SHANNON PIERCE DONNELLY (NPI# 1427617521) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427617521 |
| Entity Type | Individual |
| Full Name | SHANNON PIERCE DONNELLY |
| Credential | PA |
| Practice Address |
1250 Waters Pl Bronx NY 10461-2720 |
| Mailing Address |
2 Seminole Ct Freehold NJ 07728-8847 |
| Practice Telephone | 7189209000 |
| Mailing Telephone | 7323729874 |
| Enumeration Date | 2019-06-12 |
| Last Update Date | 2019-06-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2 Seminole Ct, Freehold, NJ 077288847 | 7323729874 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679064695 | Shannon E Donnelly | Nurse Practitioner | 380 Butterfly Gardens Dr, Columbus, OH 43215 | 2018-05-24 |
| Street Address |
1250 WATERS PL |
| City | BRONX |
| State | NY |
| Zip Code | 10461-2720 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053316836 | David M.s. Shein | Orthopaedic Surgery | 1250 Waters Pl, Suite 903, Bronx, NY 10461-2720 | 2005-06-17 |
| 1699307983 | Larissa Arango | Physical Therapist | 1250 Waters Pl, Tower One / 10th Floor, Bronx, NY 10461 | 2020-02-05 |
| 1831730886 | Meaghan O'neill | Physician Assistant | 1250 Waters Pl, Bronx, NY 10461-2720 | 2019-10-01 |
| 1790334746 | Victoria Theresa Mccaffrey | Physician Assistant | 1250 Waters Pl, Bronx, NY 10461-2720 | 2019-09-11 |
| 1255980603 | Monica Poleway | Physician Assistant | 1250 Waters Pl, Bronx, NY 10461-2720 | 2019-09-09 |
| 1699323113 | Rujuta Rajendra Tandel | Physical Therapist | 1250 Waters Pl, Bronx, NY 10461-2720 | 2019-08-28 |
| 1457904864 | Deborah Thompkins | Licensed Practical Nurse | 1250 Waters Pl, Bronx, NY 10461-2720 | 2019-07-24 |
| 1194382648 | Diana Josephine Estrada Mislang | Nurse Practitioner | 1250 Waters Pl, Bronx, NY 10461-2720 | 2019-05-21 |
| 1700449873 | Kyle Melfe | Orthopaedic Surgery | 1250 Waters Pl, Bronx, NY 10461-2720 | 2019-04-15 |
| 1376006510 | Daniel Shein Md Pllc | Orthopaedic Surgery | 1250 Waters Pl, Bronx, NY 10461-2720 | 2019-04-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427665975 | Zhanna Kleynerman | Pharmacist | R&a Drugs Inc, 2562 Est Tremont Ave, Bronx, NY 10461 | 2020-09-29 |
| 1245867738 | Dalia Duzdar | Student in an Organized Health Care Education/Training Program | 1400 Pelham Pkwy S Building 6, Suite B125, Bronx, NY 10461 | 2020-03-24 |
| 1306486667 | Alvin Antony Mathew | Physical Therapist | 1500 Blondell Ave., Bronx, NY 10461 | 2020-01-14 |
| 1295374007 | Felicia Bowman | Peer Specialist | 55 Westchester Square Bronx, 55 Westchester Square Bronx, Bronx, NY 10461 | 2019-12-26 |
| 1477191161 | Todd Benevento Jr. | Physical Therapist | 1250 Waters Place Tower One 10th Floor, Bronx, NY 10461 | 2019-12-13 |
| 1073173845 | Harriet Sarpong-blankson | Pharmacist | Jack D Weiler Hospital, 1825 Eastchester Road, Bronx, NY 10461 | 2019-06-14 |
| 1396300166 | Victoria Sliva | Psychologist | 1400 Pelham Pkwy S Bldg 19w, Bldg 1, 9w, Bronx, NY 10461 | 2019-05-07 |
| 1538723366 | Shuai Wang | Student in an Organized Health Care Education/Training Program | 1400 Pelham Parkway South Jacobi Medical Center, Bronx, NY 10461 | 2019-04-26 |
| 1457810079 | Morpheus Sleep Solutions Inc | Durable Medical Equipment & Medical Supplies | 3004 Middletown Road, Lower Level Unit 1, Bronx, NY 10461 | 2019-03-13 |
| 1922565118 | Metro Care Management LLC | Case Management | 2481 Rowe St, Bronx, NY 10461 | 2019-02-25 |
| Find all providers in zip 10461 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568006682 | Walces Castelly | Physician Assistant | 860 Grand Concourse Apt 1l, Bronx, NY 10451-2815 | 2019-10-31 |
| 1447815949 | Shadman Emrose Noshin | Physician Assistant | 2843 Dudley Ave Fl 2, Bronx, NY 10461-5609 | 2019-05-09 |
| 1275024952 | Barbara Hoffman | Physician Assistant | 1017 Burke Ave, Bronx, NY 10469-3803 | 2018-05-29 |
| 1154791473 | Edelmys Suncar | Physician Assistant | 1150 Webster Ave, Bronx, NY 10456-5205 | 2015-09-29 |
| 1083096697 | Victoria Owusuaa | Physician Assistant | 2334 Tiebout Ave, Apt # 4e, Bronx, NY 10458-7310 | 2015-06-19 |
| 1093102865 | Rlb Alternative Care Inc | Physician Assistant | 574 E 170th St, C/o Ricardo L. Baez, Bronx, NY 10456-2304 | 2015-04-20 |
| 1235532078 | Ethan Searles | Physician Assistant | 91 Poplar Ave, Bronx, NY 10465-3943 | 2014-10-08 |
| 1053713164 | Pranvera Dervishi | Physician Assistant | 1334 Astor Ave, Pvh 2nd Floor, Bronx, NY 10469-5832 | 2014-09-19 |
| 1588934814 | Melinda Jimenez | Physician Assistant | 2306 Walton Ave, Bronx, NY 10468-7102 | 2012-01-03 |
| 1194094300 | Ayisha Munawar | Physician Assistant | 285 E 171st St, Bronx, NY 10457-8939 | 2011-12-16 |
| Find all providers in BRONX | ||||
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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.