DR. SHANNON DEAN (NPI# 1376803577) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376803577 |
| Entity Type | Individual |
| Full Name | DR. SHANNON DEAN |
| Credential | M.D., PH.D. |
| Practice Address |
601 Elmwood Ave. Rochester NY 14642-0001 |
| Mailing Address |
601 Elmwood Ave Box 278984 Rochester NY 14642-0001 |
| Practice Telephone | 5852752808 |
| Practice Fax Number | 5852753683 |
| Mailing Telephone | (585) 784-9277 |
| Mailing Fax Number | 5854247289 |
| Enumeration Date | 2012-05-22 |
| Last Update Date | 2017-07-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | P27654 | MD | Allopathic & Osteopathic Physicians |
| N | 2084N0402X |
Psychiatry & Neurology Specialization: Neurology with Special Qualifications in Child Neurology |
P27654 | MD | Allopathic & Osteopathic Physicians |
| Y | 2084N0600X |
Psychiatry & Neurology Specialization: Clinical Neurophysiology |
289101 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | STATE LICENSE NUMBER | P27654 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194976449 | Shannon M Dean | Counselor | 709 Mission St, Santa Cruz, CA 95060-3614 | 2008-10-06 |
| 1114062833 | Shannon Colleen Dean | Counselor | 325 Il Route 2, Dixon, IL 61021-9118 | 2007-02-20 |
| 1417910647 | Shannon M Dean | Hospitalist | 600 Highland Ave, American Family Childrens Hospital, Madison, WI 53792-0001 | 2006-04-10 |
| Street Address |
601 ELMWOOD AVE. |
| City | ROCHESTER |
| State | NY |
| Zip Code | 14642-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750301263 | Deepak Sahasrabudhe | Internal Medicine | 601 Elmwood Ave., Rochester, NY 14642-0001 | 2006-07-20 |
| 1336765197 | Morgan Sharmeika Smalls | Custodial Care Facility | 601 Elmwood Ave., Rochester, NY 14642 | 2020-06-17 |
| 1316568702 | Jessica Oribabor | Student in an Organized Health Care Education/Training Program | 601 Elmwood Ave., Ac-5 General Medicine Clinic 696, Rochester, NY 14642 | 2020-04-27 |
| 1790304749 | Irina Lerman | Student in an Organized Health Care Education/Training Program | 601 Elmwood Ave., Ac-5 General Medicine Clinic 696, Rochester, NY 14642 | 2020-04-09 |
| 1437512563 | Claire Ann Bourne | Nurse Practitioner | 601 Elmwood Ave., Rochester, NY 14642-0001 | 2016-04-05 |
| 1790163962 | Chris Jacob | Internal Medicine | 601 Elmwood Ave., Rochester, NY 14642-0001 | 2015-05-08 |
| 1679968747 | Katherine Nicholson | Hospitalist | 601 Elmwood Ave., Rochester, NY 14642 | 2015-04-05 |
| 1811330483 | Andrea Meryl Garroway | Psychologist | 601 Elmwood Ave., Rochester, NY 14642-0001 | 2013-04-12 |
| 1609139062 | Katherine Fitzpatrick Ready | Emergency Medicine | 601 Elmwood Ave., Rochester, NY 14642-0001 | 2012-06-20 |
| 1750514816 | Aizaz Shaikh | Radiology | 601 Elmwood Ave., Rochester, NY 14642 | 2009-08-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679192363 | Nicholas Campbell Love | Student in an Organized Health Care Education/Training Program | 601 Elmwood Ave, Ac-5, General Medicine Clinic 696, Rochester, NY 14642 | 2020-04-13 |
| 1750900650 | Phillip Braun | Student in an Organized Health Care Education/Training Program | 601 Elmwood Ave, Ac-5 General Medicine Clinic 696, Rochester, NY 14642 | 2020-04-10 |
| 1437786993 | Andrew Jeong | Student in an Organized Health Care Education/Training Program | Department of Orthopaedics and Rehabilitation, 601 Elmwood Avenue, Rochester, NY 14642 | 2020-03-25 |
| 1497227094 | Alison Kent | Pediatrics | Dept of Pediatrics, University of Rochester, 601 Elmwood Avenue, Rochester, NY 14642 | 2018-12-20 |
| 1326539909 | Saumya Goel Aujla | Student in an Organized Health Care Education/Training Program | 601 Elmwood Ave # 664, Rochester, NY 14642 | 2018-05-19 |
| 1922505387 | Daniel Bral | Student in an Organized Health Care Education/Training Program | 601 Elmwood Ave # 655, Rochester, NY 14642 | 2018-04-11 |
| 1194222513 | Jonah Meyerhoff | Student in an Organized Health Care Education/Training Program | 300 Crittenden Blvd Department of Psychiatry, Rochester, NY 14642 | 2018-04-11 |
| 1144738949 | Francis Michael Manzo | Registered Nurse | University of Rochester 601 Elmwood Ave Box Surg, Rochester, NY 14642 | 2018-01-15 |
| 1225552649 | George Norman Abraham | Internal Medicine | 600 Elmwood Avenue, University of Rochester, Rochester, NY 14642 | 2017-07-27 |
| 1861928301 | Sonia Thakur | Student in an Organized Health Care Education/Training Program | 601 Elmwood University of Rochester Medical Center, Department of Physicial Medicine and Rehabilitation, Rochester, NY 14642 | 2017-05-03 |
| Find all providers in zip 14642 | ||||
| Taxonomy Code | 2084N0600X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Clinical Neurophysiology |
| Clinical Neurophysiology is a subspecialty with psychiatric or neurologic expertise in the diagnosis and management of central, peripheral, and autonomic nervous system disorders using combined clinical evaluation and electrophysiologic testing such as electroencephalography (EEG), electromyography (EMG), and nerve conduction studies (NCS). |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245616952 | Samuel Lapalme-remis | Psychiatry & Neurology | 200 1st St Sw, Rochester, MN 55905-0001 | 2015-08-04 |
| 1982865648 | Anderon Neuordiagnotstics PC | Psychiatry & Neurology | 1135 W University Dr, Suite 410, Rochester, MI 48307-1871 | 2008-06-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548739006 | Intraoperative Neurology Services PC | Psychiatry & Neurology | 4 Legends Cir, Melville, NY 11747-5302 | 2018-11-14 |
| 1457760977 | Luis Grodnitzky | Psychiatry & Neurology | 300 E 54th St Apt 4j, New York, NY 10022-5019 | 2014-08-08 |
| 1346661808 | Comprehensive Diagnostics and Imaging PC | Psychiatry & Neurology | 200 East 36 Street, 11c, New York, NY 10016 | 2013-12-30 |
| 1952601668 | Ideal Idtf Services of New York, Inc. | Psychiatry & Neurology | 4394 Broadway, New York, NY 10040-4002 | 2010-10-27 |
| 1922261486 | Amit Khaneja | Psychiatry & Neurology | 1155 Warburton Ave Apt 1u, Yonkers, NY 10701-1075 | 2008-07-05 |
| 1538331749 | Autonomic Neurology, Pllc | Psychiatry & Neurology | 2 Charlton St, 15b, New York, NY 10014-4909 | 2008-03-27 |
| 1215967633 | Robert Alan Gold | Psychiatry & Neurology | Pilgrim Psychiatric Center, 998 Crooked Hill Road, West Brentwood, NY 11717 | 2006-07-03 |
| 1831151281 | Alcibiades J. Rodriguez | Psychiatry & Neurology | 724 2nd Ave, New York, NY 10016-2710 | 2006-04-03 |
| 1992703391 | Andrei Carasca | Psychiatry & Neurology | 875 5th Ave, New York, NY 10065-4952 | 2005-07-08 |
| 1629075767 | Itzhak C Haimovic | Psychiatry & Neurology | 170 Great Neck Road, Great Neck, NY 11021 | 2005-07-05 |
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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.