SHANNON LAREE ST. CLAIR


Address: 509 Calais Dr, Mesquite, NV 89027-8825
Phone: 9525951100

SHANNON LAREE ST. CLAIR (NPI# 1881030997) 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) 1881030997
Entity Type Individual
Full Name SHANNON LAREE ST. CLAIR
Credential MD
Practice Address 509 Calais Dr
Mesquite
NV 89027-8825
Mailing Address 11995 Singletree Ln Ste 500
Eden Prairie
MN 55344-5349
Practice Telephone 9525951100
Practice Fax Number 6122944903
Mailing Telephone 9525951301
Mailing Fax Number 6122944903
Enumeration Date 2013-05-15
Last Update Date 2018-12-10
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2085R0202X Radiology
Specialization: Diagnostic Radiology
18482 NV Allopathic & Osteopathic Physicians

Office Location

Street Address 509 CALAIS DR
City MESQUITE
State NV
Zip Code 89027-8825

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1881085843 Sylvan M. Johnson Physical Therapist 340 Falcon Ridge Pkwy # 500, Mesquite, NV 89027 2015-02-12
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Taxonomy Information

Taxonomy Code 2085R0202X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Diagnostic Radiology

Taxonomy Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1467609438 Mohammad Reza Rajebi Radiology 3400 I-30 Frontage Rd, 180, Mesquite, TX 75150 2008-08-21
1962671891 Carlos Mcculloch Radiology 4124 Gus Thomasson Rd, Mesquite, TX 75150-2226 2008-02-25
1649337965 Portable Diagnostic Services Inc. Radiology 3022 Motley Dr Ste 100, Mesquite, TX 75150-3440 2007-01-03
1669480661 Erb Joint Venture LLP Radiology 3500 E I 30, Mesquite, TX 75150 2006-08-04
1124086715 Solomon Martin Bierman Radiology 3500 East I-30, Mesquite, TX 75150 2006-05-03
1295792034 Richard Steven Rome Radiology 1011 N Galloway, Radiology Department, Mesquite, TX 75149-2433 2006-04-26
1962499152 James Phillip Blakely Radiology 529 N Galloway Ave, Suite 16, Mesquite, TX 75149-3420 2005-10-03
1174638365 Howard Michael Shapiro Radiology 3500 East I-30, Radiology Dept, Mesquite, TX 75150 2006-08-20
1447284575 Gemini Digital Imaging Radiology 2704 N Galloway Ave, Suite 100, Mesquite, TX 75150-6378 2006-07-11
1538127196 Sanjay R Khatti Radiology 3500 East I-30, Mesquite, TX 75150 2006-05-03
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City MESQUITE
Zip Code 89027

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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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