MS. SHANNON M URTON (NPI# 1487652418) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487652418 |
| Entity Type | Individual |
| Full Name | MS. SHANNON M URTON |
| Credential | PAC |
| Practice Address |
6480 Harrison Ave Suite 201 Cincinnati OH 45247-7961 |
| Mailing Address |
6480 Harrison Ave Suite 100 Cincinnati OH 45247-7961 |
| Practice Telephone | 5133543700 |
| Practice Fax Number | 5133547601 |
| Mailing Telephone | 5133543700 |
| Enumeration Date | 2005-07-13 |
| Last Update Date | 2012-10-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 50001452 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | WELLCARE | 415841 | 01 |
| OH | ANTHEM | 000000392637 | 01 |
| Street Address |
6480 HARRISON AVE SUITE 201 |
| City | CINCINNATI |
| State | OH |
| Zip Code | 45247-7961 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194389395 | Mariah Elizabeth Gador | Physician Assistant | 6480 Harrison Ave, Cincinnati, OH 45247-7961 | 2019-04-24 |
| 1407322936 | Daniel Thomas Forcum | Specialist/Technologist | 6480 Harrison Ave, Cincinnati, OH 45247-7961 | 2018-10-23 |
| 1013404664 | James M Brutz | Physical Therapist | 6480 Harrison Ave, Cincinnati, OH 45247 | 2018-04-19 |
| 1619479177 | Kimberly E Broughton | Physical Therapist | 6480 Harrison Ave, Cincinnati, OH 45247-7961 | 2018-03-01 |
| 1629577945 | Samantha Nicole Cliffe | Specialist/Technologist | 6480 Harrison Ave, Cincinnati, OH 45247-7961 | 2018-02-02 |
| 1629528997 | Brandie Goad | Specialist/Technologist | 6480 Harrison Ave, Cincinnati, OH 45247-7961 | 2016-10-10 |
| 1699143313 | Beacon Orthopaedics & Sports Medicine, Ltd | Clinic/Center | 6480 Harrison Ave, Cincinnati, OH 45247-7961 | 2015-09-11 |
| 1356726921 | Kimberly A Castleman | Physical Therapist | 6480 Harrison Ave, Cincinnati, OH 45247-7961 | 2015-07-24 |
| 1548650682 | Stacey Yohner | Occupational Therapist | 6480 Harrison Ave, Suite 301, Cincinnati, OH 45247-7961 | 2015-01-28 |
| 1629472410 | Amanda Burley | Specialist/Technologist | 6480 Harrison Ave, Cincinnati, OH 45247-7961 | 2014-10-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194368118 | Kimberly Carol Downs | Licensed Practical Nurse | 6460 Harrison Avenue, Cincinnati, OH 45247 | 2019-10-22 |
| 1487130100 | Stacey G Coleman | Counselor | 6860 Harrison Ave, Suite 200, Cincinnati, OH 45247 | 2018-07-16 |
| 1922526524 | Tawnya Mcnulty | Occupational Therapy Assistant | 6165 Taylor Road, Cincinnati, OH 45247 | 2017-09-02 |
| 1942733704 | Mary Kathleen Herman | Dentist | 8111 Cheviot Rd Ste 102, Cincinnati, OH 45247 | 2017-04-09 |
| 1831501287 | Cesar Mel Froilan Cabigon | Internal Medicine | 8132 Fawn Lake Ct Loc 251, Cincinnati, OH 45247 | 2014-05-20 |
| 1447699459 | Mullaney Medical, Inc | Durable Medical Equipment & Medical Supplies | 5907 Cheviot Rd, Cincinnati, OH 45247 | 2013-06-24 |
| 1891035994 | Tara Mcintosh | Pharmacist | 6552 Harrison Rd, Cincinnati, OH 45247 | 2013-02-26 |
| 1629353677 | Teresa Zuidema | Pharmacist | 5403 North Bend Ave., Cincinnati, OH 45247 | 2011-10-20 |
| 1982842159 | Timothy John Kreimer | Dentist | 3560 Blue Rock Rd, Cincinnati, OH 45247 | 2009-01-27 |
| 1437219961 | Donald R Murdock | Dentist | 5420 North Bend Rd, Cincinnati, OH 45247 | 2006-12-12 |
| Find all providers in zip 45247 | ||||
| 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 |
|---|---|---|---|---|
| 1083213946 | Breanne Lyon | Physician Assistant | 870 S Troy Ave, Cincinnati, OH 45246-4620 | 2020-10-21 |
| 1528671831 | Kekeli Diane Ominira Amara | Physician Assistant | 1535 Elkton Pl, Cincinnati, OH 45224-2517 | 2020-08-26 |
| 1609486281 | Taylor Diane Williams | Physician Assistant | 26 Sugarmaple Ct, Cincinnati, OH 45236-1162 | 2020-08-07 |
| 1023634607 | Melissa Marie Louis | Physician Assistant | 44 W Freedom Way Unit 823, Cincinnati, OH 45202-0008 | 2020-06-19 |
| 1437774726 | Christina Marie Kohorst | Physician Assistant | 2500 Warsaw Ave Apt 43, Cincinnati, OH 45204-1534 | 2020-06-11 |
| 1164050621 | Cossette Buchman | Physician Assistant | 5031 W Eastwood Cir, Cincinnati, OH 45227-1405 | 2020-03-31 |
| 1730729120 | Lindsey Deal Heim | Physician Assistant | 123 Goethe St, Cincinnati, OH 45202-8953 | 2020-01-14 |
| 1316598675 | Crystal Ann Fortuna | Physician Assistant | 621 E Mehring Way Unit 1101, Cincinnati, OH 45202-3529 | 2019-09-26 |
| 1073082400 | Elizabeth Lim | Physician Assistant | 11150 Montgomery Rd, Cincinnati, OH 45249-2300 | 2018-11-14 |
| 1497238844 | Christopher Barton Hackett | Physician Assistant | 276 W Crest Dr, Cincinnati, OH 45215-3703 | 2018-09-12 |
| Find all providers in CINCINNATI | ||||
| City | CINCINNATI |
| Zip Code | 45247 |
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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.