Lisa Shannon (NPI# 1548514615, PAC ID# 7416171996) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1548514615 |
| PAC ID by PECOS | 7416171996 |
| Professional Enrollment ID | I20140624002211 |
| Full Name | Lisa Shannon |
| Organization Legal Name | MANATEE PHYSICIAN ALLIANCE LLC |
| Address |
5225 Manatee W Ave Manatee Primary Care Bradenton FL 34209-3742 |
| Phone Number | 9417088081 |
| Gender | F |
| Medical School | A T STILL UN, ARIZONA SCHL OF DENT.Y & ORAL HLTH |
| Graduation Year | 2011 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 6901095231 |
| Number of Group Practice Members | 48 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100035 | MANATEE MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 5225 Manatee W Ave, Manatee Primary Care, Bradenton, FL 34209-3742 | 9417088081 | MANATEE PHYSICIAN ALLIANCE LLC |
| Organization Legal Name | MANATEE PHYSICIAN ALLIANCE LLC |
| Physicians | 62 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Indu S Menon | Internal Medicine | Manatee Physician Alliance LLC | 1854 Rye Rd E, Unit E, Bradenton, FL 34212-9038 |
| Marcie Kroska | Physician Assistant | Manatee Physician Alliance LLC | 206 2nd St E, Bradenton, FL 34208-1042 |
| Aisha Mohsin Malik | Neurology | Manatee Physician Alliance LLC | 200 3rd Ave W, Suite 110, Bradenton, FL 34205-8628 |
| Alfredo Cordova | General Surgery | Manatee Physician Alliance LLC | 5317 4th Ave Cir E, Manatee Surgical Alliance, Bradenton, FL 34208-5623 |
| Karen L Jacobs | Family Medicine | Manatee Physician Alliance LLC | 1720 Manatee Ave E, Bradenton, FL 34208-1452 |
| Mario E Litano | General Practice | Manatee Physician Alliance LLC | 9908 Sr 64, Bradenton, FL 34212-5303 |
| Rhonda A Thompson | Internal Medicine | Manatee Physician Alliance LLC | 6272 Lake Osprey Dr, Lakewood Ranch, FL 34240-8425 |
| Kathleen M Welch- Wilson | Family Medicine | Manatee Physician Alliance LLC | 4647 Manatee Ave W, Bradenton, FL 34209-3816 |
| James A Briles | Family Medicine | Manatee Physician Alliance LLC | 606 4th W Ave, Palmetto, FL 34221-5226 |
| Ralph F Gonzalez | Neurology | Manatee Physician Alliance LLC | 206 2nd St E, Bradenton, FL 34208-1042 |
| Street Address |
5225 MANATEE W AVE MANATEE PRIMARY CARE |
| City | BRADENTON |
| State | FL |
| Zip | 34209-3742 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kristof Michaels | Family Medicine | Manatee Physician Alliance LLC | 5225 Manatee W Ave, Manatee Primary Care, Bradenton, FL 34209-3742 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David E Law | Internal Medicine | Sleep Manatee Pl | 5947 Riverview Blvd, Bradenton, FL 34209-1860 |
| Vishal Sharma | Internal Medicine | Center for Medicine Inc | 6400 Manatee Ave W, Suite A, Bradenton, FL 34209-2357 |
| Constance Elaine Russell | Clinical Social Worker | 6400 Manatee W Ave F, Bradenton, FL 34209-2357 | |
| Amanda S Briles | Nurse Practitioner | Center for Medicine Inc | 6400 Manatee Ave W, Suite A, Bradenton, FL 34209-2357 |
| Jane Ogden | Clinical Social Worker | 6404 Manatee Ave W, B, Bradenton, FL 34209-2358 | |
| Iliannette Rivera Colon | Chiropractic | Rhc Health Services Pllc | 6220 Manatee Ave W, Suite 204, Bradenton, FL 34209-2361 |
| Kaitlyn Bassett Faipler | Chiropractic | Rhc Health Services Pllc | 6220 Manatee Ave W, Suite 204, Bradenton, FL 34209-2361 |
| Heather J Crawford | Chiropractic | Rhc Health Services Pllc | 6220 Manatee Ave W, Suite 204, Bradenton, FL 34209-2361 |
| John A Pfeilsticker | Emergency Medicine | 6302 Manatee W Ave, Suite I 2, Bradenton, FL 34209-2377 | |
| Cari L Tingen | Clinical Social Worker | 211 50th St Ct Nw, Bradenton, FL 34209-2800 | |
| Find all physicians in zip 34209 | |||
| City | BRADENTON |
| Zip Code | 34209 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | BRADENTON + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Lisa 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.