SHANNEN MCNAMARA (NPI# 1740890011) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740890011 |
| Entity Type | Individual |
| Full Name | SHANNEN MCNAMARA |
| Credential | PA-C |
| Practice Address |
3745 Geist Rd Fairbanks AK 99709-3554 |
| Practice Telephone | 9074563338 |
| Mailing Telephone | 9703768971 |
| Enumeration Date | 2020-08-03 |
| Last Update Date | 2020-08-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 163780 | AK | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3745 GEIST RD |
| City | FAIRBANKS |
| State | AK |
| Zip Code | 99709-3554 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689625964 | Van E Lamore | Physician Assistant | 3745 Geist Rd, Fairbanks, AK 99709-3554 | 2006-05-12 |
| 1164082202 | Anders Harbord Carlson | Physical Therapist | 3745 Geist Rd, Fairbanks, AK 99709-3554 | 2019-06-20 |
| 1821516345 | Benjamin Douglas Johnson | Orthopaedic Surgery | 3745 Geist Rd, Fairbanks, AK 99709-3554 | 2017-09-05 |
| 1487172011 | Dayna M Daku | Physician Assistant | 3745 Geist Rd, Fairbanks, AK 99709-3554 | 2017-09-04 |
| 1407304017 | Mckinley Sports Medicine, LLC | Family Medicine | 3745 Geist Rd, Fairbanks, AK 99709-3554 | 2016-09-13 |
| 1295184703 | Samantha Paige Smith | Specialist/Technologist | 3745 Geist Rd, Fairbanks, AK 99709 | 2016-06-06 |
| 1295175651 | Neal Everson | Orthopaedic Surgery | 3745 Geist Rd, Fairbanks, AK 99709-3554 | 2013-07-01 |
| 1235448309 | Daniel R Johnson, D.o. | Orthopaedic Surgery | 3745 Geist Rd, Fairbanks, AK 99709-3548 | 2010-10-06 |
| 1144536061 | Ambria Marie Thomas | Physician Assistant | 3745 Geist Rd, Fairbanks, AK 99709-3548 | 2010-08-30 |
| 1801054879 | Jennifer A Holt | Physician Assistant | 3745 Geist Rd, Fairbanks, AK 99709-3554 | 2008-05-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255946810 | Beacon Monitoring Professional Services | Technician, Other | 745 Staffordshire Rd, Fairbanks, AK 99709 | 2020-09-10 |
| 1235629544 | Fairbanks Healing Space | Health Educator | 3875 Geist Road, Suite E #136, Fairbanks, AK 99709 | 2018-05-11 |
| 1609395409 | Shawn K Goggins | Counselor | 1423 Peger Road, Fairbanks, AK 99709 | 2017-09-12 |
| 1710433347 | Jay Titus | Technician/Technologist | 2884 Marina Drive, Fairbanks, AK 99709 | 2016-09-01 |
| 1710391610 | Hannah Summerfelt | Dentist | 3539 Thomas St, Fairbanks, AK 99709 | 2014-06-18 |
| 1629407325 | Diane Louise Mitchell | Nurse Practitioner | 4650 Harvard Cir, Fairbanks, AK 99709 | 2013-11-04 |
| 1407147929 | Christina Martz | Counselor | 1270 Summet Drive, Fairbanks, AK 99709 | 2011-05-02 |
| 1255652285 | Surgery Center of Fairbanks LLC | Clinic/Center | 2310 Peger Road, Fairbanks, AK 99709 | 2010-06-14 |
| 1962661835 | John Leo Hughes Jr Jr. | Dentist | 3437 Airport Way, Suite 205, Fairbanks, AL 99709 | 2008-06-05 |
| 1508042417 | Katherine E Johnson, Md PC | Ophthalmology | 2485 Chief William Drive, Suite 100, Fairbanks, AK 99709 | 2008-01-10 |
| Find all providers in zip 99709 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427539261 | Aimee Johnson | Physician Assistant | 1640 Cowles St Ste 1, Fairbanks, AK 99701-5908 | 2018-08-28 |
| 1558818864 | Adam Nelson | Physician Assistant | 386 Crestmont Dr, Fairbanks, AK 99709-2450 | 2016-09-02 |
| 1578957460 | Mara Justine Becker | Physician Assistant | 1717 W. Cowles St, Fairbanks, AK- ALASKA 99701 | 2015-03-27 |
| 1417111865 | Lisa Kathleen Thoene | Physician Assistant | 3875 Geist Rd Ste E381, Fairbanks, AK 99709-3549 | 2008-07-15 |
| 1912160854 | Elizabeth Easley Decker | Physician Assistant | 1867 Airport Way Ste 120b, Fairbanks, AK 99701-4071 | 2008-07-09 |
| 1073636841 | Jan Denapoli | Physician Assistant | 3419 Airport Way, Suite D, Fairbanks, AK 99709-4761 | 2007-04-09 |
| 1487794566 | Craig Stuart Hampton | Physician Assistant | 2870 Waldheim Dr, Fairbanks, AK 99709-6060 | 2007-02-07 |
| 1316084809 | Ryan Clairmont | Physician Assistant | 201 1st Ave Ste 200, Fairbanks, AK 99701-4848 | 2007-01-31 |
| 1275592230 | Duane A. Frampton | Physician Assistant | 751 Old Richardson Hwy, Ste # 200, Fairbanks, AK 99701-7813 | 2006-03-20 |
| 1871568295 | Paul Wood Finch Jr. | Physician Assistant | 626 2nd St Ste 201b, Fairbanks, AK 99701-3466 | 2006-02-20 |
| Find all providers in FAIRBANKS | ||||
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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.