SHANNON CLINIC
NPI 1770587149
Allergy & Immunology in San Angelo,


Quality Rating: 100 out of 100 score

NPI Status: Active since June 13, 2005

Contact Information

Po Box 22000
San Angelo,
Post Code: 76902
Phone: (325) 658-1511
Fax: -

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Shannon Clinic in San Angelo - Allergy & Immunology

Shannon Clinic is a Allergy & Immunology in San Angelo, . Shannon Clinic practices all healthcare services and medical treatments related to Allergy & Immunology. The NPI Number for Shannon Clinic is 1770587149. The last update date is 2024-01-18.

Shannon Clinic's current location address is Po Box 22000, San Angelo, . You can contact this provider via phone number (325) 658-1511 and fax number -. The mailing address for Shannon Clinic is Po Box 22000, San Angelo, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1770587149
Provider Legal Name
SHANNON CLINIC
Other Organization Name
SHANNON CLINIC
Other Name Type
-
Entity Type
Organization
Location Address
Po Box 22000, San Angelo,
Location Phone
(325) 658-1511
Location Fax
-
Mailing Address
120 E Beauregard Ave, San Angelo, Texas(TX)
Mailing Phone
325-658-1511
Mailing Fax
325-481-2166
Enumeration Date
2005-06-13
Last Update Date
2024-01-18
Code Navigator

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Family Medicine

Taxonomy Code
207Q00000X
Type
-
License No.
-
License State
Texas (TX)
Taxonomy Description
-

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1 207K00000X Allergy & Immunology Physician

Allergy & Immunology

(Texas)
2 207KA0200X Allergy Physician

Allergy & Immunology, Allergy

(Texas)
3 207L00000X Anesthesiology Physician

Anesthesiology

(Texas)
4 207N00000X Dermatology Physician

Dermatology

(Texas)
5 207R00000X Internal Medicine Physician

Internal Medicine

(Texas)
6 207T00000X Neurological Surgery Physician

Neurological Surgery

(Texas)
7 207V00000X Obstetrics & Gynecology Physician

Obstetrics & Gynecology

(Texas)
8 207W00000X Ophthalmology Physician

Ophthalmology

(Texas)
9 207X00000X Orthopaedic Surgery Physician

Orthopaedic Surgery

(Texas)
10 207Y00000X Otolaryngology Physician

Otolaryngology

(Texas)
11 207ZB0001X Blood Banking & Transfusion Medicine Physician

Pathology, Blood Banking & Transfusion Medicine

(Texas)
12 208000000X Pediatrics Physician

Pediatrics

(Texas)
13 2085R0202X Diagnostic Radiology Physician

Radiology, Diagnostic Radiology

(Texas)
14 208600000X Surgery Physician

Surgery

(Texas)

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
00T83Z Other (non-Medicare) (01) Texas (TX) Medicare
127005001 MEDICAID (05) Texas (TX)
127005002 Other (non-Medicare) (01) Texas (TX) CSHCN
========= Other (non-Medicare) (01) Texas (TX) tax id number
CL8387 Other (non-Medicare) (01) Texas (TX) Medicare PTAN

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1770587149
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
271401081418
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 271401081418
2 + 7 + 1 + 4 + 0 + 1 + 0 + 8 + 1 + 4 + 1 + 8 + 24 = 61
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 61 = 9 9

The NPI number 1770587149 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 5 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1215930367 LAURENT GRESSOT
Individual
Specialist 17323 RED OAK DR
HOUSTON, Texas (TX)
281-440-5006
1750384806 ROBERT BISBEE
Individual
Internal Medicine 5219 CITY BANK PKWY STE 214
LUBBOCK, Texas (TX)
806-781-0360
1669475711 BIN SHENG SUNG
Individual
Pediatrics 7629 TIKI DR
FULSHEAR, Texas (TX)
281-346-0018
1396748349 GEORGE M GRUNERT
Individual
Obstetrics & Gynecology, Reproductive Endocrinology 7900 FANNIN ST STE 4000
HOUSTON, Texas (TX)
713-512-7900
1619970662 LISA AMY FRIEDMAN
Individual
Nurse Practitioner, Pediatrics 333 N SANTA ROSA
SAN ANTONIO, Texas (TX)
210-704-2190