SHAWN J. PELLETIER (NPI# 1972604882) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972604882 |
| Entity Type | Individual |
| Full Name | SHAWN J. PELLETIER |
| Credential | M.D. |
| Practice Address |
1300 Jefferson Park Ave Charlottesville VA 22903-3363 |
| Mailing Address |
Po Box 9007 Charlottesville VA 22906-9007 |
| Practice Telephone | 8005438814 |
| Practice Fax Number | 4349245539 |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2020-10-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 204F00000X | Transplant Surgery | 0101058572 | VA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518197920 | Shawn D Pelletier | Pharmacist | 429 Main St, Madawaska, ME 04756-1082 | 2009-07-20 |
| Street Address |
1300 JEFFERSON PARK AVE |
| City | CHARLOTTESVILLE |
| State | VA |
| Zip Code | 22903-3363 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477555399 | Bruce C Carter | Ophthalmology | 1300 Jefferson Park Ave, Charlottesville, VA 22903-3363 | 2005-08-11 |
| 1760089981 | Loretta Raiford | Internal Medicine | 1300 Jefferson Park Ave, Charlottesville, VA 22903-3363 | 2020-10-01 |
| 1588270342 | Rachel K Murray | Dietitian, Registered | 1300 Jefferson Park Ave, Charlottesville, VA 22903-3363 | 2020-09-17 |
| 1992321616 | Kristina Marie Creadore | Optometrist | 1300 Jefferson Park Ave, Charlottesville, VA 22903-3363 | 2020-06-18 |
| 1215558762 | Allison Gossen | Genetic Counselor, MS | 1300 Jefferson Park Ave, Charlottesville, VA 22903-3363 | 2020-05-06 |
| 1508409061 | Molly Stevenson Bailey | Dietitian, Registered | 1300 Jefferson Park Ave, Charlottesville, VA 22903-3363 | 2019-10-28 |
| 1497398994 | Rebecca Shea Turner | Dietitian, Registered | 1300 Jefferson Park Ave, Charlottesville, VA 22903-3363 | 2019-10-28 |
| 1215585443 | Katherine Emma Connell | Nurse Practitioner | 1300 Jefferson Park Ave, Charlottesville, VA 22903-3363 | 2019-08-30 |
| 1639724263 | Casey Erin Cavanagh | Psychologist | 1300 Jefferson Park Ave, Charlottesville, VA 22903-3363 | 2019-08-09 |
| 1679128482 | Jia Yu Liu | Optometrist | 1300 Jefferson Park Ave, Charlottesville, VA 22903-3363 | 2019-08-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326671009 | Ticynn Symone London | Specialist/Technologist | 723 Retriever Run, Ticynn London, Charlottesville, VA 22903 | 2020-02-20 |
| 1043853542 | Elaine Mccall | Dietitian, Registered | 1335 Jefferson Park Ave, Charlottesville, VA 22903 | 2019-10-28 |
| 1205480753 | Sean Robert Bennett | Clinic/Center | 433 Ednam Drive, Charlottesville, VA 22903 | 2019-08-01 |
| 1922562818 | Lynn Owen Taggart | Student in an Organized Health Care Education/Training Program | 300 Grassmere Rd, Charlottesville, VA 22903 | 2019-01-25 |
| 1831636166 | Sarah Michelle Richin | Social Worker | 709 A West Main St, Charlottesville, VA 22903 | 2017-01-25 |
| 1962868851 | Kelly Stewart Maurer | Counselor | 3101 Fontaine Avenue, Charlottesville, VA 22903 | 2016-01-07 |
| 1831592039 | Bearley Dental PC | Dentist | 901 Preston Ave, Suite 200, Charlottesville, VA 22903 | 2014-10-01 |
| 1730437823 | Frances Eva Demmerle | Neuromusculoskeletal Medicine & OMM | 1149 Rose Hill Dr., Charlottesville, VA 22903 | 2012-08-21 |
| 1801142229 | University of Virginia | General Acute Care Hospital | 1925 Beechcrest Court, Charlottesville, VA 22903 | 2012-08-03 |
| 1407123516 | Laura P. Handler | Counselor | 500 Old Lynchburg Rd., Region Ten Csb, Charlottesville, VA 22903 | 2011-11-18 |
| Find all providers in zip 22903 | ||||
| Taxonomy Code | 204F00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Transplant Surgery |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114955028 | Josef Oberholzer | Transplant Surgery | 1 Hospital Dr Barringer Wing, 1st Floor, Charlottesville, VA 22908-0001 | 2006-06-29 |
| 1659837037 | Nicolas Goldaracena | Transplant Surgery | 1300 Jefferson Park Ave, Charlottesville, VA 22903-3363 | 2019-02-11 |
| 1881113215 | Alp Demirag | Transplant Surgery | 1300 Jefferson Park Ave, Charlottesville, VA 22903-3363 | 2017-09-18 |
| 1154793487 | Badi Rawashdeh | Transplant Surgery | 1215 Lee St, Charlottesville, VA 22908-3522 | 2015-10-26 |
| 1699980540 | Avinash Agarwal | Transplant Surgery | 4 Hospital Dr, Charlottesville, VA 22908-0001 | 2007-05-14 |
| 1306915921 | Kenneth L. Brayman | Transplant Surgery | 4 Hospital Dr, Charlottesville, VA 22908-0001 | 2006-11-07 |
| 1992754121 | Ajai Khanna | Transplant Surgery | 1300 Jefferson Park Ave, Charlottesville, VA 22903-3363 | 2006-05-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568927416 | Vinay Kumaran | Transplant Surgery | 1200 E Marshall St, Richmond, VA 23298-5049 | 2019-02-05 |
| 1245752526 | Seung Duk Lee | Transplant Surgery | 1200 E Marshall St, Richmond, VA 23298-5049 | 2017-07-08 |
| 1790177814 | Aamir Allam Khan | Transplant Surgery | 1200 E Marshall St, Richmond, VA 23298-5049 | 2015-02-26 |
| 1790126530 | Yanjun Shi | Transplant Surgery | 1250 E Marshall St, Department of Surgery, Richmond, VA 23298-5051 | 2013-07-09 |
| 1346592458 | Kunal Yadav | Transplant Surgery | 1250 E Marshall St, Dept. of Surgery/transplant Surgery, Richmond, VA 23298 | 2012-10-12 |
| 1871828160 | Chandra Shekhar Bhati | Transplant Surgery | 1250 E Marshall St, Surgery, Richmond, VA 23298-5051 | 2009-10-05 |
| 1427215854 | Richard Paul Giannotto | Transplant Surgery | 8201 Greensboro Dr, Suite 609, Mc Lean, VA 22102-3810 | 2008-05-22 |
| 1437249992 | Ralph Eugene Layman IIi | Transplant Surgery | 7611 Forest Avenue, Suite 300, Richmond, VA 23229-4920 | 2006-10-13 |
| 1952496382 | Christopher S. Mccullough | Transplant Surgery | 541 Sunset Ln, 103, Culpeper, VA 22701-3979 | 2006-10-03 |
| 1952320061 | Inova Health Care Services | Transplant Surgery | 3300 Gallows Rd, Physician Services, Falls Church, VA 22042-3307 | 2006-07-19 |
| Find all providers with the same taxonomy | ||||
| City | CHARLOTTESVILLE |
| Zip Code | 22903 |
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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.