Shannon L Holt (NPI# 1033153085, PAC ID# 2365419611) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OBSTETRICS/GYNECOLOGY.
| Nation Provider ID (NPI) | 1033153085 |
| PAC ID by PECOS | 2365419611 |
| Professional Enrollment ID | I20040915000611 |
| Full Name | Shannon L Holt |
| Organization Legal Name | ELIZABETHTOWN PHYSICIANS FOR WOMEN,PSC |
| Address |
1115 Woodland Dr Elizabethtown KY 42701-2749 |
| Phone Number | 2707695963 |
| Gender | F |
| Credential | MD |
| Medical School | UNIVERSITY OF KENTUCKY COLLEGE OF MEDICINE |
| Graduation Year | 2000 |
| Primary Specialty | OBSTETRICS/GYNECOLOGY |
| Group Practice PAC ID | 1355395930 |
| Number of Group Practice Members | 10 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 180012 | HARDIN MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1115 Woodland Dr, Elizabethtown, KY 42701-2749 | 2707695963 | ELIZABETHTOWN PHYSICIANS FOR WOMEN,PSC |
| Organization Legal Name | ELIZABETHTOWN PHYSICIANS FOR WOMEN,PSC |
| Physicians | 12 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amy E Preen | Obstetrics/gynecology | Elizabethtown Physicians for Women,psc | 1115 Woodland Dr, Elizabethtown, KY 42701-2749 |
| Jason E Goodman | Obstetrics/gynecology | Elizabethtown Physicians for Women,psc | 1115 Woodland Dr, Elizabethtown, KY 42701-2749 |
| Kristopher Jay Beickman | Obstetrics/gynecology | Elizabethtown Physicians for Women,psc | 1115 Woodland Dr, Elizabethtown, KY 42701-2749 |
| Tracy A Johnson | Nurse Practitioner | Elizabethtown Physicians for Women,psc | 1115 Woodland Dr, Elizabethtown, KY 42701-2749 |
| Lauren E. Ford | Nurse Practitioner | Elizabethtown Physicians for Women,psc | 1115 Woodland Dr, Elizabethtown, KY 42701-2749 |
| Kimberly Barnes | Certified Nurse Midwife (cnm) | Elizabethtown Physicians for Women,psc | 1115 Woodland Dr, Elizabethtown, KY 42701-2749 |
| Myra Anne Henderson | Obstetrics/gynecology | Elizabethtown Physicians for Women,psc | 1115 Woodland Dr, Elizabethtown, KY 42701-2749 |
| David A Hamilton | Obstetrics/gynecology | Elizabethtown Physicians for Women,psc | 1115 Woodland Dr, Elizabethtown, KY 42701-2749 |
| Lucian Y Moreman Ii | Obstetrics/gynecology | Elizabethtown Physicians for Women,psc | 1115 Woodland Dr, Elizabethtown, KY 42701-2749 |
| Ruth A Mcconnell | Certified Nurse Midwife | Elizabethtown Physicians for Women,psc | 1115 Woodland Dr, Elizabethtown, KY 42701-2749 |
| Street Address |
1115 WOODLAND DR |
| City | ELIZABETHTOWN |
| State | KY |
| Zip | 42701-2749 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amy E Preen | Obstetrics/gynecology | Elizabethtown Physicians for Women,psc | 1115 Woodland Dr, Elizabethtown, KY 42701-2749 |
| Jason E Goodman | Obstetrics/gynecology | Elizabethtown Physicians for Women,psc | 1115 Woodland Dr, Elizabethtown, KY 42701-2749 |
| Kristopher Jay Beickman | Obstetrics/gynecology | Elizabethtown Physicians for Women,psc | 1115 Woodland Dr, Elizabethtown, KY 42701-2749 |
| Tracy A Johnson | Nurse Practitioner | Elizabethtown Physicians for Women,psc | 1115 Woodland Dr, Elizabethtown, KY 42701-2749 |
| Lauren E. Ford | Nurse Practitioner | Elizabethtown Physicians for Women,psc | 1115 Woodland Dr, Elizabethtown, KY 42701-2749 |
| Kimberly Barnes | Certified Nurse Midwife (cnm) | Elizabethtown Physicians for Women,psc | 1115 Woodland Dr, Elizabethtown, KY 42701-2749 |
| Myra Anne Henderson | Obstetrics/gynecology | Elizabethtown Physicians for Women,psc | 1115 Woodland Dr, Elizabethtown, KY 42701-2749 |
| David A Hamilton | Obstetrics/gynecology | Elizabethtown Physicians for Women,psc | 1115 Woodland Dr, Elizabethtown, KY 42701-2749 |
| Lucian Y Moreman Ii | Obstetrics/gynecology | Elizabethtown Physicians for Women,psc | 1115 Woodland Dr, Elizabethtown, KY 42701-2749 |
| Ruth A Mcconnell | Certified Nurse Midwife | Elizabethtown Physicians for Women,psc | 1115 Woodland Dr, Elizabethtown, KY 42701-2749 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Donna J Wilson | Clinical Social Worker | 921 N Main St, Elizabethtown, KY 42701-1256 | |
| Lela S Dunn | Psychologist, Clinical | Elizabethtown Partner's In Counseling Inc | 204 N Main St, Elizabethtown, KY 42701-1417 |
| Rhonda A Shircliff | Nurse Practitioner | Elizabethtown Partner's In Counseling Inc | 204 N Main St, Elizabethtown, KY 42701-1417 |
| Debra L Johnson | Nurse Practitioner | Advanced Behavioral Health Pllc | 110 Helm St, Elizabethtown, KY 42701-1496 |
| Alicia Karam | Nurse Practitioner | Advanced Behavioral Health Pllc | 110 Helm St, Elizabethtown, KY 42701-1496 |
| Nicholas L Watters | Psychologist, Clinical | 240 W Dixie Ave, Suite 5b, Elizabethtown, KY 42701-1586 | |
| Kimberly D Tully | Clinical Social Worker | 240 W Dixie Ave, Suite 5 B, Elizabethtown, KY 42701-1586 | |
| Katie V Barnett | Anesthesiology | Heartland Anesthesia Consultants Psc | 639 N Mulberry St, Elizabethtown, KY 42701-1931 |
| Price R Richardson | Certified Registered Nurse Anesthetist (crna) | Heartland Anesthesia Consultants Psc | 639 N Mulberry St, Elizabethtown, KY 42701-1931 |
| Tracy L Dupree | Certified Registered Nurse Anesthetist (crna) | Heartland Anesthesia Consultants Psc | 639 N Mulberry St, Elizabethtown, KY 42701-1931 |
| Find all physicians in zip 42701 | |||
| City | ELIZABETHTOWN |
| Zip Code | 42701 |
| Specialty | OBSTETRICS/GYNECOLOGY |
| City + Specialty | ELIZABETHTOWN + OBSTETRICS/GYNECOLOGY |
Please comment or provide details below to improve the information on Shannon L Holt.
| 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.