Kelly R Shannon (NPI# 1265886071, PAC ID# 4981986999) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1265886071 |
| PAC ID by PECOS | 4981986999 |
| Professional Enrollment ID | I20170622000771 |
| Full Name | Kelly R Shannon |
| Organization Legal Name | PLEASANTON EMERGENCY MEDICAL GROUP |
| Address |
4000 Dublin Blvd Suite 150 Dublin CA 94568-3180 |
| Phone Number | 9254793773 |
| Gender | F |
| Graduation Year | 2016 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 0143118927 |
| Number of Group Practice Members | 30 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050283 | STANFORD HEALTH CARE - VALLEYCARE |
| Address | Phone | Organization |
|---|---|---|
| 4000 Dublin Blvd, Suite 150, Dublin, CA 94568-3180 | 9254793773 | PLEASANTON EMERGENCY MEDICAL GROUP |
| 5555 W Las Positas Blvd, Pleasanton, CA 94588-4000 | 9254163418 | PLEASANTON EMERGENCY MEDICAL GROUP |
| Organization Legal Name | PLEASANTON EMERGENCY MEDICAL GROUP |
| Physicians | 37 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tian Mi | Emergency Medicine | Pleasanton Emergency Medical Group | 5555 W Las Positas Blvd, Pleasanton, CA 94588-4000 |
| Ryan Cates | Physician Assistant | Pleasanton Emergency Medical Group | 1111 E Stanley Blvd, Livermore, CA 94550-4115 |
| Edward Y Kan | Emergency Medicine | Pleasanton Emergency Medical Group | 4000 Dublin Blvd, Suite 150, Dublin, CA 94568-3180 |
| Cynthia Penn Duecker | Emergency Medicine | Pleasanton Emergency Medical Group | 1133 E Stanley Blvd, Livermore, CA 94550-4200 |
| Tsung Peter Wong | Family Medicine | Pleasanton Emergency Medical Group | 1133 E Stanley Blvd, Livermore, CA 94550-4200 |
| Amandeep Singh | Emergency Medicine | Pleasanton Emergency Medical Group | 4000 Dublin Blvd, Suite 150, Dublin, CA 94568-3180 |
| Shawnna T Sopp-reilly | Physician Assistant | Pleasanton Emergency Medical Group | 1111 E Stanley Blvd, Livermore, CA 94550-4115 |
| Christina M Arieta | Physician Assistant | Pleasanton Emergency Medical Group | 1111 E Stanley Blvd, Livermore, CA 94550-4115 |
| Yen Hua Yu | Emergency Medicine | Pleasanton Emergency Medical Group | 4000 Dublin Blvd, Suite 150, Dublin, CA 94568-3180 |
| Douglas Kei Yoshida | Emergency Medicine | Pleasanton Emergency Medical Group | 4000 Dublin Blvd, Suite 150, Dublin, CA 94568-3180 |
| Street Address |
4000 DUBLIN BLVD SUITE 150 |
| City | DUBLIN |
| State | CA |
| Zip | 94568-3180 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Edward Y Kan | Emergency Medicine | Pleasanton Emergency Medical Group | 4000 Dublin Blvd, Suite 150, Dublin, CA 94568-3180 |
| Joseph R Donnelly | Orthopedic Surgery | Webster Orthopaedic Medical Group, A Professional Corporation | 4000 Dublin Blvd, Suite 100, Dublin, CA 94568-3122 |
| John T Schwartz Jr. | Hand Surgery | Webster Orthopaedic Medical Group, A Professional Corporation | 4000 Dublin Blvd, Suite 100, Dublin, CA 94568-3122 |
| Amandeep Singh | Emergency Medicine | Pleasanton Emergency Medical Group | 4000 Dublin Blvd, Suite 150, Dublin, CA 94568-3180 |
| Yen Hua Yu | Emergency Medicine | Pleasanton Emergency Medical Group | 4000 Dublin Blvd, Suite 150, Dublin, CA 94568-3180 |
| Douglas Kei Yoshida | Emergency Medicine | Pleasanton Emergency Medical Group | 4000 Dublin Blvd, Suite 150, Dublin, CA 94568-3180 |
| Patricia R Torres | Occupational Therapy | Webster Orthopaedic Medical Group, A Professional Corporation | 4000 Dublin Blvd, Suite 100, Dublin, CA 94568-3122 |
| Kushal Chhabra | Internal Medicine | John Muir Physician Network | 4000 Dublin Blvd, Suite 305, Dublin, CA 94568-3121 |
| Praise T Shang | Family Medicine | John Muir Physician Network | 4000 Dublin Blvd, Suite 305, Dublin, CA 94568-3121 |
| Sania Zubair | Emergency Medicine | Pleasanton Emergency Medical Group | 4000 Dublin Blvd, Suite 150, Dublin, CA 94568-3180 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Andrea C Pritchett | Chiropractic | 7451 Village Pkwy, Dublin, CA 94568-2032 | |
| Roger S Chan | Optometry | 7204 Regional St, Dublin, CA 94568-2326 | |
| Jim Yang | Chiropractic | 7450 San Ramon Rd, Dublin, CA 94568-2338 | |
| Susan E Scatena | Psychologist, Clinical | 11891 Flanagan Ct, Dublin, CA 94568-2349 | |
| Christopher R Gee | Optometry | Iron Horse Optometric Group | 7197 Village Pkwy D, Dublin, CA 94568-2411 |
| Sara Y Chiu | Optometry | Iron Horse Optometric Group | 7197 Village Pkwy D, Dublin, CA 94568-2411 |
| Dennis J Miller | Chiropractic | 7000 Village Pkwy H, Dublin, CA 94568-2413 | |
| Kevin Mao | Physical Therapy | 7567 Amador Valley Blvd, Suite 106, Dublin, CA 94568-2442 | |
| Rosanne Oleary | Physical Therapy | Dublin Physical Therapy Inc | 6759 Sierra Ct A, Dublin, CA 94568-2657 |
| Stephanie Elisabeth Corl | Physical Therapy | Dublin Physical Therapy Inc | 6759 Sierra Ct A, Dublin, CA 94568-2657 |
| Find all physicians in zip 94568 | |||
| City | DUBLIN |
| Zip Code | 94568 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | DUBLIN + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Kelly R Shannon.
| 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.