GREGORY DAVID SHANNON (NPI# 1336240936) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336240936 |
| Entity Type | Individual |
| Full Name | GREGORY DAVID SHANNON |
| Credential | MD |
| Practice Address |
1650 Haslett Rd Haslett MI 48840-8438 |
| Mailing Address |
Po Box 40 Haslett MI 48840-0040 |
| Practice Telephone | 5173393200 |
| Practice Fax Number | 5173394320 |
| Mailing Telephone | 5172309502 |
| Mailing Fax Number | 5173394320 |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | GS050232 | MI | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528694742 | Gregory Johnston Shannon | Counselor | 117 Wellington Rd, Shavertown, PA 18708-1341 | 2020-03-19 |
| 1700041456 | Gregory D. Shannon | Psychologist | 1301 Kansas Hwy 264, Larned, KS 67550-5353 | 2008-07-22 |
| 1730148495 | Gregory L. Shannon | Specialist | 17510 W Grand Pkwy S, #220, Sugar Land, TX 77479-2645 | 2006-03-21 |
| 1225049984 | Gregory D Shannon | Physician Assistant | 72780 Country Club Dr, Bldg B 203, Rancho Mirage, CA 92270-4126 | 2006-08-10 |
| Street Address |
1650 HASLETT RD |
| City | HASLETT |
| State | MI |
| Zip Code | 48840-8438 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679574107 | Cheryl Ann Elfring | Family Medicine | 1650 Haslett Rd, Haslett, MI 48840-7615 | 2005-08-09 |
| 1497115133 | Nicole Marie Soos | Family Medicine | 1650 Haslett Rd, Haslett, MI 48840-7615 | 2016-02-23 |
| 1205229176 | Emily Henning | Obstetrics & Gynecology | 1650 Haslett Rd, Haslett, MI 48840-7615 | 2015-03-16 |
| 1144561317 | Jacqueline F Witters | Obstetrics & Gynecology | 1650 Haslett Rd, Haslett, MI 48840-7615 | 2013-03-12 |
| 1316172992 | Jacqueline Carinne Mirate | Obstetrics & Gynecology | 1650 Haslett Rd, Haslett, MI 48840-7615 | 2009-05-26 |
| 1073772968 | Christopher J Alvarado | Internal Medicine | 1650 Haslett Rd, Haslett, MI 48840 | 2008-06-05 |
| 1942499553 | Paul N Deweese Md Plc | Clinic/Center | 1650 Haslett Rd, Suite 1, Haslett, MI 48840-8438 | 2007-10-19 |
| 1427271097 | Stacey S Tremp | Obstetrics & Gynecology | 1650 Haslett Rd, Haslett, MI 48840-7615 | 2007-04-11 |
| 1710066139 | Nancy J Shannon Md Phd Pllc | Clinic/Center | 1650 Haslett Rd, Haslett, MI 48840-8438 | 2006-11-05 |
| 1588670111 | Nancy Jean Shannon | Internal Medicine | 1650 Haslett Rd, Suite 1, Haslett, MI 48840-8438 | 2006-08-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356756829 | His Hand Home Health Care Inc. | Registered Nurse | 5329 Thames Dr, Haslett, MI 48840 | 2014-06-24 |
| 1356563787 | Sandra Barnhill | Physical Therapist | 1660 Haslett Rd., Suite 4, Haslett, MI 48840 | 2007-05-03 |
| 1194838938 | Russell C Thompson | Internal Medicine | 1623 Haslett Rd, Haslett, MI 48840 | 2006-08-16 |
| 1467472902 | Wendy Rae Carnegie | Nurse Anesthetist, Certified Registered | 1715 S Crystal Cove, Haslett, MI 48840 | 2006-07-20 |
| 1104989102 | Casey Kern | Physical Therapist | 1213 Woodwind Trail, Haslett, MI 48840 | 2006-12-19 |
| 1003929845 | Barry L Laughlin | General Practice | 1623 Haslett Rd, Haslett, MI 48840 | 2006-08-16 |
| 1831592690 | Peter B Wollschlaeger Medical Pllc | Family Medicine | 1380 Haslett Rd, Suite 17, Haslett, MI 48840-7623 | 2014-10-07 |
| 1679108500 | Jennifer Ann Rutzen | Nurse Practitioner | 5802 Montebello Ave, Haslett, MI 48840-8208 | 2020-03-11 |
| 1376890244 | Mary Jane Talarico | Speech-Language Pathologist | 1706 N Crystal Cv, Haslett, MI 48840-8232 | 2012-08-10 |
| 1881086569 | Kathy Barker | Social Worker | 1632 Bliss St, Haslett, MI 48840-8273 | 2015-03-04 |
| Find all providers in zip 48840 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134414378 | Brian Michael Young | Emergency Medicine | 2046 Blue Lac Dr, Haslett, MI 48840-9566 | 2011-06-16 |
| 1942520200 | Jamie Christopoulos | Emergency Medicine | 1170 Woodwind Trl, Haslett, MI 48840-8955 | 2010-06-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386265452 | Kyle Patrick Doran | Emergency Medicine | Sparrow Health System, 1215 E Michigan Avenue, Lansing, MI 48912 | 2020-04-30 |
| 1750901658 | Annika Van Wieren | Emergency Medicine | 22101 Moross Road, Emergency Department, Detroit, MI 48236 | 2020-04-21 |
| 1245850171 | Dema Fawaz | Emergency Medicine | Beaumont Hospital, Royal Oak, Gme Office, 3601 W. 13 Mile Rd, Royal Oak, MI 48073 | 2020-04-21 |
| 1568002004 | Munson Medical Center | Emergency Medicine | 5085 Anna Dr Ste B&c, Traverse City, MI 49684-7475 | 2020-01-13 |
| 1366002735 | Mansour Mansour | Emergency Medicine | 4965 Heather Dr Apt 107, Dearborn, MI 48126-2862 | 2019-06-18 |
| 1376101949 | David G Morrison IIi | Emergency Medicine | 1815 Dallas Ave, Royal Oak, MI 48067-3577 | 2019-05-30 |
| 1851852263 | Samantha Allegra Chamberlain | Emergency Medicine | 22101 Moross Rd., Emergency Department, Detroit, MI 48236-2148 | 2019-03-28 |
| 1467913756 | Andrew Michael Schock | Emergency Medicine | Ceci Murrell-harvey, Henry Ford Hospital, 2799 W. Grand. Blvd, Cfp 046, Detroit, MI 48202 | 2019-03-28 |
| 1598226029 | Alicia Paulette Flores | Emergency Medicine | Henry Ford Wyandotte Hosptial, Medical Education, 2333 Biddle Ave, Wyandotte, MI 48192 | 2019-03-27 |
| 1417417536 | Joseph Julius Vermeulen | Emergency Medicine | 2799 W Grand Blvd, Cfp 258, Detroit, MI 48202-2689 | 2019-03-24 |
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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.