DR. TIMOTHY J SHANAHAN (NPI# 1528072089) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528072089 |
| Entity Type | Individual |
| Full Name | DR. TIMOTHY J SHANAHAN |
| Credential | D.O. |
| Practice Address |
522 Idlewild Ave Easton MD 21601-3824 |
| Practice Telephone | 4108225571 |
| Practice Fax Number | 4108223859 |
| Mailing Telephone | 4108225571 |
| Mailing Fax Number | 4108223859 |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | H0064036 | MD | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | STATE MEDICAL LICENSE | H0064036 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528201902 | Timothy M. Shanahan | Dentist | 3941 75th St, Suite 103, Aurora, IL 60504-7924 | 2009-04-14 |
| Street Address |
522 IDLEWILD AVE |
| City | EASTON |
| State | MD |
| Zip Code | 21601-3824 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598779589 | Chesapeake Cardiology Clinic, P.a. | Specialist | 522 Idlewild Ave, Easton, MD 21601-3824 | 2006-07-28 |
| 1588265730 | Susan Ann Shue | Advanced Practice Midwife | 522 Idlewild Ave, Easton, MD 21601-3824 | 2020-11-04 |
| 1578064879 | Molly Murphy Bernish | Midwife | 522 Idlewild Ave, Easton, MD 21601-4088 | 2018-02-22 |
| 1255795704 | Audrey Bowes Drummey | Obstetrics & Gynecology | 522 Idlewild Ave, Easton, MD 21601-3824 | 2016-04-11 |
| 1821371568 | Patricia Ann Lancaster | Nurse Practitioner | 522 Idlewild Ave, Easton, MD 21601-3824 | 2011-09-20 |
| 1376785717 | Benjamin Franklin Remo | Internal Medicine | 522 Idlewild Ave, Easton, MD 21601-3824 | 2009-03-31 |
| 1588804413 | Helen Amanda Owen | Physician Assistant | 522 Idlewild Ave, Easton, MD 21601-3824 | 2009-03-05 |
| 1164535894 | Stephen R Hanna Jr. | Specialist | 522 Idlewild Ave, Easton, MD 21601-3824 | 2006-08-16 |
| 1780696120 | Scott D Friedman | Specialist | 522 Idlewild Ave, Easton, MD 21601-3824 | 2006-08-13 |
| 1275546350 | Debra L Tribett | Nurse Practitioner | 522 Idlewild Ave, Easton, MD 21601-3824 | 2006-08-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588205215 | Jodi Windsor Kindt | Nurse Practitioner | Aamg Talbot Primary Care, 28438 Marlboro Avenue, Easton, MD 21601 | 2019-10-03 |
| 1902466998 | Christina Deleon | Physician Assistant | 403 Marvel Court, Easton, MD 21601 | 2019-06-20 |
| 1710458583 | Patricia Vilani | Occupational Therapy Assistant | 12 Magnolia, Easton, MD 21601 | 2018-12-05 |
| 1538687702 | Kristin Dabbs Wilkerson | Counselor | 29520 Canvasback Drive, Easton, MD 21601 | 2017-09-07 |
| 1356869978 | Angela Lynn Rutherford | Physical Therapy Assistant | 610 Dutchman's Ln, Easton, MD 21601 | 2017-09-04 |
| 1851842389 | Myeyedr Optometry of Maryland, LLC | Optometrist | 28522 Marlboro Ave, Ste A, Easton, MD 21601 | 2016-10-19 |
| 1659721991 | Lauren Strady | Pediatrics | 500 Cadmus Ln Ste 210, Easton, MD 21601 | 2016-06-17 |
| 1194174391 | Statcare Group IIi, PC | Clinic/Center | 28522-c Marlboro Avenue, Easton, MD 21601 | 2016-06-08 |
| 1245684224 | Christina M Ball | Nurse Practitioner | 545 Cynwood Drive, Easton, MD 21601 | 2016-04-15 |
| 1205220274 | Rebecca Ann Ruby Ailstock | Midwife | 508 Idlewild Ave Ste 3, Easton, MD 21601 | 2015-03-26 |
| Find all providers in zip 21601 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114463767 | Vanessa Alfred | Specialist | 1704 Pheasant Ct, Easton, PA 18040-8429 | 2017-01-06 |
| 1962683797 | Divilio & Dinapoli Pa | Specialist | 404 Marvel Ct., Easton, MD 21601-4052 | 2007-11-20 |
| 1093862641 | Eastern Shore Gynecology, P.a | Specialist | 598 Cynwood Dr # 105, Easton, MD 21601-3805 | 2007-01-05 |
| 1003900762 | Atul K. Amin, Md PC | Specialist | 3729 Nazareth Road, Suite 201, Easton, PA 18045 | 2006-10-03 |
| 1598779589 | Chesapeake Cardiology Clinic, P.a. | Specialist | 522 Idlewild Ave, Easton, MD 21601-3824 | 2006-07-28 |
| 1194749564 | Renu Toshniwal | Specialist | 315 S 21st St, Easton, PA 18042-3807 | 2006-07-27 |
| 1376564435 | Mario A Candal | Specialist | 301 S 22nd St, Easton, PA 18042-3811 | 2006-07-22 |
| 1598784118 | Michael A Del Torto | Specialist | 403 Marvel Ct, Easton, MD 21601-4053 | 2006-07-18 |
| 1740217769 | Julie Sotomayor | Specialist | 163 Fuller Rd, Easton, ME 04740-4115 | 2006-06-26 |
| 1477595023 | Easton Radiology Associates, P.C. | Specialist | 2100 Ferry Street, Easton, PA 18042-3815 | 2006-06-11 |
| Find all providers in EASTON | ||||
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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.