N H Shannon MD PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

D2834 Issued in TX

Legal business name

N H SHANNON MD PA

Practice address

3326 E Southcross Blvd
San Antonio, TX 78223-1922

Phone

(210) 532-3216

Fax

(210) 532-6055

NPI assigned

Dec 2, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Nick H Shannon, MD

Title

President

Phone

(210) 532-4555

Specialties & licenses 3

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Karen A Johnson, APN

  • Primary Care Nurse Practitioner
  • Schertz, TX
  • NPI 1063703510
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1291248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291248000000",
    "number": "1386946903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3326 E SOUTHCROSS BLVD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782231922",
            "telephone_number": "210-532-3216",
            "fax_number": "210-532-6055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3326 E SOUTHCROSS BLVD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782231922",
            "telephone_number": "210-532-3216",
            "fax_number": "210-532-6055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "N H SHANNON MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-02",
        "last_updated": "2010-12-02",
        "status": "A",
        "authorized_official_last_name": "SHANNON",
        "authorized_official_first_name": "NICK",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "210-532-4555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "D2834",
            "primary": true
        },
        {
            "code": "207QG0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "TX",
            "license": "D2834",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "TX",
            "license": "D2834",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "092125601",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sharie Monique Myrick, PHARM.D.
• Mysa Dental PLLC (Mysa Dental)
• Nishad Mysore, DO
• Mystic Park SCC LLC (Mystic Park Nursing & Rehab Center)
• Mywtlosssurgeon Associates
• N.P. Consultants VIII, LLC (Rite Away Pharmacy #5)
• N.P. United Associates Inc.
• N&D Medical Group PLLC
• N&D Surgical Associates PLLC
• N&D Surgical Staffing PLLC

• Family Medicine Physician in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.