Amanda D Shannon
H. SPRAGUE TAVEAU IV DO PA


Address: 2300 S Clear Creek Rd, Suite 101, Killeen, TX 76549-4985
Phone: 8559634325710

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.

Physician Overview

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

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
451323 ROLLINS BROOK COMMUNITY HOSPITAL
450152 METROPLEX HOSPITAL

Other Locations

Address Phone Organization
2300 S Clear Creek Rd, Suite 101, Killeen, TX 76549-4985 8559634325710 H. SPRAGUE TAVEAU IV DO PA

Organization Information

Organization Legal Name H. SPRAGUE TAVEAU IV DO PA
Physicians 5

Physicians with the same organization

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

Office Location

Street Address 2300 S CLEAR CREEK RD
SUITE 101
City KILLEEN
State TX
Zip 76549-4985

Physicians in the same location

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

Physicians in the same zip code

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

Competitor

Search similar physicians

City KILLEEN
Zip Code 76549
Specialty NURSE PRACTITIONER
City + Specialty KILLEEN + NURSE PRACTITIONER

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Dataset Information

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.

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