DR. SHANNON B RIDER (NPI# 1508846429) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508846429 |
| Entity Type | Individual |
| Full Name | DR. SHANNON B RIDER |
| Credential | MD |
| Practice Address |
117 E Clark St Harrisburg IL 62946-2702 |
| Mailing Address |
Po Box 3988 Carbondale IL 62902-3988 |
| Practice Telephone | 6182528625 |
| Practice Fax Number | 6183514859 |
| Mailing Telephone | 6184575200 |
| Enumeration Date | 2006-01-18 |
| Last Update Date | 2020-09-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 036105880 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036105880 | 05 |
| Street Address |
117 E CLARK ST |
| City | HARRISBURG |
| State | IL |
| Zip Code | 62946-2702 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265419261 | Harrisburg Family Practice Ltd | Family Medicine | 117 E Clark St, Harrisburg, IL 62946-2702 | 2005-12-30 |
| 1033737259 | Joseph Baxter | Physical Therapist | 117 E Clark St, Harrisburg, IL 62946-2702 | 2020-07-14 |
| 1104327824 | Katherine Emily Jones | Social Worker | 117 E Clark St, Harrisburg, IL 62946-2702 | 2018-02-27 |
| 1447767603 | Anne Melinda Clayton | Social Worker | 117 E Clark St, Harrisburg, IL 62946 | 2018-01-09 |
| 1891209912 | Amanda Jo Brown | Nurse Practitioner | 117 E Clark St, Harrisburg, IL 62946-2702 | 2017-11-28 |
| 1760831218 | Jason West | Family Medicine | 117 E Clark St, Harrisburg, IL 62946 | 2016-06-06 |
| 1750705364 | Southern Illinois Medical Services, Nfp | Clinic/Center | 117 E Clark St, Harrisburg, IL 62946-2702 | 2014-02-18 |
| 1104109024 | Dianna Questelle | Massage Therapist | 117 E Clark St, Harrisburg, IL 62946-2702 | 2011-09-27 |
| 1386931590 | Megan Hoffman | Nurse Practitioner | 117 E Clark St, Harrisburg, IL 62946-2702 | 2011-07-08 |
| 1063708550 | Brent M Jones | Family Medicine | 117 E Clark St, Harrisburg, IL 62946-2702 | 2011-06-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770195117 | Leslie Wheeler | Pharmacist | #4 Commercial Drive, Harrisburg, IL 62946 | 2020-08-18 |
| 1215337266 | Prn Pharmacies Ltd | Durable Medical Equipment & Medical Supplies | 501 E. Sloan St., Harrisburg, IL 62946 | 2014-08-27 |
| 1316293855 | Steward Chiropractic Center, LLC | Chiropractor | 608 Rollie Moore Dr., Suite 2, Harrisburg, IL 62946 | 2012-08-02 |
| 1558664664 | Harrisburg Medical Center Inc | Clinic/Center | 183 W Lane St, Equality, IL 62946 | 2010-12-10 |
| 1588849178 | Scarlett Annette Oyler | Technician, Other | 607 W Commercial Suite, Harrisburg, IL 62946 | 2008-01-02 |
| 1043427958 | Debbie Oglesby | Case Manager/Care Coordinator | #22 Veterans Drive, Harrisburg, IL 62946 | 2007-05-17 |
| 1336272764 | Coleman Tri-county Services, Inc. | Community/Behavioral Health | # 22 Veterans Drive, Harrisburg, IL 62946 | 2007-03-14 |
| 1437212081 | Harris Frank LLC | Skilled Nursing Facility | Harrisburg Care Center, 1000 West Sloan St, Harrisburg, IL 62946 | 2006-12-18 |
| 1932269701 | Leanne H Deneal | Physician Assistant | 28 Veteran's Drive, Harrisburg, IL 62946 | 2006-12-11 |
| 1881646990 | Northland Hearing Centers, Inc. | Hearing Instrument Specialist | 20 Veterans Drive, Harrisburg, IL 62946 | 2006-05-17 |
| Find all providers in zip 62946 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013531292 | Siddharth Goel | Internal Medicine | 205 S Front St Upmc Pinnacle, Internal Medicine Residen, Suite 3c, Harrisburg, PA 17104 | 2020-06-03 |
| 1225652696 | Uba Chinyere Udeh | Internal Medicine | 205 S Front St. Suite 3c, Harrisburg, PA 17104 | 2020-06-02 |
| 1659992147 | Manpreet Sidhu | Internal Medicine | Upmc Pinnacle Hospitals 205 S Front Street, Suite 3c, Harrisburg, PA 17104 | 2020-05-06 |
| 1548781602 | Olson Orenson Knight | Internal Medicine | 2501 N. Third Street, Harrisburg, PA 17110 | 2017-06-29 |
| 1952721128 | Michael John Mesaros Jr. | Internal Medicine | 5071 Bass Lake Dr, #2003, Harrisburg, PA 17111-5858 | 2014-04-25 |
| 1497185359 | Alfred Roger Chappelka Jr. | Internal Medicine | 1525 N. Front St Unit 202, Harrisburg, PA 17102 | 2013-11-13 |
| 1912347774 | Esther Chinedu Enu | Internal Medicine | 205 S. Front St, Harrisburg, PA 17101 | 2013-06-26 |
| 1568809812 | Silpa Kosuri | Internal Medicine | 205 S Front St Ste 3c, Harrisburg, PA 17104-1619 | 2013-05-28 |
| 1477841468 | Chad Michael Ward | Internal Medicine | 1199 Colonial Road, Harrisburg, PA 17712-1952 | 2011-07-12 |
| 1700079431 | Heather Elizabeth Stock | Internal Medicine | 4510 N Progress Ave, Harrisburg, PA 17110-3925 | 2007-08-27 |
| Find all providers in HARRISBURG | ||||
| City | HARRISBURG |
| Zip Code | 62946 |
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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.