SHALON MCMILLER (NPI# 1679008841) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679008841 |
| Entity Type | Individual |
| Full Name | SHALON MCMILLER |
| Practice Address |
1525 Webster St Suite E Fairfield CA 94533-4997 |
| Practice Telephone | 7074224247 |
| Mailing Telephone | 7074224247 |
| Enumeration Date | 2017-04-26 |
| Last Update Date | 2017-04-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1744P3200X |
Specialist Specialization: Prosthetics Case Management |
KK315983 | CA | Other Service Providers |
| Street Address |
1525 WEBSTER ST SUITE E |
| City | FAIRFIELD |
| State | CA |
| Zip Code | 94533-4997 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619993243 | Merle Ray Sogge | Internal Medicine | 1525 Webster St, Suite A, Fairfield, CA 94533-4935 | 2006-07-15 |
| 1326318312 | Robert A. Varady M.d. Inc. A Professional Corporation | Family Medicine | 1525 Webster St, Suite B, Fairfield, CA 94533-4997 | 2012-01-06 |
| 1871811430 | Awan Professional Medical Corp. | Internal Medicine | 1525 Webster St, Suite A, Fairfield, CA 94533-4997 | 2010-05-06 |
| 1306092838 | Bay Area Pulmonary and Critical Care Medical Group | Internal Medicine | 1525 Webster St, Suite A, Fairfield, CA 94533-4997 | 2008-08-15 |
| 1376730788 | Yolanda Wafer | Orthotic Fitter | 1525 Webster St, Suite E, Fairfield, CA 94533-4997 | 2007-09-29 |
| 1114119526 | Son Lam Nguyen | Internal Medicine | 1525 Webster St, A, Fairfield, CA 94533-4997 | 2007-08-10 |
| 1821289778 | Kyle F Eckhart | Orthotic Fitter | 1525 Webster St, Ste. E, Fairfield, CA 94533-4997 | 2007-08-06 |
| 1205055860 | Fulton Joseph Zink | Dentist | 1525 Webster St, Suite F, Fairfield, CA 94533-4997 | 2007-04-24 |
| 1710057781 | Intercommunity Medical Group | Internal Medicine | 1525 Webster St, Ste A, Fairfield, CA 94533 | 2006-11-08 |
| 1306936000 | Franklyn E Seabrooks | Orthopaedic Surgery | 1525 Webster St, Suite A, Fairfield, CA 94533-4997 | 2006-10-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609487347 | Shayondelice Sledge | Case Manager/Care Coordinator | 3001 N. Texas St., #27, Fairfield, CA 94533 | 2020-08-16 |
| 1508401191 | Tiffany Ann Garcia | Social Worker | 1301 Roman Way, Martinez, CA 94533 | 2019-11-07 |
| 1609424175 | Andrew Stephens | Student in an Organized Health Care Education/Training Program | Dgmc, 101 Bodin Cir, Fairfield, CA 94533 | 2019-08-28 |
| 1821645383 | Michelle Marie Hackett | Marriage & Family Therapist | 1745 Enterprise Dr., Bldg. 2, Ste 1a, Fairfield, CA 94533 | 2019-08-20 |
| 1780154369 | Maria Leonila Ramos Corpuz | Behavior Technician | 744 Empire Street Suite 160, Fairfield, CA 94533 | 2018-11-27 |
| 1629575303 | Jeanne Ann Kiernan | Dentist | 690 Airman Dr, Apo, AA 94533 | 2018-04-10 |
| 1629596820 | Max Kardos | Student in an Organized Health Care Education/Training Program | 801 Empire St., Fairfield, CA 94533 | 2017-09-07 |
| 1780119867 | Justin Denhart Dickson | Student in an Organized Health Care Education/Training Program | 101 Bodin Cir Fairfield Ca 94533, David Grant Medical Center, Fpo, AA 94533 | 2017-04-26 |
| 1639613409 | Behrooz Shafiezadeh | Marriage & Family Therapist | Caminar, 601 Madison Street, Suite D, Fairfield, CA 94533 | 2016-12-13 |
| 1427500164 | Tanya Ayers | Counselor | 801 Empire Street, Fairfield, CA 94533 | 2016-10-28 |
| Find all providers in zip 94533 | ||||
| Taxonomy Code | 1744P3200X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| Specialization | Prosthetics Case Management |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336678044 | Stephanie Bennett | Specialist | 407 Fairfax Dr Apt 32, Fairfield, AL 35064-1063 | 2017-06-06 |
| 1871919712 | Cynthia Davis | Specialist | 305 36th St, Fairfield, AL 35064-1401 | 2014-03-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215549993 | Lisa Tonette Bell | Specialist | 18300 Gridley Rd # 210, Artesia, CA 90701-5440 | 2020-08-23 |
| 1760094445 | Constance Leake | Specialist | 2841 Martin Luther King Jr Ave, Richmond, CA 94804-4021 | 2020-08-23 |
| 1508478090 | Sharon Leduff Spencer | Specialist | 17942 Sky Park Cir Ste D, Irvine, CA 92614-4429 | 2020-08-18 |
| 1497365597 | Jannise Booker | Specialist | 1327 Chestnut St # 5, San Francisco, CA 94123-3105 | 2020-08-04 |
| 1962010678 | Latoya Morris | Specialist | 901 Sara Ct Apt 132, Vacaville, CA 95687-6267 | 2020-07-20 |
| 1023633997 | Okemasherron Hayes | Specialist | 13724 Burbank Blvd, Sherman Oaks, CA 91401-5039 | 2020-06-16 |
| 1578186870 | Joanne Elaine Washington | Specialist | 1219 W Imperial Hwy Ste 100, Brea, CA 92821-3736 | 2020-05-20 |
| 1851926877 | Ashley Johnson | Specialist | 29851 Peppercorn Cir, Menifee, CA 92584-7270 | 2020-03-10 |
| 1700421633 | Jennifer Knox | Specialist | 2356 Hampton Ave, Simi Valley, CA 93063-5055 | 2019-11-14 |
| 1235772526 | Shena Simmons | Specialist | 2232 Warfield Way Unit D, San Jose, CA 95122-3645 | 2019-10-20 |
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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.