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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
MD60654692 | WA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WA | 1538119607 | 05 | |
WA | MEDICARE PIN | 8954855 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235762345 | Michael E Shannon | Private Vehicle | 7928 Brown Mountain Rd, Jewell Ridge, VA 24622-8640 | 2020-02-17 |
1578005898 | Michael J. Shannon | Hearing Instrument Specialist | 4911 Warner Ave # 217, Huntington Beach, CA 92649-5177 | 2016-11-17 |
1538461520 | Michael Anthony Shannon | Home Health Aide | 4821 Highway 19 W, Bryson City, NC 28713-8575 | 2010-11-23 |
1629301486 | Michael Shannon | Rehabilitation Practitioner | 13457 Vanowen St, Van Nuys, CA 91405-4385 | 2009-09-11 |
1326225160 | Michael James Shannon | Radiology | 702 Brougham Ln, Oak Brook, IL 60523-2677 | 2008-01-23 |
1912103946 | Michael Shannon | Dentist | 13360 Coursey Blvd Ste D, Baton Rouge, LA 70816-4970 | 2007-06-26 |
1467542852 | Michael E Shannon | Dentist | 800 N Center Pkwy, Kennewick, WA 99336-7118 | 2006-10-13 |
1043210727 | Michael B Shannon | Neurological Surgery | 2809 Bell St, Zanesville, OH 43701-2861 | 2005-07-26 |
1871105213 | Michael Shannon | Licensed Practical Nurse | 1015 E 6th Ave, Anchorage, AK 99501-2748 | 2020-08-18 |
1689148355 | Michael Shannon | Social Worker | 1529 E Palmdale Blvd Ste 150, Palmdale, CA 93550-2038 | 2019-01-16 |
Street Address |
325 9TH AVE # 359606 |
City | SEATTLE |
State | WA |
Zip Code | 98104-2420 |
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 Code | 207RN0300X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Nephrology |
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. |
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 |
Find all providers in SEATTLE |
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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.