SHANNON BARBARA SPENCER (NPI# 1700371580) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700371580 |
| Entity Type | Individual |
| Full Name | SHANNON BARBARA SPENCER |
| Credential | MD |
| Practice Address |
41 Mall Road Lahey Hospital and Medical Center Burlington MA 01805-0001 |
| Mailing Address |
3 Kimball Ct Apt 110 Woburn MA 01801-6930 |
| Practice Telephone | 7817448737 |
| Enumeration Date | 2018-06-25 |
| Last Update Date | 2018-06-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | 275961 | MA | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245843069 | Shannon Spencer | Speech-Language Pathologist | 333 Bloomfield Ave Ste 102, Caldwell, NJ 07006-5167 | 2020-08-31 |
| Street Address |
41 MALL ROAD LAHEY HOSPITAL AND MEDICAL CENTER |
| City | BURLINGTON |
| State | MA |
| Zip Code | 01805-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760654982 | Sara Williford | Internal Medicine | 41 Mall Road Lahey Hospital and Medical Center, Burlington, MA 01805-0001 | 2008-03-27 |
| 1629596796 | Deborah Stewart Bass | Nurse Practitioner | 41 Mall Road Lahey Hospital and Medical Center, Burlington, MA 01805-0001 | 2017-09-08 |
| 1881081719 | Kaitlin Spiegel | Dietitian, Registered | 41 Mall Road Lahey Hospital and Medical Center, Burlington, MA 01805-6110 | 2015-04-17 |
| 1881013100 | Ahmed Yousif | Internal Medicine | 41 Mall Road Lahey Hospital and Medical Center, Burlington, MA 01805-3411 | 2014-04-15 |
| 1528353679 | Anil Ramineni | Psychiatry & Neurology | 41 Mall Road Lahey Hospital and Medical Center, Burlington, MA 01805-2409 | 2011-06-16 |
| 1033438031 | Sara Ann Mayer | Psychiatry & Neurology | 41 Mall Road Lahey Hospital and Medical Center, Burlington, MA 01805-0341 | 2010-05-31 |
| 1538483003 | Caroline Cristina Nitschmann | Obstetrics & Gynecology | 41 Mall Road Lahey Hospital and Medical Center, Burlington, MA 01805 | 2010-03-26 |
| 1578719852 | David I Tapper | Nurse Practitioner | 41 Mall Road Lahey Hospital and Medical Center, Burlington, MA 01805-1920 | 2008-08-18 |
| 1588821219 | Cameron T. Stock | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 41 Mall Road Lahey Hospital and Medical Center, Burlington, MA 01805-2657 | 2008-05-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750867909 | Natalie Teresa Dal'bo | Student in an Organized Health Care Education/Training Program | 41 Mall Road Office of Graduate Medical Education, Burlington, MA 01805 | 2018-07-11 |
| 1043710791 | Beth Israel Lahey Health Primary Care, Inc. | Urology | Lahey Institute of Urology, Beverly, 41 Mall Rd., Burlington, MA 01805 | 2018-02-20 |
| 1902240872 | Lloyd Jones Jr. | Student in an Organized Health Care Education/Training Program | 41 Mall Rd Department of Plastic Surgery, Burlington, MA 01805 | 2013-04-23 |
| 1508020470 | Russell Andrew Baur | Internal Medicine | Lahey Clinic Inc., 41 Mall Road, Burlington, MA 01805 | 2008-07-10 |
| 1356491237 | Jacob Magee Sands | Internal Medicine | 41 Burlington Mall Rd., Lahey Clinic, Burlington, MA 01805 | 2007-01-11 |
| 1588757108 | Richard Alan Wold | Nurse Anesthetist, Certified Registered | Lahey Clinic Medical Center, 41 Mall Road, Burlington, MA 01805 | 2006-10-02 |
| 1841302387 | David M. Venesy | Internal Medicine | Lahey Clinic Cardiology -5 E, 41 Mall Road, Burlington, MA 01805 | 2006-08-31 |
| 1790750354 | Cara J. Foss | Nurse Practitioner | Lahey Hospital and Medical Center, 41 Mall Road, Burlington, MA 01805 | 2006-02-17 |
| 1750376380 | Darryl D Esakof | Internal Medicine | 41 Mall Road, Department of Cardiovascular Medicine, Lahey Clinic, Burlington, MA 01805 | 2005-09-20 |
| 1225022155 | Laura Saluja | Internal Medicine | Lahey Clinic - General Internal Medicine, 41 Mall Road, Burlington, MA 01805 | 2005-09-07 |
| Find all providers in zip 01805 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700496759 | Ivanna Jeniferr Joseph | Student in an Organized Health Care Education/Training Program | 733 Arboretum Way, Burlington, MA 01803-3833 | 2020-08-05 |
| 1437769858 | Moh'd Rasheed Abu-qaoud | Student in an Organized Health Care Education/Training Program | 78 Center St, Burlington, MA 01803-3035 | 2020-08-01 |
| 1437776424 | Adam Bradley Wiggins | Student in an Organized Health Care Education/Training Program | Lahey Clinic 41 Mall Road, Burlington, MA 01805-0001 | 2020-06-25 |
| 1326660465 | Hemali Ashish Patel | Student in an Organized Health Care Education/Training Program | 3 Goodwin Dr, Burlington, MA 01803-1048 | 2020-05-12 |
| 1861012544 | Ohan Manoukian | Student in an Organized Health Care Education/Training Program | 4 Marrett Rd, Burlington, MA 01803-4007 | 2020-04-22 |
| 1437787611 | Karamatullah Danyal | Student in an Organized Health Care Education/Training Program | Karamatullah Danyal (uvmmc), 111 Colchester Ave, Burlington, VT 05401-1473 | 2020-04-01 |
| 1790313120 | Kyna Donohue | Student in an Organized Health Care Education/Training Program | 46 Lafountain St Apt 2, Burlington, VT 05401-4237 | 2020-03-31 |
| 1821626748 | John Henry Priester Jr. | Student in an Organized Health Care Education/Training Program | University of Vermont Medical Center, 111 Colchester Avenue, Burlington, VT 05401 | 2020-03-27 |
| 1598398752 | Scott Kevin Olehnik | Student in an Organized Health Care Education/Training Program | 89 Beaumont Ave # 368, Burlington, VT 05405-1742 | 2020-02-17 |
| 1407499247 | Amy Packer | Student in an Organized Health Care Education/Training Program | 83 N Willard St, Burlington, VT 05401-3312 | 2019-10-24 |
| Find all providers in BURLINGTON | ||||
| City | BURLINGTON |
| Zip Code | 01805 |
Please comment or provide details below to improve the information on SHANNON BARBARA SPENCER.
| 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.