SHANNON HAYES (NPI# 1730791146) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730791146 |
| Entity Type | Individual |
| Full Name | SHANNON HAYES |
| Credential | PA-C |
| Practice Address |
3535 Southern Blvd Dayton OH 45429-1221 |
| Mailing Address |
8705 Creekscape Ln Apt 824 Cincinnati OH 45249-2063 |
| Practice Telephone | 9372984331 |
| Mailing Telephone | 4402514816 |
| Enumeration Date | 2020-08-18 |
| Last Update Date | 2020-08-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
50.006576RX | OH | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NCCPA | 1160649 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780993824 | Shannon Hayes | Physical Therapist | 400 Massaoit Ave, East Providence, RI 02914 | 2010-10-06 |
| 1205044872 | Shannon N Hayes | Counselor | 941 Kamehameha Hwy Ste 204, Pearl City, HI 96782-2516 | 2007-05-18 |
| 1245795327 | Shannon Hayes | Peer Specialist | 721 Fawcett Ave, Tacoma, WA 98402-5502 | 2019-02-04 |
| 1003347089 | Shannon L Hayes | Social Worker | 3493 Woods Edge Ste 103, Okemos, MI 48864-6030 | 2017-03-22 |
| 1699144253 | Shannon Hayes | Registered Nurse | 500 W Fort St, Boise, ID 83702-4501 | 2015-09-24 |
| 1053600585 | Shannon Elizabeth Hayes | Internal Medicine | 3300 Oakdale Avenue North, Robbinsdale, MN 55422 | 2011-04-05 |
| 1982924577 | Shannon B Hayes | Physical Therapist | 123 Wg Acker Dr, Pickens, SC 29671-2739 | 2010-06-04 |
| 1912186099 | Shannon Hayes | Counselor | 201 W Springdale Ave, Knoxville, TN 37917-5158 | 2007-10-25 |
| 1952492837 | Shannon Kelly Hayes | Pediatrics | 7900 Fannin St, Suite 3300, Houston, TX 77054-2934 | 2006-09-27 |
| 1710939079 | Shannon Williams Hayes | Pediatrics | 5012 S Us Highway 75, Suite 300, Denison, TX 75020-4587 | 2006-05-16 |
| Street Address |
3535 SOUTHERN BLVD |
| City | DAYTON |
| State | OH |
| Zip Code | 45429-1221 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578195079 | Emily Schwieterman | Registered Nurse | 3535 Southern Blvd, Dayton, OH 45429-1298 | 2020-02-12 |
| 1285277004 | Jacob Farran | Pharmacist | 3535 Southern Blvd, Dayton, OH 45429-1221 | 2019-10-24 |
| 1780226316 | Sumin Thomas | Pharmacist | 3535 Southern Blvd, Dayton, OH 45429-1221 | 2019-10-15 |
| 1720472202 | Diana Dino | Registered Nurse | 3535 Southern Blvd, Dayton, OH 45429-1221 | 2015-03-23 |
| 1700142726 | Nishanta Bikram Baidya | Radiology | 3535 Southern Blvd, Dayton, OH 45429-1221 | 2012-04-03 |
| 1043509250 | Michael Benjamin Gentry | Pathology | 3535 Southern Blvd, Dayton, OH 45429 | 2011-03-29 |
| 1033350814 | Neil A Lester | Radiology | 3535 Southern Blvd, Dayton, OH 45429-1221 | 2009-03-09 |
| 1528221603 | Shannon M Powell | Radiology | 3535 Southern Blvd, Dayton, OH 45429-1221 | 2008-07-08 |
| 1942408661 | Matthew R Kinzie | Radiology | 3535 Southern Blvd, Dayton, OH 45429-1221 | 2007-07-03 |
| 1508992470 | Luke Bolek | Nuclear Medicine | 3535 Southern Blvd, Dayton, OH 45429 | 2007-02-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821576414 | Lauren Danielle Sivley | Nurse Practitioner | 3535 Sourthern Boulevard, Kettering, OH 45429 | 2018-08-06 |
| 1114446127 | Louai Al-samkari | Chiropractor | 1441 E. Stroop Rd., Kettering, OH 45429 | 2017-09-12 |
| 1407373756 | Benjamin Edward Adkins | Specialist/Technologist | 4116 Vinita Dr., Kettering, OH 45429 | 2017-08-28 |
| 1972036341 | James Kim | Student in an Organized Health Care Education/Training Program | 3535 Southern Boulevard, Kettering, OH 45429 | 2017-04-04 |
| 1023549847 | Adrienne Krysiak | Emergency Medicine | 3525 Southern Boulevard, Kettering, OH 45429 | 2017-03-23 |
| 1386021889 | Cassandra Mckoy | Counselor | 529 East Stroop Road, Kettering, OH 45429 | 2015-05-04 |
| 1417343088 | Candace Benoit | Obstetrics & Gynecology | 3533 Southern Blvd Ste 4600, Dayton, OH 45429 | 2015-04-10 |
| 1275933574 | Lee Schwieterman | Nurse Practitioner | 3535 Southern Blvd., 1 East, Kettering, OH 45429 | 2014-08-25 |
| 1497161947 | Robert Jonathon Fresch Jr. | Obstetrics & Gynecology | 3533 Southern Blvd Ste 3750, Kettering, OH 45429 | 2014-07-05 |
| 1821349812 | Lucas Brewer | Counselor | 1524 E Stroop Rd Ste 300, Kettering, OH 45429 | 2012-10-01 |
| Find all providers in zip 45429 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558668780 | Adam Joseph Thomas | Physician Assistant | 1 Elizabeth Pl Bldg G, Dayton, OH 45417-3445 | 2011-02-24 |
| 1790011724 | Andrew P Black | Physician Assistant | 6438 Wilmington Pike Ste 110, Dayton, OH 45459-7021 | 2009-10-27 |
| 1487722526 | Nancy Moyer Solada | Physician Assistant | 1989 Miamisburg Centerville Rd Ste 201, Dayton, OH 45459-3858 | 2006-11-30 |
| 1467417386 | James D. Welsh | Physician Assistant | 1427 Business Center Ct, Dayton, OH 45410-3300 | 2006-04-20 |
| 1417937558 | Anthony S Allen | Physician Assistant | 5 Pine Cone Rd, Suite 102, Dayton, NV 89403-7393 | 2006-01-17 |
| 1558353904 | Douglas Eulberg | Physician Assistant | 3075 Governors Place Blvd, Suite 120, Dayton, OH 45409-1323 | 2005-08-19 |
| 1164052395 | Andrew Conroy | Physician Assistant | 1 Wyoming St, Dayton, OH 45409-2722 | 2020-01-15 |
| 1396307138 | Aleesha Mae Schafers | Physician Assistant | 1 Childrens Plz, Dayton, OH 45404-1873 | 2019-07-02 |
| 1073079190 | Mckenzie Wheeler | Physician Assistant | 1 Childrens Plz, Dayton, OH 45404-1873 | 2019-02-13 |
| 1073084703 | Leah Ann Hare | Physician Assistant | 3716 Wilmington Pike, Dayton, OH 45429-4845 | 2018-12-06 |
| Find all providers in DAYTON | ||||
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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.