SHANNA M STRIEKER, PA-C - NPI NUMBER 1073940649

Summary

Provider Name: SHANNA M STRIEKER, PA-C

NPI Number: 1073940649

Clasification: Physician Assistant (363A00000X)

Address:
1301 S KOKE MILL RD
SPRINGFIELD, IL
ZIP 62711

Phone Number: (217) 547-9100



Detailed Information

Shanna M Strieker, PA-C is a physician assistant in Springfield, IL. The provider is a physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. The assigned NPI number for this provider is 1073940649 and is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business address is:

1301 S KOKE MILL RD
SPRINGFIELD, IL
ZIP 62711-252
Phone: (217) 547-9100
Fax: (217) 547-9236

The enumeration date for this NPI number is 9/27/2013 and was last updated on 9/27/2013.





Taxonomy Codes

The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1 363A00000X Physician Assistant 085004836 IL Yes

NPI Record

No. Field Name Field Value
1 NPI 1073940649
2 Entity Type Code 1
3 Provider Last Name Legal Name STRIEKER
4 Provider First Name SHANNA
5 Provider Middle Name M
6 Provider Credential Text PA-C
7 Provider First Line Business Practice Location Address 1301 S KOKE MILL RD
8 Provider Business Practice Location Address City Name SPRINGFIELD
9 Provider Business Practice Location Address State Name IL
10 Provider Business Practice Location Address Postal Code 627119252
11 Provider Business Practice Location Address Country Code If outside U S US
12 Provider Business Practice Location Address Telephone Number 2175479100
13 Provider Business Practice Location Address Fax Number 2175479236
14 Provider Enumeration Date 9/27/2013
15 Last Update Date 9/27/2013
16 Provider Gender Code F
17 Healthcare Provider Taxonomy Code 1 363A00000X
18 Provider License Number 1 085004836
19 Provider License Number State Code 1 IL
20 Healthcare Provider Primary Taxonomy Switch 1 Y
21 Is Sole Proprietor N

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This page was last updated on: 10/12/2014
All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.