ste 108, Milwaukee, WI 53210-2154 | 2011-11-21 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on SHANNON S MEYER.
| 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.