Shannon B Wilson (NPI# 1326465220, PAC ID# 2365742897) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1326465220 |
| PAC ID by PECOS | 2365742897 |
| Professional Enrollment ID | I20191104002986 |
| Full Name | Shannon B Wilson |
| Organization Legal Name | MEDICAL CENTER RADIOLOGISTS INC |
| Address |
5544 Greenwich Rd Suite 200 Virginia Beach VA 23462-6563 |
| Phone Number | 7574660089 |
| Gender | F |
| Medical School | EASTERN VIRGINIA MEDICAL SCHOOL |
| Graduation Year | 2013 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 5395640650 |
| Number of Group Practice Members | 52 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 490007 | SENTARA NORFOLK GENERAL HOSPITAL |
| 490046 | SENTARA LEIGH HOSPITAL |
| 490057 | SENTARA VIRGINIA BEACH GENERAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 600 Gresham Dr, Norfolk, VA 23507-1904 | 7576683231 | MEDICAL CENTER RADIOLOGISTS INC |
| 5544 Greenwich Rd, Suite 200, Virginia Beach, VA 23462-6563 | 7574660089 | MEDICAL CENTER RADIOLOGISTS INC |
| Organization Legal Name | MEDICAL CENTER RADIOLOGISTS INC |
| Physicians | 56 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Neil Vachhani | Diagnostic Radiology | Medical Center Radiologists Inc | 5544 Greenwich Rd, Suite 200, Virginia Beach, VA 23462-6563 |
| Kathy Byun | Diagnostic Radiology | Medical Center Radiologists Inc | 5818 Harbour View Blvd, Suffolk, VA 23435-3315 |
| Eveleen Mary Oleinik | Diagnostic Radiology | Medical Center Radiologists Inc | 5818 Harbour View Blvd, Suffolk, VA 23435-3315 |
| Adam Wayne Specht | Diagnostic Radiology | Medical Center Radiologists Inc | 5544 Greenwich Rd, Suite 200, Virginia Beach, VA 23462-6563 |
| Wendy Thomas Brown | Diagnostic Radiology | Medical Center Radiologists Inc | 5544 Greenwich Rd, Suite 200, Virginia Beach, VA 23462-6563 |
| Virginia Nicole Streeter | Physician Assistant | Medical Center Radiologists Inc | 830 Kempsville Rd, Norfolk, VA 23502-3920 |
| Jason Eric Rothschild | Diagnostic Radiology | Medical Center Radiologists Inc | 5544 Greenwich Rd, Suite 200, Virginia Beach, VA 23462-6563 |
| Jose M Morey | Diagnostic Radiology | Medical Center Radiologists Inc | 5544 Greenwich Rd, Suite 200, Virginia Beach, VA 23462-6563 |
| Yoonah Kim | Diagnostic Radiology | Medical Center Radiologists Inc | 5818 Harbour View Blvd, Suffolk, VA 23435-3315 |
| Kirstin Fiona Davis | Diagnostic Radiology | Medical Center Radiologists Inc | 5818 Harbour View Blvd, Suffolk, VA 23435-3315 |
| Street Address |
5544 GREENWICH RD SUITE 200 |
| City | VIRGINIA BEACH |
| State | VA |
| Zip | 23462-6563 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Neil Vachhani | Diagnostic Radiology | Medical Center Radiologists Inc | 5544 Greenwich Rd, Suite 200, Virginia Beach, VA 23462-6563 |
| Adam Wayne Specht | Diagnostic Radiology | Medical Center Radiologists Inc | 5544 Greenwich Rd, Suite 200, Virginia Beach, VA 23462-6563 |
| Wendy Thomas Brown | Diagnostic Radiology | Medical Center Radiologists Inc | 5544 Greenwich Rd, Suite 200, Virginia Beach, VA 23462-6563 |
| Jason Eric Rothschild | Diagnostic Radiology | Medical Center Radiologists Inc | 5544 Greenwich Rd, Suite 200, Virginia Beach, VA 23462-6563 |
| Jose M Morey | Diagnostic Radiology | Medical Center Radiologists Inc | 5544 Greenwich Rd, Suite 200, Virginia Beach, VA 23462-6563 |
| Alan Sag | Diagnostic Radiology | Medical Center Radiologists Inc | 5544 Greenwich Rd, Suite 200, Virginia Beach, VA 23462-6563 |
| Dmitri Evgenyevich Samoilov | Diagnostic Radiology | Medical Center Radiologists Inc | 5544 Greenwich Rd, Suite 200, Virginia Beach, VA 23462-6563 |
| Kyle Spagnolo | Diagnostic Radiology | Medical Center Radiologists Inc | 5544 Greenwich Rd, Suite 200, Virginia Beach, VA 23462-6563 |
| Tracie Rehfuss | Diagnostic Radiology | Medical Center Radiologists Inc | 5544 Greenwich Rd, Suite 200, Virginia Beach, VA 23462-6563 |
| Prasanti Vachhani | Diagnostic Radiology | Medical Center Radiologists Inc | 5544 Greenwich Rd, Suite 200, Virginia Beach, VA 23462-6563 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sue Hudson | Internal Medicine | 802 Newtown Rd, Virginia Beach, VA 23462-1116 | |
| Tiffany R Dicenso | Nurse Practitioner | Tidewater Integrative Health PC | 802 Newtown Rd, Virginia Beach, VA 23462-1116 |
| Dau T Le | Internal Medicine | 5441 Virginia Beach Blvd, Suite 111, Virginia Beach, VA 23462-1749 | |
| Samuel Robinson | Orthopedic Surgery | Jordan-young Institute for Reconstructive Surgery and Sports | 5716 Cleveland St, Suite 200, Virginia Beach, VA 23462-1784 |
| Elizabeth Runzo | Physical Therapy | Jordan-young Institute for Reconstructive Surgery and Sports | 5716 Cleveland St, Suite 200, Virginia Beach, VA 23462-1784 |
| Michelle Marilyn Smith | Nurse Practitioner | Jordan-young Institute for Reconstructive Surgery and Sports | 5716 Cleveland St, Suite 200, Virginia Beach, VA 23462-1784 |
| Nicholas A Midis | Orthopedic Surgery | Jordan-young Institute for Reconstructive Surgery and Sports | 5716 Cleveland St, Suite 200, Virginia Beach, VA 23462-1784 |
| James E Dowd | Orthopedic Surgery | Jordan-young Institute for Reconstructive Surgery and Sports | 5716 Cleveland St, Suite 200, Virginia Beach, VA 23462-1784 |
| Kara P Hood | Physician Assistant | Jordan-young Institute for Reconstructive Surgery and Sports | 5716 Cleveland St, Suite 200, Virginia Beach, VA 23462-1784 |
| Justin W Griffin | Orthopedic Surgery | Jordan-young Institute for Reconstructive Surgery and Sports | 5716 Cleveland St, Suite 200, Virginia Beach, VA 23462-1784 |
| Find all physicians in zip 23462 | |||
| City | VIRGINIA BEACH |
| Zip Code | 23462 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | VIRGINIA BEACH + DIAGNOSTIC RADIOLOGY |
Please comment or provide details below to improve the information on Shannon B Wilson.
| 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.