MR. MICHAEL BRENDAN SHANNON


Address: 325 9th Ave # 359606, Seattle, WA 98104-2420
Phone: (206) 744-4933

MR. MICHAEL BRENDAN SHANNON (NPI# 1538119607) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1538119607
Entity Type Individual
Full Name MR. MICHAEL BRENDAN SHANNON
Credential M.D.
Practice Address 325 9th Ave # 359606
Seattle
WA 98104-2420
Mailing Address Po Box 50095
Seattle
WA 98145-5095
Practice Telephone (206) 744-4933
Practice Fax Number 2067442252
Mailing Telephone 2065436420
Enumeration Date 2006-05-11
Last Update Date 2017-09-26
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RN0300X Internal Medicine
Specialization: Nephrology
MD60654692 WA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
WA 1538119607 05
WA MEDICARE PIN 8954855 01

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Office Location

Street Address 325 9TH AVE # 359606
City SEATTLE
State WA
Zip Code 98104-2420

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1699394312 Richard Charles Harruff Pathology King County Medical Examiners Office, 325 Ninth Avenue, Seattle, WA 98104 2020-04-13
1558999474 Nathan Richard Benner Student in an Organized Health Care Education/Training Program Uw Medicine-harborview Medical Center Orthopaedics, 325 Ninth Avenue, Seattle, WA 98104 2020-03-27
1063058493 Brook, LLC. Health Educator 311 1/2 Occidental Ave South, Suite 210, Seattle, WA 98104 2019-11-20
1609418813 Stephanie Amanda Ann Mason Student in an Organized Health Care Education/Training Program 325 9th Avenue, Mail Stop #359796, Seattle, WA 98104 2019-10-09
1013480250 Robert Kenneth Lozier Pedorthist Norm Maleng Building, 410 9th Ave, 4th Floor, Seattle, WA 98104 2019-01-10
1548739576 Lee Hanses Physical Therapist 1124 Columbia Street, Level P1, Suite P100, Seattle, WA 98104 2018-11-20
1821579095 Karissa Lin Lee Pharmacist 401 Broadway #2075, Seattle, WA 98104 2018-08-27
1477042091 Maham Jehangir Student in an Organized Health Care Education/Training Program 325 9th Ave Department of Radiology, Seattle, WA 98104 2018-05-09
1740786581 Philip Daniel Tolley Student in an Organized Health Care Education/Training Program 325 9th Ave. Mail Stop#359796, 7th Floor Center Tower Rm #73.1, Seattle, WA 98104 2018-04-02
1528564242 Vanessa Dawn Leonhard Student in an Organized Health Care Education/Training Program 325 9th Ave, 7th Floor Center Tower Room 73.1, Mail Stop #359796, Seattle, WA 98104 2018-04-02
Find all providers in zip 98104

Taxonomy Information

Taxonomy Code 207RN0300X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Nephrology

Taxonomy Definition

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1992258289 Roderick Marshall Macdonald Internal Medicine University of Washington Mc 1959 Ne Pacific St, Seattle, WA 98195-0001 2016-08-03
1316142946 Gerard William Ames Internal Medicine 1916 Pike Pl, Ste 12 #412, Seattle, WA 98101-1056 2007-06-14
1841414414 John Cooper Stivelman Internal Medicine Northwest Kidney Centers, 700 Broadway, Seattle, WA 98122-4302 2007-04-12
1548379209 Armando Lindner Internal Medicine 8720 14th Ave S, Seattle, WA 98108 2006-08-29
1205866787 Yoshio Nogami Hall Internal Medicine Harborview Medical Center - Uw Medicine/nephrology, 325 9th Ave, Seattle, WA 98104 2006-07-03
1295761328 Sarvesh Smiley Thakur Internal Medicine 2150 N 107th St, Suite 520, Seattle, WA 98133-1305 2006-06-23
1922061191 Samuel R. Pettis Internal Medicine 742b Boylston Ave E, Seattle, WA 98102-4619 2006-04-10
1548259229 Nelson B Goes Internal Medicine 1124 Columbia St Ste 600, Swedish Organ Transplant, Seattle, WA 98104-2046 2005-10-17
1316933450 Diana T. Perkinson Internal Medicine 1101 Madison St Ste 200, Seattle, WA 98104-1321 2005-09-23
1174529341 Arthur Eric Anderson Internal Medicine 1959 Ne Pacific Street, Box 356521, Seattle, WA 98195-6521 2005-06-22
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Competitor

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City SEATTLE
Zip Code 98104

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Dataset Information

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.

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