DR. ROBERT L SHANNON (NPI# 1609850254) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609850254 |
| Entity Type | Individual |
| Full Name | DR. ROBERT L SHANNON |
| Credential | MD |
| Practice Address |
1303 Ne Cushing Dr Suite 100 Bend OR 97701-3887 |
| Practice Telephone | 5413882333 |
| Practice Fax Number | 5413880930 |
| Mailing Telephone | 5413882333 |
| Mailing Fax Number | 5413180373 |
| Enumeration Date | 2005-12-06 |
| Last Update Date | 2018-09-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164879839 | Robert Shannon | Nurse Practitioner | 5504 Alaska Dr, Concord, CA 94521-4010 | 2016-05-23 |
| 1497895916 | Robert Edward Shannon Jr. | Dentist | 754 Wilson Street Extension, Chester, SC 29706-0840 | 2007-02-07 |
| 1255486627 | Robert M Shannon | Chore Provider | 2340 Hillview St, P O 1235, Sarasota, FL 34239-2447 | 2007-01-24 |
| 1992790315 | Robert Neal Shannon | Internal Medicine | 1227 W State St, Belding, MI 48809-9246 | 2005-09-12 |
| 1235130485 | Robert Shannon | Specialist | 3 Meeting House Rd, Chelmsford, MA 01824-2738 | 2005-08-09 |
| 1205233509 | Robert Shannon | Pharmacist | 1255 Ne 48th Ave, Hillsboro, OR 97124-5008 | 2014-12-02 |
| 1356364467 | Robert M Shannon | Internal Medicine | 5400 Gibson Blvd Se, Albuquerque, NM 87108 | 2006-07-26 |
| 1346239209 | Robert Shannon | Family Medicine | 4500 San Pablo Rd S, Jacksonville, FL 32224-1865 | 2005-10-13 |
| Street Address |
1303 NE CUSHING DR SUITE 100 |
| City | BEND |
| State | OR |
| Zip Code | 97701-3887 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770581415 | Jeffrey Arthur Holmboe | Orthopaedic Surgery | 1303 Ne Cushing Dr, Ste 100, Bend, OR 97701-3887 | 2005-07-07 |
| 1225490162 | Rebound Physical Therapy Limited Partnership | Durable Medical Equipment & Medical Supplies | 1303 Ne Cushing Dr, Suite 150, Bend, OR 97701-3887 | 2016-03-21 |
| 1164888764 | Rebound Physical Therapy Limited Partnership | Occupational Therapist | 1303 Ne Cushing Dr, Suite 150, Bend, OR 97701-3887 | 2016-01-12 |
| 1235405267 | Kathryn Caba | Physician Assistant | 1303 Ne Cushing Dr, Ste 100, Bend, OR 97701-3887 | 2012-03-23 |
| 1679884027 | Physicians of Central Oregon, LLC | Orthopaedic Surgery | 1303 Ne Cushing Dr, Suite 100, Bend, OR 97701-3887 | 2010-06-30 |
| 1184947327 | Jody Shonn Vance | Acupuncturist | 1303 Ne Cushing Dr, Suite 150, Bend, OR 97701-3887 | 2010-03-02 |
| 1245462894 | Erin E Finter | Orthopaedic Surgery | 1303 Ne Cushing Dr, Ste 100, Bend, OR 97701-3887 | 2009-08-17 |
| 1780828038 | Rebound Physical Therapy II, LLC | Acupuncturist | 1303 Ne Cushing Dr, Suite 150, Bend, OR 97701-3887 | 2009-04-29 |
| 1871737122 | Rebound Physical Therapy II, LLC | Prosthetic/Orthotic Supplier | 1303 Ne Cushing Dr, Suite 150, Bend, OR 97701-3887 | 2009-04-29 |
| 1083852776 | Lindsey E Hagen | Physical Therapist | 1303 Ne Cushing Dr, Suite 150, Bend, OR 97701-3891 | 2009-02-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104465525 | Andrew Kyle Burzynski | Denturist | 853 Ne 4th St., Bend, OR 97701 | 2020-01-02 |
| 1013480714 | Andrew Traut | Specialist/Technologist | Oregon State Force Lab, 2200 Ne Neff Rd Suite 202, Bend, OR 97701 | 2019-01-04 |
| 1871063917 | Calley Asbill, Nd LLC | Chiropractor | 2146 Ne 4th Street, Suite 160, Bend, OR 97701 | 2018-12-02 |
| 1902372212 | Carisa S Battin | Counselor | 361 Ne Franklin Avenue Bldg E #4, Bend, OR 97701 | 2018-10-15 |
| 1366921223 | Hillside Eye Center LLC | Ophthalmology | 625 Nw Colorado Avenue, Bend, OR 97701 | 2018-08-11 |
| 1528545514 | Kellie Michiko Kawasaki-jones | Dentist | 62968 Ob Riley Road, Suite 12, Bend, OR 97701 | 2018-07-23 |
| 1992255327 | Shelby Chiropractic | Chiropractor | 561 Ne Bellevue Dr Ste 102, Bend, OR 97701 | 2016-10-10 |
| 1144671520 | Kevin Richard Pett | Acupuncturist | 39 Nw Louisanna Ave., Hawthorn Healing Arts Center, Bend, OR 97701 | 2016-06-27 |
| 1912357500 | Sheldon Shawn Doveri | Driver | 233 Nw Revere Ave, Bend, OR 97701 | 2016-06-15 |
| 1740647411 | Anne Power | Homeopath | 2100 Ne Neff Rd Suite B, Bend, OR 97701 | 2016-01-26 |
| Find all providers in zip 97701 | ||||
| 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 |
|---|---|---|---|---|
| 1588116180 | Jill Burrows | Specialist | 1546 Nw 3rd St, Bend, OR 97703-2307 | 2016-10-29 |
| 1659825909 | Jordan English | Specialist | 1353 Ne 7th St, Bend, OR 97701-4313 | 2016-08-03 |
| 1235590647 | Gemini Therapeutics | Specialist | 61277 Splendor Ln, Bend, OR 97702-2974 | 2016-03-11 |
| 1114333465 | Donna Chisholm | Specialist | 1435 Nw West Hills Ave, Bend, OR 97701-1040 | 2014-07-08 |
| 1023430139 | Danette Colovos | Specialist | 376 Sw Bluff Dr Ste 2, Bend, OR 97702-1399 | 2014-01-08 |
| 1417384157 | Marci Drum | Specialist | 805 Sw Industrial Way Ste 8, Bend, OR 97702-1093 | 2013-09-26 |
| 1083048276 | Sally Champa | Specialist | 816 Nw Hill St, Bend, OR 97701-2925 | 2013-08-24 |
| 1831466853 | Kate Harper Smith | Specialist | 867 Ne Hidden Valley Dr Unit 1, Bend, OR 97701-5968 | 2011-11-18 |
| 1962787341 | Paige Robinson | Specialist | 1232 Nw Milwaukee Ave, Bend, OR 97701-2209 | 2011-10-17 |
| 1346545720 | Robbie Bianchi Dee Bianchi | Specialist | 60801 Brosterhous Rd, Bend, OR 97702-9738 | 2011-01-17 |
| Find all providers in BEND | ||||
Please comment or provide details below to improve the information on DR. ROBERT L SHANNON.
| 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.