Shannon Taylor (NPI# 1750300133, PAC ID# 3971509373) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1750300133 |
| PAC ID by PECOS | 3971509373 |
| Professional Enrollment ID | I20090511000051 |
| Full Name | Shannon Taylor |
| Organization Legal Name | CHI ST VINCENT MEDICAL GROUP HOT SPRINGS |
| Address |
234 E Broadway Glenwood AR 71943-9243 |
| Phone Number | 8703564821 |
| Gender | F |
| Credential | PA |
| Graduation Year | 2006 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 3971673716 |
| Number of Group Practice Members | 152 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 040026 | ST VINCENT HOT SPRINGS |
| Address | Phone | Organization |
|---|---|---|
| 234 E Broadway, Glenwood, AR 71943-9243 | 8703564821 | CHI ST VINCENT MEDICAL GROUP HOT SPRINGS |
| Organization Legal Name | CHI ST VINCENT MEDICAL GROUP HOT SPRINGS |
| Physicians | 160 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ian Adrian Fanoga Frani | Infectious Disease | Chi St Vincent Medical Group Hot Springs | 1 Mercy Ln, Suite 201, Hot Springs National Park, AR 71913-6457 |
| Justice Lee West | Nurse Practitioner | Chi St Vincent Medical Group Hot Springs | 1662 Higdon Ferry Rd, Suite 100, Hot Springs, AR 71913-6980 |
| Mary E Hatfield | Nurse Practitioner | Chi St Vincent Medical Group Hot Springs | 200 Heartcenter Ln, Hot Springs, AR 71913-6351 |
| Priscilla C Beasley | Nurse Practitioner | Chi St Vincent Medical Group Hot Springs | 3004 Pine St, Arkadelphia, AR 71923-5325 |
| Zane A Henley | Pediatric Medicine | Chi St Vincent Medical Group Hot Springs | 225 Mcauley Ct, Hot Springs National Park, AR 71913-6314 |
| Heather Broom Holdiness | Nurse Practitioner | Chi St Vincent Medical Group Hot Springs | 410 Ponce De Leon Dr, Hot Springs Village, AR 71909-8121 |
| Heather N Funderburk | Nurse Practitioner | Chi St Vincent Medical Group Hot Springs | 234 E Broadway, Glenwood, AR 71943-9243 |
| Jamie C Irwin | Pediatric Medicine | Chi St Vincent Medical Group Hot Springs | 2825 Albert Pike Rd, Hot Springs National Park, AR 71913-2619 |
| Rodrigo Camacho | Nurse Practitioner | Chi St Vincent Medical Group Hot Springs | 100 Mcgowan Ct, Hot Springs National Park, AR 71913-6452 |
| Rimantas Kazakevicius | Family Medicine | Chi St Vincent Medical Group Hot Springs | 1424 Tanner St, Rockport, AR 72104-2082 |
| Street Address |
234 E BROADWAY |
| City | GLENWOOD |
| State | AR |
| Zip | 71943-9243 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Heather N Funderburk | Nurse Practitioner | Chi St Vincent Medical Group Hot Springs | 234 E Broadway, Glenwood, AR 71943-9243 |
| Michael W Verser | Family Medicine | Chi St Vincent Medical Group Hot Springs | 234 E Broadway, Glenwood, AR 71943-9243 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Denise A Patton | Nurse Practitioner | Healthstar Physicians of Hot Springs, Pllc | 248 Hwy 70 E, Glenwood Family Medicine, Glenwood, AR 71943-8801 |
| Bridgett N Brantley | Nurse Practitioner | Healthstar Physicians of Hot Springs, Pllc | 248 Hwy 70 E, Glenwood Family Medicine, Glenwood, AR 71943-8801 |
| Lucas Trent Ott | Optometry | Ott Eye Care Pllc | 53 Hwy 70 E, Suite B Glenwood Eye Care, Glenwood, AR 71943-8853 |
| Mandi A Ott | Optometry | Ott Eye Care Pllc | 53 Hwy 70 E, Suite B Glenwood Eye Care, Glenwood, AR 71943-8853 |
| City | GLENWOOD |
| Zip Code | 71943 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | GLENWOOD + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Shannon Taylor.
| 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.