WILLIAM J SHANAHAN (NPI# 1649262510) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649262510 |
| Entity Type | Individual |
| Full Name | WILLIAM J SHANAHAN |
| Credential | MD |
| Practice Address |
4511 N. Davis Hwy Suite C Pensacola FL 32503-2770 |
| Practice Telephone | 8504848448 |
| Practice Fax Number | 8504793258 |
| Mailing Telephone | 8504848448 |
| Mailing Fax Number | 8504793258 |
| Enumeration Date | 2005-08-17 |
| Last Update Date | 2015-06-23 |
| NPI Deactivation Date | 03/23/2006 |
| NPI Reactivation Date | 2006-03-29 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | ME0032249 | FL | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 061290100 | 05 | |
| FL | RRB PTAN | 010028302 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013991116 | William S.m. Shanahan | Radiology | 12401 East Washington Blvd., Presbyterian Intercommunity Hosp-radiology Department, Whittier, CA 90602-1006 | 2005-12-01 |
| 1356881841 | William Shanahan | Counselor | 691 E Empire St, Cortez, CO 81321-2802 | 2017-03-02 |
| 1538270657 | William Randal Shanahan | Counselor | 2240 Nw 39th St, Oklahoma City, OK 73112-8884 | 2006-08-31 |
| Street Address |
4511 N. DAVIS HWY SUITE C |
| City | PENSACOLA |
| State | FL |
| Zip Code | 32503-2770 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134727472 | Lauren Barrett Evans | Nurse Practitioner | 4700 Bayou Boulevard, Suite 6, Pensacola, FL 32503 | 2020-10-09 |
| 1528666864 | Kelsey Christine Kvartek | Nurse Practitioner | 4700 Bayou Blvd., Suite 6, Pensacola, FL 32503 | 2020-10-09 |
| 1730790551 | Sacred Heart Hospital of Pensacola | Podiatrist | 1890 Summit Blvd, Pensacola, FL 32503 | 2020-08-14 |
| 1891312815 | Sacred Heart Asc, LLC | Clinic/Center | 1890 Summit Boulevard, Suite 210, Pensacola, FL 32503 | 2020-06-26 |
| 1275011744 | Teresa T Jansen | Registered Nurse | 5051 Carpenters Creek Dr, Pensacola, FL 32503 | 2018-08-06 |
| 1639662729 | Florida Physical Therapy Services of Pensacola, LLC | Occupational Therapist | 428 Airport Blvd, Pensacola, FL 32503 | 2018-06-13 |
| 1922595123 | Touch of Love Home Health Care LLC | Home Health | 139 E Burgess Rd Ste B, Pensacola, FL 32503 | 2018-04-13 |
| 1770012106 | Amber Mcclellan | Occupational Therapist | 4551 North Davis Highway, Suite C, Pensacola, FL 32503 | 2017-06-08 |
| 1780123885 | Corinne Georgette-marie Carlson | Registered Nurse | 6809 White Oak Drive, Pensacola, FL 32503 | 2017-02-22 |
| 1538615232 | Kristin E Patton | Dietitian, Registered | 4501 North Davis Hwy, Suite C, Pensacola, FL 32503 | 2016-09-01 |
| Find all providers in zip 32503 | ||||
| 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 |
|---|---|---|---|---|
| 1528338522 | Paul E Pearson | Specialist | 6400 N Davis Hwy, Suite 2, Pensacola, FL 32504-6903 | 2012-01-06 |
| 1932403409 | Staci Ann Jagoe | Specialist | 455 Shiloh Dr, Pensacola, FL 32503-7713 | 2010-12-27 |
| 1154640308 | Cristen Miller | Specialist | 4470 Spanish Trl, 97, Pensacola, FL 32504-4903 | 2010-05-27 |
| 1437482023 | Daniel Paul Hobgood Iv | Specialist | 4317 Spanish Trl, Pensacola, FL 32504-4942 | 2009-09-14 |
| 1336384783 | Sean Mathew Weiser | Specialist | 744 E Burgess Rd, Suite A105, Pensacola, FL 32504-6227 | 2008-12-12 |
| 1841470895 | Still Waters Medical Spa | Specialist | 20 N Tarragona St, Pensacola, FL 32502-6063 | 2007-11-07 |
| 1306032420 | Janice Leigh Nicholson | Specialist | 4438 Omaha Dr, Pensacola, FL 32507-7746 | 2007-09-21 |
| 1396938247 | Harry James Beecham IIi | Specialist | 5153 N 9th Ave Ste 305, Pensacola, FL 32504-5719 | 2007-08-23 |
| 1174713531 | Kotlarz Ent and Facial Plastic Surgery | Specialist | 6100 N Davis Hwy, Pensacola, FL 32504-6950 | 2007-07-31 |
| 1205036886 | East-west Medical & Rehabilitation Associates Pa | Specialist | 236 W. Garden St, Ste 1, Pensacola, FL 32501 | 2007-07-20 |
| Find all providers in PENSACOLA | ||||
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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.