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SHANNON DIALYSIS CENTER
NPI 1588646392
Internal Medicine - Nephrology in San Angelo, TX

Active since November 17, 2005
2018 PULLIAM ST, SAN ANGELO, TX 76905(325) 659-7360 Get Directions Write a Review

NPPES record last updated: December 18, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Shannon Dialysis Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHANNON DIALYSIS CENTER (NPI 1588646392) is a healthcare organization registered as a nephrology in San Angelo, Texas and active in the NPI registry since November 2005. The organization lists John Gilbreath, Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1588646392
Entity TypeOrganization
Primary Taxonomy207RN0300X
Legal Business NameSHANNON JOINT VENTURES, INC
Location Address2018 PULLIAM STSan Angelo, TX 76905-5148
Mailing AddressPo Box 22000San Angelo, TX 76902-7200 · (325) 659-7360
Phone(325) 659-7360
Organization SubpartYesParent: Shannon Health Systems
Authorized OfficialJohn GilbreathChief Financial Officer · (325) 658-1511
Enumeration DateNovember 17, 2005
Last NPPES UpdateDecember 18, 2009
✔ NPI 1588646392 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License✔ Licensed in TX · F1646
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
2018 PULLIAM ST, San Angelo, TX 76905
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Other Names 1

Doing Business AsShannon Dialysis Center

Other Identifiers 2

Medicaid148371102TX
Medicare PIN452839TX

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DAVID NICHOLS M.D.
Emergency Medicine (Undersea and Hyperbaric Medicine)
2018 PULLIAM ST
SAN ANGELO, TX 76905
Tom Green County (325) 659-7290
SHANNON MEDICAL CENTER
Skilled Nursing Facility
2018 PULLIAM ST
SAN ANGELO, TX 76905
Tom Green County (325) 657-5031
THOMAS HUGH TILFORD LCSW
Social Worker (Clinical)
2018 PULLIAM ST
SAN ANGELO, TX 76905
Tom Green County (325) 659-7270
SUSAN C WILKINSON PHD, RN, CNS
Clinical Nurse Specialist (Medical-Surgical)
2018 PULLIAM ST
SAN ANGELO, TX 76905
Tom Green County (325) 659-7290
SHANNON MEDICAL CENTER
Psychiatric Unit
2018 PULLIAM ST
SAN ANGELO, TX 76905
Tom Green County (325) 657-5031
SHANNON MEDICAL CENTER
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
2018 PULLIAM ST
SAN ANGELO, TX 76905
Tom Green County (325) 653-6741
DR. RANGARAO CHILUKURI MD
Internal Medicine
2018 PULLIAM ST
SAN ANGELO, TX 76905
Tom Green County (325) 658-6138
GLEN MICHAEL MCFERREN MD
Psychiatry & Neurology (Psychiatry)
2018 PULLIAM ST
SAN ANGELO, TX 76905
Tom Green County (325) 658-1511

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shannon Joint Ventures, Inc's NPI number?

The NPI number for Shannon Joint Ventures, Inc is 1588646392. It was assigned to this organization in the NPPES registry on November 17, 2005. The provider is doing business as Shannon Dialysis Center.

Where is Shannon Joint Ventures, Inc located?

Shannon Joint Ventures, Inc is located at 2018 Pulliam St, San Angelo, TX 76905. The listed phone number is (325) 659-7360.

What is Shannon Joint Ventures, Inc's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

When was this NPI record last updated?

The NPPES record for Shannon Joint Ventures, Inc was last updated on December 18, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.