SHANNON MARIE DRISCOLL (NPI# 1457863045) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457863045 |
| Entity Type | Individual |
| Full Name | SHANNON MARIE DRISCOLL |
| Credential | PA-C |
| Practice Address |
901 Biesterfield Rd Ste 209 Elk Grove Village IL 60007-7300 |
| Mailing Address |
1406 W Superior St Apt 2f Chicago IL 60642-5279 |
| Practice Telephone | 8475936222 |
| Mailing Telephone | 5614364728 |
| Enumeration Date | 2017-11-03 |
| Last Update Date | 2017-11-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207N00000X | Dermatology | 085.006424 | IL | Allopathic & Osteopathic Physicians |
| Y | 363A00000X | Physician Assistant | 085.006424 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942725130 | Shannon Driscoll | Registered Nurse | 1501 Madison Rd, Walnut Hills, OH 45206-1706 | 2017-08-08 |
| Street Address |
901 BIESTERFIELD RD STE 209 |
| City | ELK GROVE VILLAGE |
| State | IL |
| Zip Code | 60007-7300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386769271 | Elk Grove Dermatology, S.c. | Dermatology | 901 Biesterfield Rd Ste 209, Elk Grove Village, IL 60007-7300 | 2007-03-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518593706 | Anthony Ray Zwaga | Social Worker | 1001 Il-53 N, Elk Grove Village, IL 60007 | 2020-03-19 |
| 1104471333 | Highway Dental Inc | Dentist | 1055 Rohlwing Road, Elk Grove Village, IL 60007 | 2019-08-05 |
| 1699335984 | Orsini Pharmaceutical Services, LLC | Pharmacy | 1107 Nicholas Boulevard, Elk Grove Village, IL 60007 | 2019-06-18 |
| 1700371457 | Kandy Sandhu | Specialist/Technologist, Other | 910 Biesterfield Rd, Suite 105, Elk Grove Village, IL 60007 | 2018-06-26 |
| 1447761085 | Trevor W Avella | Physician Assistant | 800 Biesterfield Rd Ste 101, Elk Grove Village, IL 60007 | 2017-10-23 |
| 1649792573 | Paige Wesa | Speech-Language Pathologist | 936 Victoria Ln, Elk Grove Village, IL 60007 | 2017-07-12 |
| 1093242414 | Assist Illinois Senior Care Services, Inc. | In Home Supportive Care | 1052 Florida Lane, Elk Grove Village, IL 60007 | 2017-05-16 |
| 1598205098 | Azadeh Bassij | Counselor | 1001 Rohwing Rd., Kenneth Young Center, Elk Grove Village, IL 60007 | 2017-03-02 |
| 1700245438 | Roma H Venkatesan | Nurse Practitioner | 800 Biesterfield Road Cancer Institute, Suite 120, Elk Grove Village, IL 60007 | 2016-02-23 |
| 1295114825 | Shelagh Robyn Nikkel | Massage Therapist | 901 Biesterfield Rd. Suite 211, Maria A. Castellese D.c., P.C., Elk Grove Village, IL 60007 | 2015-05-28 |
| Find all providers in zip 60007 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962023531 | Emily Beck | Physician Assistant | 619 Delaware Ln, Elk Grove Village, IL 60007-7069 | 2020-05-05 |
| 1447439120 | Colleen Harrison | Physician Assistant | 800 Biesterfield Rd Ste 2009, Elk Grove Village, IL 60007-3364 | 2007-10-30 |
| 1598889370 | Anne C Allen | Physician Assistant | 901 Biesterfield Rd Ste 310, Elk Grove Village, IL 60007-7324 | 2007-03-19 |
| 1932681764 | Vanessa Christina Castor | Physician Assistant | 800 Biesterfield Rd Ste 610, Elk Grove Village, IL 60007-3362 | 2018-08-29 |
| 1326524562 | Samantha Mozdzynski | Physician Assistant | 800 Biesterfield Rd Ste 302, Elk Grove Village, IL 60007-3378 | 2018-07-11 |
| 1952814568 | Justin Koehl | Physician Assistant | 555 Biesterfield Rd, Elk Grove Village, IL 60007-3306 | 2017-11-06 |
| 1619417649 | Jessica Landaiche | Physician Assistant | 800 Biesterfield Rd, Suite 610, Elk Grove Village, IL 60007-3361 | 2017-02-23 |
| 1578016796 | William Kyle Misch | Physician Assistant | 901 Biesterfield Rd Ste 300, Elk Grove Village, IL 60007-7324 | 2016-07-25 |
| 1184056624 | Benjamin H. Anderson | Physician Assistant | 555 Biesterfield Rd, Elk Grove Village, IL 60007-3306 | 2013-08-07 |
| 1366794190 | Fortesa Myha | Physician Assistant | 800 Biesterfield Rd Ste G01, Elk Grove Village, IL 60007-3372 | 2012-10-03 |
| Find all providers in ELK GROVE VILLAGE | ||||
| City | ELK GROVE VILLAGE |
| Zip Code | 60007 |
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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.