SHANNON EICKHOFF


Address: 3020 Hamaker Ct, Suite 200, Fairfax, VA 22031-2238
Phone: 7035732432

SHANNON EICKHOFF (NPI# 1700126000) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1700126000
Entity Type Individual
Full Name SHANNON EICKHOFF
Other Name SHANNON CROWTHER
Credential PA-C
Practice Address 3020 Hamaker Ct
Suite 200
Fairfax
VA 22031-2238
Practice Telephone 7035732432
Practice Fax Number 7032809350
Mailing Telephone 7035732432
Mailing Fax Number 7032809350
Enumeration Date 2013-02-22
Last Update Date 2013-02-22
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant 0110001944 VA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 3020 HAMAKER CT
SUITE 200
City FAIRFAX
State VA
Zip Code 22031-2238

Providers in the same location

NPI Name Taxonomy Address Enumeration
1912900598 Joann Pfundstein Internal Medicine 3020 Hamaker Ct, Suite B102, Fairfax, VA 22031-2238 2005-05-27
1689128407 Susan Ammerman Psychologist 3020 Hamaker Ct, Suite 103, Fairfax, VA 22031-2238 2016-08-10
1962857318 Joann Pfundstein, Md, LLC Clinic/Center 3020 Hamaker Ct, Suite B102, Fairfax, VA 22031-2238 2016-05-03
1962876565 Janet Cartwright-smith Speech-Language Pathologist 3020 Hamaker Ct, Fairfax, VA 22031-2238 2015-11-19
1104163542 Fairfax Arrhythmia, Pllc Internal Medicine 3020 Hamaker Ct, Suite 401, Fairfax, VA 22031-2238 2013-01-04
1063765154 Janet Elizabeth Black Behavioral Analyst 3020 Hamaker Ct, Suite 200, Fairfax, VA 22031-2238 2012-10-26
1891058921 Lonny Nodelman Podiatrist 3020 Hamaker Ct, 201, Fairfax, VA 22031-2238 2012-06-22
1932468162 Maria Olivia A Ricci Nurse Practitioner 3020 Hamaker Ct, Suite 502, Fairfax, VA 22031-2238 2012-05-08
1790061091 Meagan Aileen Adamson Nurse Practitioner 3020 Hamaker Ct, Suite 400, Fairfax, VA 22031-2238 2011-10-31
1629354592 Corey J Burchette Psychologist 3020 Hamaker Ct, Suite 103, Fairfax, VA 22031-2238 2011-10-24
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NPI Name Taxonomy Address Enumeration
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1932681376 Joanne Towers Physician Assistant 3025 Hamaker Court Suite 300, Fairfax, VA 22031 2018-09-01
1790262020 S Renee Dennis Nurse Practitioner 8316 Arlington Blvd Ste 500, Fairfax, VA 22031 2018-07-19
1013493451 Elizabeth Joan Dwyer Physician Assistant 3023 Hamaker Ct., Suite 500, Fairfax, VA 22031 2018-07-18
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Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1053894493 Natasha Olliver Physician Assistant 8500 Executive Park Ave Ste 200, Fairfax, VA 22031-2228 2018-09-12
1932681376 Joanne Towers Physician Assistant 3025 Hamaker Court Suite 300, Fairfax, VA 22031 2018-09-01
1013493451 Elizabeth Joan Dwyer Physician Assistant 3023 Hamaker Ct., Suite 500, Fairfax, VA 22031 2018-07-18
1831692375 Lauren Mackenzie Mason Physician Assistant 3959 Pender Dr Ste 100, Fairfax, VA 22030-6041 2018-03-12
1164949665 Kaitlyn Burns Physician Assistant 3700 Joseph Siewick Dr Ste 404, Fairfax, VA 22033-1745 2017-08-25
1699299628 Mona Yazdani Physician Assistant 2920 District Ave Apt 359, Fairfax, VA 22031-4466 2017-08-01
1518396951 Samantha Hancock Physician Assistant 10721 Main St Ste 200, Fairfax, VA 22030-6913 2013-11-06
1114263613 Shoshana D Katz Physician Assistant 3031 Javier Rd Ste 210, Fairfax, VA 22031-4638 2013-01-02
1770610289 Sonia J Mabout Physician Assistant 2812 Old Lee Hwy # 100b-d, Fairfax, VA 22031-4315 2007-02-28
1396705174 Stephanie Anne Shepard Physician Assistant 2700 Prosperity Ave Ste 270, Fairfax, VA 22031-4321 2006-03-24
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Competitor

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City FAIRFAX
Zip Code 22031

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Dataset Information

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.

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