MEDICARE: DR. JOHN A SHANNON M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207V00000X	Obstetrics & Gynecology Physician	57091	AL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1437118825
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOHN A SHANNON M.D.

Provider Business Mailing Address
First Line	:	1304 13TH AVE SE
Second Line	:
City	:	DECATUR
State	:	AL
Zip	:	35601-4359
Country	:	US
Telephone Number	:	256-355-9711
Fax Number	:	256-351-9717

Provider Business Practice Location Address
First Line	:	1304 13TH AVE SE
Second Line	:
City	:	DECATUR
State	:	AL
Zip	:	35601-4359
Country	:	US
Telephone Number	:	256-355-9711
Fax Number	:	256-351-9717

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/23/2006
Last Update Date	:	04/01/2011

Similar Medicare Providers

1053523456 — DR. WILLIAM DOUGLAS TALLEY JR. M.D.
Practice Location Address:

1304 13TH AVE SE
DECATUR, AL
35601-4359

Practice Phone: 256-340-1251
Practice Fax: 256-353-6723

1043295181 — GERRY FRANCIS ELLIS MD
Practice Location Address:

1304 13TH AVE SE , SUITE A
DECATUR, AL
35601-4359

Practice Phone: 256-355-9216
Practice Fax: 256-351-6327

1689659534 — THOMAS CLIFFORD RAY MD
Practice Location Address:

1304 13TH AVE SE , STE A
DECATUR, AL
35601-4359

Practice Phone: 256-355-9216
Practice Fax: 256-351-6327

1518945724 — DR. RICHARD ANTHONY BUCCO JR. MD, PHD, FASAM
Practice Location Address:

1304 13TH AVE SE
DECATUR, AL
35601-4359

Practice Phone: 256-580-7750
Practice Fax: 256-580-7751

1245299874 — DR. MITCHELL W SCHUSTER M.D.
Practice Location Address:

1304 13TH AVE SE
DECATUR, AL
35601-4359

Practice Phone: 256-355-9711
Practice Fax: 256-351-9717

1295794824 — SUSAN GOLDBY C.R.N.P
Practice Location Address:

1304 13TH AVE SE
DECATUR, AL
35601-4359

Practice Phone: 256-355-9711
Practice Fax: 256-351-9717

Directions to “ DR. JOHN A SHANNON M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.