DR. SHANNON M POWELL (NPI# 1528221603) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528221603 |
| Entity Type | Individual |
| Full Name | DR. SHANNON M POWELL |
| Credential | MD |
| Practice Address |
3535 Southern Blvd Dayton OH 45429-1221 |
| Mailing Address |
L-3402 Columbus OH 43260-0001 |
| Practice Telephone | 9373958627 |
| Mailing Telephone | 8144441919 |
| Enumeration Date | 2008-07-08 |
| Last Update Date | 2019-05-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
35.099753 | OH | Allopathic & Osteopathic Physicians |
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
0101243906 | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | LICENSE | 0101243906 | 01 |
| VA | 1528221603 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639676828 | Shannon Marie Powell | Counselor | 3715 N 104th Ave, Omaha, NE 68134-3790 | 2018-04-12 |
| 1578589511 | Shannon E Powell | Social Worker | 2445 Galtier St, Roseville, MN 55113 | 2006-07-14 |
| 1316585144 | Shannon Marie Powell | Behavior Technician | 2928 Jefferson St Ste 100, Carlsbad, CA 92008-2374 | 2019-12-11 |
| 1861943433 | Shannon Powell | Counselor | 4019 Greenwood Rd, Shreveport, LA 71109-6422 | 2016-10-19 |
| 1164889259 | Shannon Powell | Dietitian, Registered | 3601 5th Ave, Suite 1b, Room 145-b, Pittsburgh, PA 15213-3403 | 2016-01-21 |
| 1659748697 | Shannon Powell | Rehabilitation Practitioner | 6055 E Washington Blvd Ste 900, Commerce, CA 90040-2453 | 2015-08-25 |
| 1376892976 | Shannon Colleen Powell | Social Worker | 1110 Major Ave, Riverton, WY 82501 | 2012-08-29 |
| 1093071250 | Shannon K Powell | Pediatrics | 200 Henry Clay Ave, New Orleans, LA 70118 | 2012-04-02 |
| 1720307028 | Shannon Powell | Case Manager/Care Coordinator | 44 Martin Ln, Ash Flat, AR 72513-9749 | 2010-05-26 |
| 1700067477 | Shannon M Powell | Counselor | 411 Court St, Portsmouth, OH 45662-3932 | 2007-11-21 |
| Street Address |
3535 SOUTHERN BLVD |
| City | DAYTON |
| State | OH |
| Zip Code | 45429-1221 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730791146 | Shannon Hayes | Physician Assistant | 3535 Southern Blvd, Dayton, OH 45429-1221 | 2020-08-18 |
| 1578195079 | Emily Schwieterman | Registered Nurse | 3535 Southern Blvd, Dayton, OH 45429-1298 | 2020-02-12 |
| 1285277004 | Jacob Farran | Pharmacist | 3535 Southern Blvd, Dayton, OH 45429-1221 | 2019-10-24 |
| 1780226316 | Sumin Thomas | Pharmacist | 3535 Southern Blvd, Dayton, OH 45429-1221 | 2019-10-15 |
| 1720472202 | Diana Dino | Registered Nurse | 3535 Southern Blvd, Dayton, OH 45429-1221 | 2015-03-23 |
| 1700142726 | Nishanta Bikram Baidya | Radiology | 3535 Southern Blvd, Dayton, OH 45429-1221 | 2012-04-03 |
| 1043509250 | Michael Benjamin Gentry | Pathology | 3535 Southern Blvd, Dayton, OH 45429 | 2011-03-29 |
| 1033350814 | Neil A Lester | Radiology | 3535 Southern Blvd, Dayton, OH 45429-1221 | 2009-03-09 |
| 1942408661 | Matthew R Kinzie | Radiology | 3535 Southern Blvd, Dayton, OH 45429-1221 | 2007-07-03 |
| 1508992470 | Luke Bolek | Nuclear Medicine | 3535 Southern Blvd, Dayton, OH 45429 | 2007-02-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821576414 | Lauren Danielle Sivley | Nurse Practitioner | 3535 Sourthern Boulevard, Kettering, OH 45429 | 2018-08-06 |
| 1114446127 | Louai Al-samkari | Chiropractor | 1441 E. Stroop Rd., Kettering, OH 45429 | 2017-09-12 |
| 1407373756 | Benjamin Edward Adkins | Specialist/Technologist | 4116 Vinita Dr., Kettering, OH 45429 | 2017-08-28 |
| 1972036341 | James Kim | Student in an Organized Health Care Education/Training Program | 3535 Southern Boulevard, Kettering, OH 45429 | 2017-04-04 |
| 1023549847 | Adrienne Krysiak | Emergency Medicine | 3525 Southern Boulevard, Kettering, OH 45429 | 2017-03-23 |
| 1386021889 | Cassandra Mckoy | Counselor | 529 East Stroop Road, Kettering, OH 45429 | 2015-05-04 |
| 1417343088 | Candace Benoit | Obstetrics & Gynecology | 3533 Southern Blvd Ste 4600, Dayton, OH 45429 | 2015-04-10 |
| 1275933574 | Lee Schwieterman | Nurse Practitioner | 3535 Southern Blvd., 1 East, Kettering, OH 45429 | 2014-08-25 |
| 1497161947 | Robert Jonathon Fresch Jr. | Obstetrics & Gynecology | 3533 Southern Blvd Ste 3750, Kettering, OH 45429 | 2014-07-05 |
| 1821349812 | Lucas Brewer | Counselor | 1524 E Stroop Rd Ste 300, Kettering, OH 45429 | 2012-10-01 |
| Find all providers in zip 45429 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184735854 | John Ellert Carlson | Radiology | 9764 Country Creek Way, Dayton, OH 45458-9242 | 2006-08-31 |
| 1043252026 | Rochelle Denise Hurt | Radiology | 9775 Greenside Ct, Dayton, OH 45458-6025 | 2006-06-12 |
| 1942259742 | David F Vanderburgh | Radiology | 1908 Coolidge Drive, Dayton, OH 45419 | 2006-05-09 |
| 1447236377 | Victor L Perez | Radiology | 2591 Miamisburg Centerville Rd Ste 302, Dayton, OH 45459 | 2005-12-22 |
| 1205819125 | Bradley Alan Weber | Radiology | 7901 Schatz Pointe Dr, Dayton, OH 45459-3856 | 2005-11-23 |
| 1295728251 | Norman E Pennington | Radiology | 3195 Dayton Xenia Rd, Suite 900-123, Dayton, OH 45434-6390 | 2005-08-25 |
| 1407259849 | Clinic Medical Services Company | Radiology | 5529 Far Hills Ave, Dayton, OH 45429-2225 | 2014-09-30 |
| 1033538426 | Austin Peters | Radiology | 4881 Sugar Maple Dr, Dayton, OH 45433-5529 | 2014-04-14 |
| 1700142726 | Nishanta Bikram Baidya | Radiology | 3535 Southern Blvd, Dayton, OH 45429-1221 | 2012-04-03 |
| 1548595382 | Jarrod Dean Curry | Radiology | 405 W Grand Ave, Dayton, OH 45405-4720 | 2009-10-13 |
| Find all providers in DAYTON | ||||
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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.