STRATTON JOHN SHANNON (NPI# 1770542912) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770542912 |
| Entity Type | Individual |
| Full Name | STRATTON JOHN SHANNON |
| Credential | DO |
| Practice Address |
175 West Broadway Lincoln ME 04457-0000 |
| Mailing Address |
Po Box 99 Lincoln ME 04457-0099 |
| Practice Telephone | 2077946700 |
| Practice Fax Number | 2077946691 |
| Mailing Telephone | 2077946700 |
| Mailing Fax Number | 2077946777 |
| Enumeration Date | 2006-03-17 |
| Last Update Date | 2015-10-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 1569 | ME | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ME | 331270099 | 05 | |
| ME | ANTHEM | 035045 | 01 |
| ME | NGS | 201837 | 01 |
| Street Address |
175 WEST BROADWAY |
| City | LINCOLN |
| State | ME |
| Zip Code | 04457-0000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811156904 | Health Access Network Inc | Family Medicine | 175 West Broadway, Lincoln, ME 04457 | 2008-06-04 |
| 1568621654 | Health Access Network Inc | Podiatrist | 175 West Broadway, Lincoln, ME 04457 | 2008-06-04 |
| 1093831836 | Paulo R.m. Antunes | Family Medicine | 175 West Broadway, Lincoln, ME 04457-0000 | 2007-03-22 |
| 1467468215 | Health Access Network, Inc | Clinic/Center | 175 West Broadway, Lincoln, ME 04457 | 2006-08-01 |
| 1487697009 | Kimberly A House | Social Worker | 175 West Broadway, Lincoln, ME 04457-0000 | 2006-06-13 |
| 1750348116 | Christopher John Mannari | Physician Assistant | 175 West Broadway, Health Access Network Inc, Lincoln, ME 04457-0099 | 2006-04-28 |
| 1871553024 | Kevin R Olsen | Physician Assistant | 175 West Broadway, Lincoln, ME 04457-0000 | 2006-03-23 |
| 1083673966 | Thora House | Nurse Practitioner | 175 West Broadway, Lincoln, ME 04457-0000 | 2006-03-21 |
| 1023077286 | Katherine V Page | Counselor | 175 West Broadway, Lincoln, ME 04457-0000 | 2006-03-17 |
| 1932168101 | Amin M El Mallawany | Obstetrics & Gynecology | 175 West Broadway, Lincoln, ME 04457-0000 | 2006-03-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467928317 | Carlos Lopez & Associates LLC | Counselor | 213 W. Broadway, Lincoln, ME 04457 | 2018-10-18 |
| 1902303142 | Jennifer Harvey | Speech-Language Pathologist | 36 Workman Terrace Street, Lincoln, ME 04457 | 2018-04-12 |
| 1255714275 | Jill Bouchard | Registered Nurse | 313 Enfield Rd, Lincoln, ME 04457 | 2015-07-08 |
| 1346594769 | Total Renal Care Inc | Clinic/Center | 250 Enfield Rd, Lincoln, ME 04457 | 2012-11-07 |
| 1932429743 | Anne Marie Osolinski | Counselor | 8 Fleming Street, Suite C, Lincoln, ME 04457 | 2010-06-03 |
| 1477886711 | Lakeview Afch Inc | Custodial Care Facility | 10 E Broadway, Lincoln, ME 04457 | 2009-09-17 |
| 1326273418 | Colonial Healthcare | Assisted Living Facility | 36 Workman Terrace, Lincoln, ME 04457 | 2009-05-19 |
| 1730346743 | Mark B Weatherbee Od | Optometrist | 26 Enfield Road, Lincoln, ME 04457 | 2008-05-19 |
| 1396948139 | Alfred H. Vandine Jr. | Counselor | 313 Enfield Road, Lincoln, ME 04457 | 2007-06-08 |
| 1902024870 | Mary Catherine Goolsby | Social Worker | 313 Enfield Rd., Lincoln, ME 04457 | 2007-04-23 |
| Find all providers in zip 04457 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740898907 | Physician Management Services of Nebraska, LLC | Family Medicine | 2222 S 16th St Ste 435, Lincoln, NE 68502-3793 | 2020-07-14 |
| 1508486416 | Bluestem Health | Family Medicine | 1500 S 48th St Ste 412, Lincoln, NE 68506-1278 | 2020-04-21 |
| 1356812788 | Holy Family Medical Associates, LLC | Family Medicine | 7121 Stephanie Ln Ste 105, Lincoln, NE 68516-5324 | 2018-12-11 |
| 1295217735 | Angela Zavala | Family Medicine | 4130 Pioneer Woods Dr Ste 2, Lincoln, NE 68506-7552 | 2018-08-31 |
| 1477043800 | Kyle Thomas Gibbens | Family Medicine | 4600 Valley Rd Ste 210, Lincoln, NE 68510-4892 | 2018-05-10 |
| 1821513722 | Good Faith Family Medicine, LLC | Family Medicine | 8055 O Street Suite 100, Lincoln, NE 68510 | 2017-08-11 |
| 1023531936 | Doctors of Women, LLC | Family Medicine | 8055 O St Ste 100, Lincoln, NE 68510-2575 | 2017-07-23 |
| 1881049526 | Family Health & Wellness Center, P.C. | Family Medicine | 2900 S 70th St Ste 310, Lincoln, NE 68506-3690 | 2016-05-02 |
| 1114397254 | Primarycare Housecalls PC | Family Medicine | 5601 S 59th St, Lincoln, NE 68516-2306 | 2015-10-01 |
| 1639584436 | Martha Miller | Family Medicine | 1020 Daniel Dr, Lincoln, CA 95648-8539 | 2014-07-01 |
| Find all providers in LINCOLN | ||||
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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.