SHANNON JAP MD LLC (NPI# 1962986372) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962986372 |
| Entity Type | Organization |
| Organization Name | SHANNON JAP MD LLC |
| Practice Address |
5040 Forest Dr Ste 210 New Albany OH 43054-8166 |
| Practice Telephone | 6142265484 |
| Mailing Telephone | 6142265484 |
| Enumeration Date | 2018-09-20 |
| Last Update Date | 2018-09-20 |
| Authorized Official Name | SHANNON NICOLE JAP (OWNER) |
| Authorized Official Telephone | 6142265484 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| Street Address |
5040 FOREST DR STE 210 |
| City | NEW ALBANY |
| State | OH |
| Zip Code | 43054-8166 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376106880 | Mariah Walters | Social Worker | 5040 Forest Dr Ste 210, New Albany, OH 43054-8166 | 2019-04-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205482189 | Trilogy Healthcare of Franklin IIi, LLC | Skilled Nursing Facility | 7320 Smith's Mill Road, New Albany, OH 43054 | 2019-08-15 |
| 1003322785 | Frank Anthony Micchia IIi | Pharmacist | 5161 Hampsted Village Way, New Albany, OH 43054 | 2017-12-18 |
| 1548772627 | Samira Yusuf Beyle | Case Manager/Care Coordinator | 6524 Clifton Park Cir N, 201, New Albany, OH 43054 | 2017-10-30 |
| 1972913200 | Dr. Timothy J. Backiewicz, D.d.s., Inc. | Dentist | 68 N. High St., Building F, New Albany, OH 43054 | 2014-05-08 |
| 1497062624 | Kenzi Michelle Schafer | Physician Assistant | 102 W Main St Unit 175, New Albany, OH 43054 | 2010-09-09 |
| 1215248133 | Amanda Esch | Nurse Practitioner | 102 W. Main St. #175, New Albany, OH 43054 | 2010-06-24 |
| 1396063988 | Sarah Westbrook | Licensed Practical Nurse | 5781 Halton Gill Ln., New Albany, OH 43054 | 2010-05-07 |
| 1821326125 | Wesley Hospice, LLC | Hospice Care, Community Based | 4588 Wesley Woods Blvd Ste 2a, New Albany, OH 43054 | 2009-11-24 |
| 1033326319 | Heather Lynn Benjamin | Physical Therapy Assistant | 7277 Smith's Mill Rd., Suite 300, Ne Albany, OH 43054 | 2007-05-17 |
| 1548483670 | Jimmy M Henry | Physical Medicine & Rehabilitation | 5051 Forest Dr, New Albany, OH 43054 | 2007-04-10 |
| Find all providers in zip 43054 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
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| City | NEW ALBANY |
| Zip Code | 43054 |
Please comment or provide details below to improve the information on SHANNON JAP MD LLC.
| 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.