SHANNON N MOREAU (NPI# 1629337902) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629337902 |
| Entity Type | Individual |
| Full Name | SHANNON N MOREAU |
| Other Name | SHANNON N RECORDS |
| Credential | PA-C |
| Practice Address |
343 Us Route 1 York ME 03909-1636 |
| Practice Telephone | 2073512600 |
| Mailing Telephone | 2073512600 |
| Enumeration Date | 2012-05-08 |
| Last Update Date | 2016-03-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
0900 | NH | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA1327 | ME | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
343 US ROUTE 1 |
| City | YORK |
| State | ME |
| Zip Code | 03909-1636 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861006801 | Chelsea Sutton | Speech-Language Pathologist | 343 Us Route 1, York, ME 03909-1636 | 2020-09-08 |
| 1750874871 | Jared Thompson | Physician Assistant | 343 Us Route 1, York, ME 03909-1636 | 2018-06-13 |
| 1740717446 | Ryan Dodge | Physician Assistant | 343 Us Route 1, York, ME 03909-1636 | 2017-05-12 |
| 1750747507 | Marian Elizabeth Reilly | Pharmacist | 343 Us Route 1, York, ME 03909-1636 | 2016-01-10 |
| 1578935748 | York Hospital | Pharmacy | 343 Us Route 1, Department of Pharmacy, York, ME 03909-1636 | 2015-10-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588206049 | Kristina Nicole Scangas | Physician Assistant | 3 Loving Kindness Way, York, ME 03909 | 2019-10-16 |
| 1467923540 | St. Georges Childcare Center | Clinic/Center | 407 York Street, York Harbor, ME 03909 | 2018-12-16 |
| 1518398023 | Jm Dental PC | Dentist | 433 F Us Route 1, Suite 107, York, ME 03909 | 2013-12-09 |
| 1043554405 | Jennifer Helen Gustafson | Occupational Therapist | 3 Whittier Way, York, ME 03909 | 2012-11-24 |
| 1720351240 | Kimberly Trafton | Acupuncturist | 272 York Street, York, ME 03909 | 2012-02-14 |
| 1518237767 | Jill Ann Colton-spina | Registered Nurse | 32 York Street, Psychiatry Associates of York Hospital, York, ME 03909 | 2012-01-05 |
| 1497980650 | York Family Dental | Dentist | 433f Us Route 1, Cottage Place Suite 107, York, ME 03909 | 2009-05-18 |
| 1356590947 | Susan A. Emerson | Occupational Therapist | 41 Brixham Rd., York, ME 03909 | 2008-09-18 |
| 1316122252 | John Wendelin Anderer | Dentist | 433 F Us Route 1 Cottage Place John Anderer D.d.s., 107, York, ME 03909 | 2008-01-09 |
| 1720296486 | Town of York/york School Department | Local Education Agency (LEA) | 469 U.S. Route One, York, ME 03909 | 2007-05-18 |
| Find all providers in zip 03909 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376153650 | Hannah Christine Kowalewski | Physician Assistant | 1765 Hillock Ln, York, PA 17403-4033 | 2020-08-03 |
| 1306461959 | Brandon Rauhauser | Physician Assistant | 1921 Worth St, York, PA 17404-5230 | 2020-06-09 |
| 1205117363 | Emily Macik | Physician Assistant | 1001 S George St Fl 3, York, PA 17403-3676 | 2011-09-02 |
| 1366769085 | David Arthur Hamel | Physician Assistant | 85 Brixham Rd, York, ME 03909-5342 | 2010-04-21 |
| 1649448127 | Lauralee Brooke Trump | Physician Assistant | 2532 Knobhill Rd, York, PA 17403-4796 | 2008-02-18 |
| 1699886069 | Cynthia F Helm | Physician Assistant | 1796 3rd Ave, York, PA 17403-1913 | 2006-08-31 |
| 1154393320 | Juliann Pandelidis | Physician Assistant | 80 Wyntre Brooke Dr, York, PA 17403-4535 | 2006-02-02 |
| 1740280031 | Charlotte S. Greene | Physician Assistant | 15 Hospital Dr, York, ME 03909-1011 | 2005-07-28 |
| 1306446166 | Kathryn M Fossaceca | Physician Assistant | 116 S George St, York, PA 17401-1474 | 2020-10-29 |
| 1124626171 | Ciara Nicole Rundle | Physician Assistant | 116 S George St, York, PA 17401-1474 | 2020-10-13 |
| Find all providers in YORK | ||||
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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.