SHANNON E CONNEELY (NPI# 1992148571) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992148571 |
| Entity Type | Individual |
| Full Name | SHANNON E CONNEELY |
| Credential | M.D. |
| Practice Address |
1102 Bates Ave Suite C1570 Houston TX 77030-2617 |
| Practice Telephone | 8328244294 |
| Practice Fax Number | 8328259460 |
| Mailing Telephone | 8328244294 |
| Mailing Fax Number | 8328259460 |
| Enumeration Date | 2013-04-12 |
| Last Update Date | 2020-07-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | Q7672 | TX | Allopathic & Osteopathic Physicians |
| Y | 2080P0207X |
Pediatrics Specialization: Pediatric Hematology-Oncology |
Q7672 | TX | Allopathic & Osteopathic Physicians |
| Street Address |
1102 BATES AVE SUITE C1570 |
| City | HOUSTON |
| State | TX |
| Zip Code | 77030-2617 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336129899 | Timothy Joseph Porea | Pediatrics | 1102 Bates Ave, Suite 1570, Houston, TX 77030-2617 | 2006-01-20 |
| 1033669718 | Katie Lee Bergstrom | Genetic Counselor, MS | 1102 Bates Ave, Feigin Center 1200.12, Houston, TX 77030-2617 | 2016-10-06 |
| 1538512082 | Walter Edison Villar Ayala | Student in an Organized Health Care Education/Training Program | 1102 Bates Ave, Suite 245, Houston, TX 77030-2617 | 2016-07-20 |
| 1750750899 | Caroline Eva Arber Barth | Internal Medicine | 1102 Bates Ave, Center for Cell and Gene Therapy, Suite 1630, Houston, TX 77030-2617 | 2015-09-18 |
| 1639516487 | Hannah Neubauer | Pediatrics | 1102 Bates Ave, Suite Fc 1860, Houston, TX 77030-2617 | 2013-06-03 |
| 1457619694 | Shawki Lotfi Qasim | Pediatrics | 1102 Bates Ave, Texas Children's Hospital, Feigin Tower, Suite 1025, Houston, TX 77030-2617 | 2012-04-25 |
| 1982961256 | Brian Daniel Friend | Pediatrics | 1102 Bates Ave, Houston, TX 77030-2617 | 2012-04-11 |
| 1508151515 | Stephanie L Fetzko | Pediatrics | 1102 Bates Ave, Texas Children's Hospital, Suite C1570, Houston, TX 77030-2617 | 2011-06-17 |
| 1679870588 | Shoba Alaska Navai | Pediatrics | 1102 Bates Ave, Ste 1770, Houston, TX 77030-2617 | 2011-02-13 |
| 1861719510 | Priya Mahajan | Pediatrics | 1102 Bates Ave, Suite 1025.06, Houston, TX 77030-2617 | 2010-04-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639770852 | Mchaji Celestaine | Pharmacist | Medvamc 2002 Holcombe Blvd, Outpatient Pharmacy, Houston, TX 77030 | 2020-11-04 |
| 1730702598 | Christopher A Mcmillian | Student in an Organized Health Care Education/Training Program | Houston Methodist Department of Surgery, 6550 Fannin St., Smith Tower 1661, Houston, TX 77030 | 2020-05-27 |
| 1245852698 | Mostafa Hotait | Student in an Organized Health Care Education/Training Program | 7200 Cambridge Street 9a, Houston, TX 77030 | 2020-05-08 |
| 1790307288 | Ayushi Jayesh Shah | Student in an Organized Health Care Education/Training Program | 6560 Fannin St, Department of Neurology, Houston Method, Suite 802, Scurlock. 8thfloor, Houston, TX 77030 | 2020-05-07 |
| 1932720836 | Vera Whole Health Wa, PC | Clinic/Center | 6620 Main St, 12th Flr, Ste 1225, Houston, TX 77030 | 2020-05-01 |
| 1548881808 | Mobitz Heart and Rhythm Center Pllc | Internal Medicine | Scurlock Tower, 6560 Fannin St., Houston, TX 77030 | 2020-04-28 |
| 1710516513 | Thomas Chi Han Lu | Student in an Organized Health Care Education/Training Program | 6431 Fannin Street, Msb 3.151, Houston, TX 77030 | 2020-04-03 |
| 1063041085 | Kevin Tang | Student in an Organized Health Care Education/Training Program | 7200 Cambridge., Bcm 903, Suite A10.202, Houston, Texas, TX 77030 | 2020-04-02 |
| 1831728898 | Taylor Renbarger | Student in an Organized Health Care Education/Training Program | 6431 Fannin St Suite Jjl 431, Houston, TX 77030 | 2020-04-02 |
| 1972131423 | Sindhu R Rao | Student in an Organized Health Care Education/Training Program | 7200 Cambridge Street, 9th Floor, Suite 9a, Houston, TX 77030 | 2020-03-31 |
| Find all providers in zip 77030 | ||||
| Taxonomy Code | 2080P0207X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Hematology-Oncology |
| A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases. |
| 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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356776116 | Piti Techavichit | Pediatrics | 6701 Fannin Street Suit 1510, Texas Children's Hospital, Clinical Care Center, Houston, TX 77030 | 2013-09-11 |
| 1982049219 | Elizabeth Lynn Seashore | Pediatrics | 1102 Bates Ave Ste C750.01, Houston, TX 77030-2617 | 2013-04-30 |
| 1386088490 | Anil Pazhayattil George | Pediatrics | 1102 Bates Ave Ste 1630, Houston, TX 77030-2632 | 2013-04-18 |
| 1629322789 | Rosa Diaz | Pediatrics | 7676 Phoenix Dr Apt 1427, Houston, TX 77030-4724 | 2012-10-28 |
| 1437418167 | Taylor Olmsted Kim | Pediatrics | 1102 Bates Ave Ste C1025.06, Houston, TX 77030 | 2012-05-15 |
| 1316237332 | Alicia K Chang | Pediatrics | 1102 Bates Ave Ste 1025.06, Houston, TX 77030 | 2011-04-11 |
| 1629399092 | Tami Denise John | Pediatrics | 1615 Hermann Dr Unit 2209, Houston, TX 77004-7152 | 2010-06-18 |
| 1700118171 | Ricardo J Flores | Pediatrics | 6621 Fannin St # Cc142000, Clinical Care Center, Houston, TX 77030-2303 | 2010-02-09 |
| 1174753578 | Daniel Joseph Zinn | Pediatrics | 6701 Fannin St Ste 1400, Houston, TX 77030 | 2009-07-20 |
| 1255569620 | Jennifer Nguyen Tran | Pediatrics | 1102 Bates Ave Ste C1570, Attn: Credentials, Houston, TX 77030-2617 | 2009-06-24 |
| Find all providers in HOUSTON | ||||
Please comment or provide details below to improve the information on SHANNON E CONNEELY.
| 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.