MICHAEL SHANNON (NPI# 1922480326) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922480326 |
| Entity Type | Individual |
| Full Name | MICHAEL SHANNON |
| Credential | ATP |
| Practice Address |
12406 State Highway 155 S Tyler TX 75703-6446 |
| Practice Telephone | 9035928931 |
| Practice Fax Number | 9035928922 |
| Mailing Telephone | 9035928931 |
| Mailing Fax Number | 9035928922 |
| Enumeration Date | 2015-06-22 |
| Last Update Date | 2015-06-22 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 247200000X | Technician, Other | 85900 | TX | Technologists, Technicians & Other Technical Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235762345 | Michael E Shannon | Private Vehicle | 7928 Brown Mountain Rd, Jewell Ridge, VA 24622-8640 | 2020-02-17 |
| 1578005898 | Michael J. Shannon | Hearing Instrument Specialist | 4911 Warner Ave # 217, Huntington Beach, CA 92649-5177 | 2016-11-17 |
| 1538461520 | Michael Anthony Shannon | Home Health Aide | 4821 Highway 19 W, Bryson City, NC 28713-8575 | 2010-11-23 |
| 1629301486 | Michael Shannon | Rehabilitation Practitioner | 13457 Vanowen St, Van Nuys, CA 91405-4385 | 2009-09-11 |
| 1326225160 | Michael James Shannon | Radiology | 702 Brougham Ln, Oak Brook, IL 60523-2677 | 2008-01-23 |
| 1912103946 | Michael Shannon | Dentist | 13360 Coursey Blvd Ste D, Baton Rouge, LA 70816-4970 | 2007-06-26 |
| 1467542852 | Michael E Shannon | Dentist | 800 N Center Pkwy, Kennewick, WA 99336-7118 | 2006-10-13 |
| 1538119607 | Michael Brendan Shannon | Internal Medicine | 325 9th Ave # 359606, Seattle, WA 98104-2420 | 2006-05-11 |
| 1043210727 | Michael B Shannon | Neurological Surgery | 2809 Bell St, Zanesville, OH 43701-2861 | 2005-07-26 |
| 1871105213 | Michael Shannon | Licensed Practical Nurse | 1015 E 6th Ave, Anchorage, AK 99501-2748 | 2020-08-18 |
| Street Address |
12406 STATE HIGHWAY 155 S |
| City | TYLER |
| State | TX |
| Zip Code | 75703-6446 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497707533 | Access2mobility, Inc | Durable Medical Equipment & Medical Supplies | 12406 State Highway 155 S, Tyler, TX 75703-6446 | 2006-05-17 |
| 1669908018 | Jose Carlos Lopez | Technician, Other | 12406 State Highway 155 S, Tyler, TX 75703-6446 | 2017-05-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174155477 | Choice Supportive Care Team Inc. | Family Medicine | 4293 Kinsey Drive, Tyler, TX 75703 | 2020-02-05 |
| 1770052532 | Refinery Chiropractic LLC | Chiropractor | 16637 Old Jacksonville Hwy, Suite D, Tyler, TX 75703 | 2018-11-21 |
| 1215419353 | Deidre Lynn Fergason | Occupational Therapy Assistant | 3505 Old Jacksonville Hwy, Tyler, TX 75703 | 2018-09-05 |
| 1710473681 | Justin Taylor Ross | Dentist | 8938 S Broadway Ave Ste 380, Tyler, TX 75703 | 2018-07-03 |
| 1457843450 | Adam Tyler Barnes, Dds of Texas II, Pllc | Dentist | 8938 South Broadway, Ste 480, Tyler, TX 75703 | 2018-06-05 |
| 1083106462 | Integrity Health | Internal Medicine | 5605 Old Bullard Rd Ste B, Tyler, TX 75703 | 2018-06-01 |
| 1427572544 | Cody Wayne Graham | Pharmacist | 5415 S. Broadway Ave., Tyler, TX 75703 | 2017-07-31 |
| 1750805941 | Roger Bryan Chapman | Nurse Practitioner | 6115 New Copeland Rd, Tyler, TX 75703 | 2017-07-28 |
| 1427570084 | Darah Lynne Dahlem | Speech-Language Pathologist | 401 E. Front Street Ste 123, Tyler, TX 75703 | 2017-07-14 |
| 1194267468 | Herman Lester Hampton Jr. | Surgery | 5803 Regents Row, Tyler, TX 75703 | 2016-11-17 |
| Find all providers in zip 75703 | ||||
| Taxonomy Code | 247200000X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Technician, Other |
| A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user. |
| Notes: Sources: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988; Dorland’s Illustrated Medical Dictionary, 26th Edition. Philadelphia: W.B. Saunders Company, 1981; and Webster’s II New Riverside University Dictionary. Boston: Riverside Publishing Company, 1984. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245857580 | Tara Latonya Cooper | Technician, Other | 1743 Troup Hwy, Tyler, TX 75701-5869 | 2020-07-02 |
| 1689923443 | Justin A Schutz | Technician, Other | 2811 Robertson Rd, Tyler, TX 75701-2524 | 2012-09-07 |
| 1013266758 | Seth Vaughan Burton | Technician, Other | 13213 Hwy 155 S Ste B, Tyler, TX 75703-6561 | 2012-09-07 |
| 1447227723 | Linka Suzanne Malmin | Technician, Other | 15601 Wood Ln, Tyler, TX 75707-6943 | 2006-03-04 |
| 1669908018 | Jose Carlos Lopez | Technician, Other | 12406 State Highway 155 S, Tyler, TX 75703-6446 | 2017-05-04 |
| 1528321007 | Jason Cypert | Technician, Other | 13213 Hwy 155 S, Tyler, TX 75703-6561 | 2012-06-20 |
| 1871889048 | Ray Bockover | Technician, Other | 13213 Hwy 155 S, Suite B, Tyler, TX 75703-6561 | 2011-06-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174120083 | Pablo Gonzales IIi | Technician, Other | 10114 Stella Link Rd Ste A-2, Houston, TX 77025-5300 | 2020-10-04 |
| 1477160315 | Kaili Kennedy | Technician, Other | 66 Daughtrey Ave Apt 516, Waco, TX 76706-1677 | 2020-09-24 |
| 1194338673 | Porscha Williams | Technician, Other | 2520 Echo Point Dr, Fort Worth, TX 76123-1136 | 2020-08-25 |
| 1295351914 | Richard Allen Majors | Technician, Other | 6429 Green Ridge Dr, Watauga, TX 76148-1414 | 2020-06-18 |
| 1740824804 | Sara Wolfe | Technician, Other | 4245 N Central Expy Ste 450, Dallas, TX 75205-4530 | 2019-11-01 |
| 1265075048 | Juliana Dubey | Technician, Other | 400 E. Royal Ln, Building 3, Suite 290, Irving, TX 75039 | 2019-10-23 |
| 1154963007 | Alex Robert Langford | Technician, Other | 1901 N. Glenville Dr., Suite 501, Richardson, TX 75081 | 2019-10-11 |
| 1518517762 | Clayton Ernest Robertson | Technician, Other | 5555 N Lamar Blvd Ste D113, Austin, TX 78751-1075 | 2019-09-18 |
| 1013561778 | Joslyn Love | Technician, Other | 1228 Timber Ln, Frisco, TX 75036-1743 | 2019-07-30 |
| 1497309165 | Erin Elizabeth Daugherty | Technician, Other | 5702 Timbergate Dr Apt 224, Corpus Christi, TX 78414-3180 | 2019-07-30 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MICHAEL SHANNON.
| 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.