Larry R Shannon Ii (NPI# 1275762429, PAC ID# 0143489435) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NEUROSURGERY.
| Nation Provider ID (NPI) | 1275762429 |
| PAC ID by PECOS | 0143489435 |
| Professional Enrollment ID | I20150428000495 |
| Full Name | Larry R Shannon Ii |
| Organization Legal Name | MARY IMOGENE BASSETT HOSPITAL |
| Address |
460 Andes Rd Delhi NY 13753-7407 |
| Phone Number | 6077460300 |
| Gender | M |
| Medical School | CASE WESTERN RESERVE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2004 |
| Primary Specialty | NEUROSURGERY |
| Group Practice PAC ID | 3779488325 |
| Number of Group Practice Members | 559 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330136 | BASSETT HEALTHCARE |
| 331320 | |
| 330085 | AURELIA OSBORN FOX MEMORIAL HOSPITAL |
| 331311 | LITTLE FALLS HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 460 Andes Rd, Delhi, NY 13753-7407 | 6077460300 | MARY IMOGENE BASSETT HOSPITAL |
| Organization Legal Name | MARY IMOGENE BASSETT HOSPITAL |
| Physicians | 631 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shannon Gail Stark | Nurse Practitioner | Mary Imogene Bassett Hospital | 1 Atwell Rd, Cooperstown, NY 13326-1301 |
| Nomi-kaie Bennett | Psychologist, Clinical | Mary Imogene Bassett Hospital | 136 Pkwy Dr, Cobleskill, NY 12043-5150 |
| Sarah Hardy | Nurse Practitioner | Mary Imogene Bassett Hospital | 8 Park Pl, St Johnsville, NY 13452-1332 |
| Kristen A Herbst | Orthopedic Surgery | Mary Imogene Bassett Hospital | 1 Associate Dr, Oneonta, NY 13820-2266 |
| Taylen C Peaden | Family Practice | Mary Imogene Bassett Hospital | 170 Burwell St, Little Falls, NY 13365-1716 |
| Laura A Everett | Nurse Practitioner | Mary Imogene Bassett Hospital | 55 Calvary Dr, Norwich, NY 13815-1032 |
| Sarah M | Nurse Practitioner | Mary Imogene Bassett Hospital | 140 Burwell St, Little Falls, NY 13365-1725 |
| Patrick William Mannal | Plastic and Reconstructive Surgery | Mary Imogene Bassett Hospital | Greystone Commercial Park, 4580 State Route 28, Milford, NY 13807-1147 |
| Jennifer Oreilly | Family Medicine | Mary Imogene Bassett Hospital | 39 Pearl St W, Sidney, NY 13838-1330 |
| Robert J Garfield | Family Medicine | Mary Imogene Bassett Hospital | 32 -34 Main St, Stamford, NY 12167-1241 |
| Street Address |
460 ANDES RD |
| City | DELHI |
| State | NY |
| Zip | 13753-7407 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lee C Edmonds | Pulmonary Disease | Mary Imogene Bassett Hospital | 460 Andes Rd, Delhi, NY 13753-7407 |
| Richard J Brown | Psychiatry | Mary Imogene Bassett Hospital | 460 Andes Rd, Delhi, NY 13753-7407 |
| Rachel B Zehr | General Surgery | Mary Imogene Bassett Hospital | 460 Andes Rd, Delhi, NY 13753-7407 |
| Joseph P Narins | Obstetrics/gynecology | Mary Imogene Bassett Hospital | 460 Andes Rd, Delhi, NY 13753-7407 |
| Mark E Winther | Emergency Medicine | Mary Imogene Bassett Hospital | 460 Andes Rd, Delhi, NY 13753-7407 |
| Vivian L Clark | Interventional Cardiology | Mary Imogene Bassett Hospital | 460 Andes Rd, Delhi, NY 13753-7407 |
| Alison Theresa O'brien | Family Medicine | Mary Imogene Bassett Hospital | 460 Andes Rd, Delhi, NY 13753-7407 |
| David E Newman | Internal Medicine | Mary Imogene Bassett Hospital | 460 Andes Rd, Delhi, NY 13753-7407 |
| Sneha Anil Patel | Podiatry | Mary Imogene Bassett Hospital | 460 Andes Rd, Delhi, NY 13753-7407 |
| Nelson Ngang | Certified Registered Nurse Anesthetist (crna) | Mary Imogene Bassett Hospital | 460 Andes Rd, Delhi, NY 13753-7407 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Seth J Blocker | Chiropractic | 8 Delview Terrace Extension, Delhi, NY 13753-1046 | |
| Sally George | Psychologist, Clinical | 140 Main St, Delhi, NY 13753-1213 | |
| Arden M Keller | Clinical Social Worker | 140 Main St, Delhi, NY 13753-1213 | |
| Joan M Khouzam-roberts | Nurse Practitioner | 135 Main St, Delhi, NY 13753-1219 | |
| Ricky A Gabriel Baldwin | Nurse Practitioner | Mary Imogene Bassett Hospital | 460 Andes Rd, Delhi, NY 13753-7407 |
| Charu Chanana | Obstetrics/gynecology | Mary Imogene Bassett Hospital | 460 Andes Rd, Delhi, NY 13753-7407 |
| Rebecca R Topham | Nurse Practitioner | Mary Imogene Bassett Hospital | 460 Andes Rd, Delhi, NY 13753-7407 |
| Alberto Gaitan | Internal Medicine | Mary Imogene Bassett Hospital | 460 Andes Rd, Delhi, NY 13753-7407 |
| Denise M Sommers | Nurse Practitioner | Mary Imogene Bassett Hospital | 460 Andes Rd, Delhi, NY 13753-7407 |
| Nicholas J Nehrbauer | Emergency Medicine | Mary Imogene Bassett Hospital | 460 Andes Rd, Delhi, NY 13753-7407 |
| Find all physicians in zip 13753 | |||
| City | DELHI |
| Zip Code | 13753 |
| Specialty | NEUROSURGERY |
| City + Specialty | DELHI + NEUROSURGERY |
Please comment or provide details below to improve the information on Larry R Shannon Ii.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.