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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
18482 | NV | Allopathic & Osteopathic Physicians |
Street Address |
509 CALAIS DR |
City | MESQUITE |
State | NV |
Zip Code | 89027-8825 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194388439 | Michael Shay Nielson | Occupational Therapist | 1140 W. Pioneer Blvd, Mesquite, NV 89027 | 2019-04-22 |
1104330059 | Pinnacle Absolute Care | Pharmacy | 114 N. Sandhill Blvd, Suite B, Mesquite, NV 89027 | 2017-11-29 |
1811346901 | Rodney Briggs | Physician Assistant | 1925 Whipple Ave. Ste. 30, Logandale, NV 89027 | 2016-06-08 |
1881085843 | Sylvan M. Johnson | Physical Therapist | 340 Falcon Ridge Pkwy # 500, Mesquite, NV 89027 | 2015-02-12 |
1326281882 | Gladys Kodjoe | Internal Medicine | 350 Falcon Ridge Pkwy Ste 102, Mesquite, NV 89027 | 2009-04-14 |
1316010432 | Mesquite Medical Equipment | Durable Medical Equipment & Medical Supplies | 330 Falcon Ridge Pkwy Ste 400b, Mesquite, NV 89027 | 2006-11-16 |
1316982028 | Kyle Devon Andrus | Optometrist | 330 N. Sandhill Blvd, Suite A, Mesquite, NV 89027 | 2006-06-17 |
1366409633 | Stephen R Hamilton | Registered Nurse | 1299 Bertha Howe Avenue, Mesquite, NV 89027 | 2006-04-28 |
1386642460 | Desert Health Care Facilities, Inc. | Skilled Nursing Facility | 272 Pioneer Blvd, Mesquite, NV 89027 | 2005-07-12 |
1205838265 | Marchant Physical Therapy & Wellness, Inc. | Specialist | 340 Falcon Ridge Parkway, Building 500, Mesquite, NV 89027 | 2005-06-02 |
Find all providers in zip 89027 |
Taxonomy Code | 2085R0202X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Radiology |
Specialization | Diagnostic Radiology |
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. |
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 |
Find all providers in MESQUITE |
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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.