Shanahan Rheumatology and Immunotherapy, PLLC

Primary specialty

Rheumatology PhysicianTaxonomy code 207RR0500X

License

9801767 Issued in NC

Legal business name

SHANAHAN RHEUMATOLOGY AND IMMUNOTHERAPY, PLLC

Practice address

10208 Cerny Street
Wake Med Brier Creek Medical Park
Raleigh, NC 27617

Phone

(919) 949-2228

NPI assigned

Nov 25, 2009

Last updated

Feb 1, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Miss Nicole Couture

Title

Billing Agent

Phone

(413) 772-8500

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Konrad Michael Dziamski, M.D.

  • Rheumatology Physician
  • Durham, NC
  • NPI 1043630502
  Medicare reassignment Care Compare group NPD
• Rujuta Trivedi Saraiya, MD

  • Rheumatology Physician
  • Raleigh, NC
  • NPI 1720241573
  Medicare reassignment Care Compare group NPD
• Joseph Charles Shanahan, MD

  • Rheumatology Physician
  • Durham, NC
  • NPI 1043394901
  Medicare reassignment Care Compare group NPD
• Michelle Marie Dowdall, PA

  • Physician Assistant
  • Morrisville, NC
  • NPI 1083649768
  Medicare reassignment
• Joseph McCracken, PA-C

  • Physician Assistant
  • Durham, NC
  • NPI 1144828310
  Medicare reassignment
• Kelsey Denise Morgan

  • Physician Assistant
  • Durham, NC
  • NPI 1316774284
  Medicare reassignment
• Taylor Noriega, PA-C

  • Medical Physician Assistant
  • Durham, NC
  • NPI 1952760571
  Medicare reassignment
• Rebecca Diane Unger, PA-C

  • Physician Assistant
  • Durham, NC
  • NPI 1528507266
  Medicare reassignment

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

{
    "created_epoch": "1259107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296518400000",
    "number": "1912235268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10208 CERNY STREET",
            "address_2": "WAKE MED BRIER CREEK MEDICAL PARK",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "27617",
            "telephone_number": "919-949-2228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10208 CERNY STREET",
            "address_2": "WAKE MED BRIER CREEK MEDICAL PARK",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "27617",
            "telephone_number": "919-949-2228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHANAHAN RHEUMATOLOGY AND IMMUNOTHERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-25",
        "last_updated": "2011-02-01",
        "status": "A",
        "authorized_official_last_name": "COUTURE",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "BILLING AGENT",
        "authorized_official_telephone_number": "413-772-8500",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "NC",
            "license": "9801767",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890138J",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Fnu Shakuntulla, MD
• Kunjan Shakya, M.D.
• Rita Shaloiko, OTR/L
• Lauren Shampine, OTR/L
• Imani Shamsid-Deen
• Brooke Shaner, PHARMD
• Sonda Hawley Shank, LCSW
• Janie Shankle, MA,LPC, NCC
• Shannon Ballentine & Associates Inc (ASUR Consultants)
• Michael A Shannon, NP

• Rheumatology Physician in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Rheumatology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.