DR. ANDREW GORDON SHANNAHAN (NPI# 1912050212) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912050212 |
| Entity Type | Individual |
| Full Name | DR. ANDREW GORDON SHANNAHAN |
| Credential | D.C. |
| Practice Address |
2109 196th St Sw Ste 1 Lynnwood WA 98036-3800 |
| Mailing Address |
2109 196th St Sw Ste 1 Lynnwood WA 98036-3800 |
| Practice Telephone | 4257759914 |
| Mailing Telephone | 4257759914 |
| Mailing Fax Number | 4257750050 |
| Enumeration Date | 2007-01-19 |
| Last Update Date | 2018-08-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | CH00034073 | WA | Chiropractic Providers |
| Street Address |
2109 196TH ST SW STE 1 |
| City | LYNNWOOD |
| State | WA |
| Zip Code | 98036-3800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730232059 | Summit Family Chiropractic, Pllc | Chiropractor | 2109 196th St Sw Ste 1, Lynnwood, WA 98036-3800 | 2007-01-19 |
| 1902051352 | Sara Kaye Pitroff | Massage Therapist | 2109 196th St Sw Ste 1, Lynnwood, WA 98036-3800 | 2008-11-26 |
| 1023214194 | Ashley Marie Gallagher | Massage Therapist | 2109 196th St Sw Ste 1, Suite 1, Lynnwood, WA 98036-3800 | 2007-06-25 |
| 1396898607 | Misty Renae Gargan | Chiropractor | 2109 196th St Sw Ste 1, Lynnwood, WA 98036-3800 | 2007-01-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396342630 | Zachary Perry | Behavior Technician | 4100 Veterans Way, Unit 100, Lynnwood, WA 98036 | 2020-10-08 |
| 1942832795 | Alexis Michelle Solomon-winne | Behavior Technician | 4100 Veterans Way Unit 100 Lynnwood, Wa 98036 United S, Lynnwood, WA 98036 | 2020-02-10 |
| 1881239028 | Endc Pllc | Psychologist | 19217 36th Ave W. Suite 219, Lynnwood, WA 98036 | 2019-11-12 |
| 1225507866 | Kyung Suk Seo | Massage Therapist | 18904 Hwy 99, Ste. K, Lynnwood, WA 98036 | 2018-11-13 |
| 1790270197 | Kabal Sriviboon | Behavior Technician | 20818 44th Ave W Suite 270, Lynnwood, WA 98036 | 2018-06-27 |
| 1992206148 | Kendal Ilyse Borison | Behavioral Analyst | 4100 194th Se, Suite 100, Lynnwood, WA 98036 | 2018-02-23 |
| 1205352515 | Doug Brant | Registered Nurse | 19931 Cypress Way, Lynnwood, WA 98036 | 2017-08-17 |
| 1588184980 | Evergreen Recovery Centers-lynnwood Detox | Substance Abuse Rehabilitation Facility | 20508 56th Ave W, Lynnwood, WA 98036 | 2017-06-27 |
| 1699213439 | Patrick J. Pacyga | Dentist | 19620 Wa-99, Suite 106, Lynnwood, WA 98036 | 2017-02-01 |
| 1134676646 | Fiona Green | Occupational Therapy Assistant | 21503 8th Place W, A, Lynnwood, WA 98036 | 2016-09-01 |
| Find all providers in zip 98036 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629604343 | Tru Health Pllc | Chiropractor | 3503 188th St Se, Lynnwood, WA 98037 | 2020-03-13 |
| 1033691340 | Urgent Care Chiropractic | Chiropractor | 3910 196th St Sw Ste E, Lynnwood, WA 98036-5770 | 2018-09-04 |
| 1205235587 | Geun-yeong Jang | Chiropractor | 18904 Hightway 99, Ste-k, Lynnwood, WA 98036 | 2014-08-22 |
| 1477962439 | Good Care Spine Clinic | Chiropractor | 4629 168th St Sw # C2, Lynnwood, WA 98037-8640 | 2014-08-04 |
| 1275954562 | Total Care Clinic LLC | Chiropractor | 3333 184th St Sw Ste R, Lynnwood, WA 98037-4742 | 2014-01-03 |
| 1235499005 | Bestway Chiropractic Clinic | Chiropractor | 4629 168th St Sw # C-3, Lynnwood, WA 98037-8640 | 2012-05-25 |
| 1003187840 | Seattle Spine Care, Ps | Chiropractor | 18415 33rd Ave W, Suite Q, Lynnwood, WA 98037-4702 | 2012-01-25 |
| 1366767170 | Hyunjun Kim | Chiropractor | 3333 184th St. Sw, Suite # R, Lynnwood, WA 98037 | 2010-04-05 |
| 1871726927 | Joseph Robert Kalinowski | Chiropractor | 2533 152nd St Sw Unit 2, Lynnwood, WA 98087-5400 | 2009-08-24 |
| 1780829986 | Ns Clinic | Chiropractor | 4629 168th St Sw #b, Lynnwood, WA 98037 | 2008-12-03 |
| Find all providers in LYNNWOOD | ||||
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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.