MR. AARON MICHAEL SHANAHAN


Address: 10 Parkway St, Silver Creek, NY 14136-1405
Phone: 7169696017

MR. AARON MICHAEL SHANAHAN (NPI# 1447511530) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1447511530
Entity Type Individual
Full Name MR. AARON MICHAEL SHANAHAN
Credential IDC
Practice Address 10 Parkway St
Silver Creek
NY 14136-1405
Mailing Address 34101 Farenholt Ave
San Diego
CA 92134-7000
Practice Telephone 7169696017
Mailing Telephone 7169696017
Enumeration Date 2012-06-05
Last Update Date 2012-06-05
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1710I1002X Military Health Care Provider
Specialization: Independent Duty Corpsman
Other Service Providers

Office Location

Street Address 10 PARKWAY ST
City SILVER CREEK
State NY
Zip Code 14136-1405

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1912533365 Village of Silver Creek Ambulance 172 Central Avenue, Silver Creek, NY 14136 2020-03-18
1114374352 Michelle Christian Counselor 1079 Main Rd, Silver Creek, NY 14136 2016-05-18
1578941126 Xuan Huy Phan Internal Medicine 113 Main St, Silver Creek, NY 14136 2015-05-15
1073959391 Fresh Start Mental Health Counseling Pllc Counselor 71 Main St, Silver Creek, NY 14136 2013-05-14
1962629550 Jacquelyn Mary Sackett Speech-Language Pathologist 87 Main Street, Silver Creek, NY 14136 2007-04-18
1528110483 Zdenka Safar Pediatrics 194 Central Ave, Silver Creek, NY 14136 2007-01-18
1154307171 Olina M Dulak Dentist 195 Central Ave, Silver Creek, NY 14136 2005-12-21
1366580326 Silver Creek Csd Local Education Agency (LEA) 1 Dickinson Street, Silver Creek, NY 14136-0270 2007-02-02
1235677436 Mercedes Carmona Registered Nurse 11 Rumsey St, Silver Creek, NY 14136-1025 2017-02-07
1841842705 Daniel Wayne Ramsey Registered Nurse 11 Rumsey St, Silver Creek, NY 14136-1025 2019-07-11
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Taxonomy Information

Taxonomy Code 1710I1002X
Grouping Other Service Providers
Classification Military Health Care Provider
Specialization Independent Duty Corpsman

Taxonomy Definition

A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a variety of health care and non-health care settings worldwide under indirect physician supervision. IDCs provide care to Department of Defense operational forces and other supporting forces such as contractors and foreign nationals.
Notes: Source: Bureau of Medicine and Surgery, Department of the Navy [7/1/2005: new]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1346785136 Jonathon David Powell Military Health Care Provider 18524 140th Ave, Springfield Gardens, NY 11413-2614 2017-01-03
1295130367 Rey Pablo Reyes Military Health Care Provider 8426 86th Rd, Woodhaven, NY 11421-1225 2014-10-30
1760804488 Aaron Mack Military Health Care Provider 1575 Starflower Ct, Walworth, NY 14568-9524 2014-01-15
1497033690 Laura Marie Jablinski Military Health Care Provider 29 Reed Ave, Lackawanna, NY 14218-1618 2011-07-22
1760450167 Brien Robert Gibney Military Health Care Provider Psc 814, Box 19, Fpo-ae, NY 09865-0019 2006-03-10
1922438209 Miguel Hilario Codd Military Health Care Provider 1 West Ave, Suite 230, Saratoga Springs, NY 12866-6045 2013-11-22
1003250994 Travis Paul Deel Military Health Care Provider 1 West Ave Ste 230, Saratoga Springs, NY 12866-6050 2013-04-22
1841478351 Jason Michael Rogers Military Health Care Provider 1 West Ave, Suite 230, Saratoga Springs, NY 12866-6045 2008-02-06
1427174879 Edward Ervin Moak Military Health Care Provider 1 West Ave Ste 230, Saratoga Springs, NY 12866-6050 2007-03-21
1710956032 Patrick Joseph Bishop Military Health Care Provider 1 West Ave, Suite 230, Saratoga Springs, NY 12866-6045 2006-03-17
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Competitor

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City SILVER CREEK
Zip Code 14136

Improve Information

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Dataset Information

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.

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