SHANNON SPECIALTY CARE CLINIC NPI 1073660221

NPI Information

  • NPI: 1073660221
  • Provider Name: SHANNON SPECIALTY CARE CLINIC
  • Classification: Neuromusculoskeletal Medicine, Sports Medicine - 204C00000X
  • Entity Type: Organization
  • Address: 120 E HARRIS AVE
    SAN ANGELO, TX
    ZIP 76903
  • Phone: (325) 657-5303

Map and Directions

Get Directions

NPI Details

SHANNON SPECIALTY CARE CLINIC is a neuromusculoskeletal medicine sports medicine in San Angelo, TX. The provider is a Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician trained to be responsible for the continuous care in the field of sports medicine encompasses increased knowledge and understanding of osteopathic principles and practice and heightened technical skills of osteopathic manipulative medicine and integrates each of these into the management of the individual engaged in physical exercise (sports) whether as an individual or in team participation. Source: American Osteopathic Association Additional Resources: AOA Osteopathic Board Certification in Neuromusculoskeletal Medicine; https://certification.osteopathic.org/sports-medicine/ SHANNON SPECIALTY CARE CLINIC NPI is 1073660221. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

120 E HARRIS AVE
SAN ANGELO, TX
ZIP 76903-904
Phone: (325) 657-5303
Fax: (325) 658-8295

The provider's authorized official is Irvin E. Zeitler .
The authorized official title is Chairman Of Board and has the following contact phone number (325) 657-5303.

The enumeration date for this NPI number is 1/3/2007 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. 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
1204C00000XNeuromusculoskeletal Medicine, Sports MedicineYes
2204D00000XNeuromusculoskeletal Medicine & OMMX
3204E00000XOral & Maxillofacial SurgeryX
4207KA0200XAllergy & ImmunologyAllergyX
5207KI0005XAllergy & ImmunologyClinical & Laboratory ImmunologyX
6207L00000XAnesthesiologyX
7207LC0200XAnesthesiologyCritical Care MedicineX
8207LP2900XAnesthesiologyPain MedicineX
9207LP3000XAnesthesiologyPediatric AnesthesiologyX
10207N00000XDermatologyX
11207ND0101XDermatologyMOHS-Micrographic SurgeryX
12207T00000XNeurological SurgeryX
13207U00000XNuclear MedicineX
14207X00000XOrthopaedic SurgeryX
15207Y00000XOtolaryngologyX

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

NPI Synchronization or Removal

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.

Previous NPI
Next NPI