MR. SHAWN THOMAS O'CONNOR (NPI# 1700081817) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700081817 |
| Entity Type | Individual |
| Full Name | MR. SHAWN THOMAS O'CONNOR |
| Credential | ATC |
| Practice Address |
1180 Satellite Blvd Nw Ste 100 Suwanee GA 30024-4637 |
| Mailing Address |
5843 Riverside Walk Dr Sugar Hill GA 30518-7499 |
| Practice Telephone | 4043672080 |
| Mailing Telephone | 7708261029 |
| Enumeration Date | 2007-06-19 |
| Last Update Date | 2008-02-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
AT001302 | GA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528492402 | Shawn O'connor | Pharmacist | 994 Rahway Ave, Avenel, NJ 07001-1946 | 2013-08-27 |
| 1215240585 | Shawn D O'connor | Pediatrics | 1 Childrens Pl Ste C, Ste C, Saint Louis, MO 63110-1002 | 2010-07-15 |
| 1245564426 | Shawn Patrick O'connor | Psychologist | 1 Jefferson Barracks Dr, Saint Louis, MO 63125-4181 | 2009-09-22 |
| Street Address |
1180 SATELLITE BLVD NW STE 100 |
| City | SUWANEE |
| State | GA |
| Zip Code | 30024-4637 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255490892 | Robert John Friberg | Physical Therapist | 1180 Satellite Blvd Nw Ste 100, Suwanee, GA 30024-4637 | 2006-12-08 |
| 1386173961 | Randall William Sides | Physical Therapist | 1180 Satellite Blvd Nw Ste 100, Suwanee, GA 30024-4637 | 2017-06-07 |
| 1699155291 | Kimberly Vu | Physical Therapist | 1180 Satellite Blvd Nw Ste 100, Suwanee, GA 30024-4637 | 2015-06-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356996565 | Stephanie Arkin | Student in an Organized Health Care Education/Training Program | 25 Old Peachtree Rd Nw, Suwanee, GA 30024 | 2019-08-05 |
| 1164989638 | Laquitta Craft | Registered Nurse | 2855 Lawrenceville Suwanee Road Suite 330/340, Suwanee, GA 30024 | 2019-02-21 |
| 1467937235 | Greater Atlanta Monitoring, LLC | Electrodiagnostic Medicine | 3651 Peachtree Ste E. #331, Suwanee, GA 30024 | 2018-09-27 |
| 1760963482 | Esther Natacha Lafontant | Public Health or Welfare | 3205 Maple Terrace Drive, Suwanee, GA 30024 | 2018-08-22 |
| 1740778463 | Immaculate Healthcare Solutions, LLC | Home Health | 970 Peachtree Industrial Blvd Ste 8, Suwanee, GA 30024 | 2018-04-27 |
| 1053819235 | Sean Wonsuk Jang | Chiropractor | 3370 Lawrenceville Suwanee Rd Ste 118, Suwanee, GA 30024 | 2018-01-23 |
| 1932628468 | Silver Health Services, Inc. | Case Manager/Care Coordinator | 2640 Westbury Court, Swanee, GA 30024 | 2017-09-15 |
| 1285159095 | April L. Rivers | Nurse Practitioner | 4411 Suwanee Dam Rd Ste 110, Suwanee, GA 30024 | 2017-08-14 |
| 1144743840 | Nabil Elkareh | Pharmacist | 5049 Tarry Glen Drive., Suwanee, GA 30024 | 2017-07-25 |
| 1720508294 | Robert A Finkel Dds PC | Clinic/Center | 1325 Satellite Blvd Nw Ste 1304, Suwanee, GA 30024 | 2017-06-26 |
| Find all providers in zip 30024 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053963124 | Kaitlyn Jones | Specialist/Technologist | 439 Golden Meadows Cir, Suwanee, GA 30024-2269 | 2019-07-09 |
| 1033457114 | Joshua Baker | Specialist/Technologist | 1530 Winning Colors Ct, Suwanee, GA 30024-5440 | 2013-01-23 |
| 1134385958 | David Michael Kloehs | Specialist/Technologist | 3739 White Sands Way, Suwanee, GA 30024-7429 | 2008-07-31 |
| 1649508896 | Laura Trkovsky | Specialist/Technologist | 1180 Satellite Blvd Nw, Suite 100, Suwanee, GA 30024-4636 | 2009-11-30 |
| 1912107160 | Douglas Nolan Wardy | Specialist/Technologist | 1180 Satellite Blvd Nw, Suwanee, GA 30024-4636 | 2007-07-24 |
| 1326244526 | Stacey M Quinn | Specialist/Technologist | 1075 Satellite Blvd Nw, Suite 100, Suwanee, GA 30024-4624 | 2007-06-25 |
| 1629120951 | Kimberly Ann Winn | Specialist/Technologist | 6920 Mcginnis Ferry Rd, Suite 320, Suwanee, GA 30024-1258 | 2007-01-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407455959 | Mary Lee Richardson | Specialist/Technologist | 1591 Glenn Pl Sw, Mableton, GA 30126-1170 | 2020-10-25 |
| 1295332914 | Cayla Mckeon | Specialist/Technologist | 11 W 11th St Apt 17, Columbus, GA 31901-4239 | 2020-10-06 |
| 1205442472 | Si'ara Washington Farris | Specialist/Technologist | 564 Hillandale Park Dr, Lithonia, GA 30058-8833 | 2020-09-22 |
| 1033723150 | Grant Pheil | Specialist/Technologist | 3523 Old Penia Rd, Cordele, GA 31015-7714 | 2020-09-04 |
| 1376157933 | Jesus E Aviles | Specialist/Technologist | 755 Battery Ave Se, Atlanta, GA 30339-3017 | 2020-09-01 |
| 1588276943 | Jaden T Harris | Specialist/Technologist | 2205 Moncrieff St, Augusta, GA 30906-8905 | 2020-08-18 |
| 1891306437 | Tinasia Smalls | Specialist/Technologist | 100 Woodland Dr Apt 1416, Statesboro, GA 30458-6365 | 2020-08-16 |
| 1407467590 | Samantha Jean Libby | Specialist/Technologist | 2550 Akers Mill Rd Se Apt F14, Atlanta, GA 30339-3271 | 2020-08-12 |
| 1083224224 | John Christopher Hamil | Specialist/Technologist | 812 S Park St Ste 1, Carrollton, GA 30117-4412 | 2020-08-03 |
| 1780294926 | Andrew Alcantar | Specialist/Technologist | 7340 Fairmount Hwy Se, Calhoun, GA 30701-4023 | 2020-08-03 |
| Find all providers with the same taxonomy | ||||
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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.