Amanda D Shannon (NPI# 1205394228, PAC ID# 5597095901) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
Nation Provider ID (NPI) | 1205394228 |
PAC ID by PECOS | 5597095901 |
Professional Enrollment ID | I20190927001910 |
Full Name | Amanda D Shannon |
Organization Legal Name | H. SPRAGUE TAVEAU IV DO PA |
Address |
2300 S Clear Creek Rd Suite 101 Killeen TX 76549-4985 |
Phone Number | 8559634325710 |
Gender | F |
Graduation Year | 2018 |
Primary Specialty | NURSE PRACTITIONER |
Group Practice PAC ID | 7012089147 |
Number of Group Practice Members | 7 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
451323 | ROLLINS BROOK COMMUNITY HOSPITAL |
450152 | METROPLEX HOSPITAL |
Address | Phone | Organization |
---|---|---|
2300 S Clear Creek Rd, Suite 101, Killeen, TX 76549-4985 | 8559634325710 | H. SPRAGUE TAVEAU IV DO PA |
Organization Legal Name | H. SPRAGUE TAVEAU IV DO PA |
Physicians | 5 |
Name | Specialty | Organization | Address |
---|---|---|---|
Lynn M Heise | Nurse Practitioner | H. Sprague Taveau Iv Do Pa | 5610 E Central Texas Expressway, Suite 5, Killeen, TX 76543-5600 |
James R Wood | General Surgery | H. Sprague Taveau Iv Do Pa | 2300 S Clear Creek Rd, Suite 101, Killeen, TX 76549-4985 |
Joyce B Ivie | Nurse Practitioner | H. Sprague Taveau Iv Do Pa | 5610 E Central Texas Expressway, Suite 5, Killeen, TX 76543-5600 |
Horatio S Taveau Iv | Family Medicine | H. Sprague Taveau Iv Do Pa | 5610 E Central Texas Expressway, Suite 5, Killeen, TX 76543-5600 |
Street Address |
2300 S CLEAR CREEK RD SUITE 101 |
City | KILLEEN |
State | TX |
Zip | 76549-4985 |
Name | Specialty | Organization | Address |
---|---|---|---|
James R Wood | General Surgery | H. Sprague Taveau Iv Do Pa | 2300 S Clear Creek Rd, Suite 101, Killeen, TX 76549-4985 |
William R Rediske | Podiatry | Metroplex Clinic Physicians, Inc | 2300 S Clear Creek Rd, Suite 203, Killeen, TX 76549-5404 |
Monty L Gohl | General Surgery | Metroplex Clinic Physicians, Inc | 2300 S Clear Creek Rd, Suite 203, Killeen, TX 76549-5404 |
Ernesto Malave | Family Medicine | 2300 S Clear Creek Rd, Suite 104, Killeen, TX 76549-4985 | |
William S Marsh Iii | Physical Medicine and Rehabilitation | William S Marsh IIi, Do, Pa | 2300 S Clear Creek Rd, Suite 103, Killeen, TX 76549-4985 |
Rebecca J Marsh | Clinical Psychologist | William S Marsh IIi, Do, Pa | 2300 S Clear Creek Rd, Killeen, TX 76549-4985 |
Name | Specialty | Organization | Address |
---|---|---|---|
Todd Y Roach | Chiropractic | 1509 W Stan Schlueter Loop, Killeen, TX 76549-3679 | |
Kenyatta M Jones | Psychiatry | Metroplex Clinic Physicians, Inc | 2201 S Clear Creek Rd, Advnthlth Cntl Tx, Killeen, TX 76549-4110 |
Precha Suvunrungsi | Internal Medicine | 2109 S Clear Creek Rd, Killeen, TX 76549-4110 | |
Terry J Beal | Orthopedic Surgery | 2117 S Clear Creek Rd, Killeen, TX 76549-4110 | |
David F Cummings | Family Medicine | Emergency Associates of Central Texas Pa | 2201 S Clear Creek Rd, Metroplex Adv Em, Killeen, TX 76549-4110 |
Patricia Rosen | Emergency Medicine | Emergency Associates of Central Texas Pa | 2201 S Clear Creek Rd, Metroplex Adv Em, Killeen, TX 76549-4110 |
Marcella Jean Knauf | Emergency Medicine | Emergency Associates of Central Texas Pa | 2201 S Clear Creek Rd, Metroplex Adv Em, Killeen, TX 76549-4110 |
Thomas K Kerley | Family Medicine | Emergency Associates of Central Texas Pa | 2201 S Clear Creek Rd, Metroplex Adv Em, Killeen, TX 76549-4110 |
Alexander Barrero | Emergency Medicine | Emergency Associates of Central Texas Pa | 2201 S Clear Creek Rd, Metroplex Adv Em, Killeen, TX 76549-4110 |
Jeffrey Wuhantu | Emergency Medicine | Emergency Associates of Central Texas Pa | 2201 S Clear Creek Rd, Metroplex Adv Em, Killeen, TX 76549-4110 |
Find all physicians in zip 76549 |
City | KILLEEN |
Zip Code | 76549 |
Specialty | NURSE PRACTITIONER |
City + Specialty | KILLEEN + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Amanda D 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.