Shannon Gilliam, PA

Individual Active
NPI 1972548584
Medical Physician Assistant Waldorf, MD

Shannon Gilliam, PA is a medical physician assistant practicing in Waldorf, MD. The NPI was issued on June 18, 2006, and the record was last updated in NPPES on February 24, 2020. One additional practice location is listed.

This record hasn't been updated in NPPES since 2020. Details may be out of date.

Taxonomies and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X C0003161 (MD)

Practice locations

12070 Old Line Ctr Ste 303
Waldorf, MD 20602-3535
Phone: (301) 893-2505
1500 Forest Glen Rd
Holy Corss Hospital
Silver Spring, MD 20910-1483
Phone: (301) 754-7000

Local context

Active NPPES records list 345 providers with medical physician assistant as the primary taxonomy within 25 miles of this practice location's ZIP code, 25 of them within 10 miles.

The same primary taxonomy is listed by 882 in Maryland and 40,076 nationwide.

These are counts from NPPES records, not a ranking or recommendation. Distances are measured between ZIP code centers, not street addresses.

Record history

Name on record
Shannon L Gilliam
Status
Active
NPI issued
Last updated in NPPES

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NPPES data as of · Source: CMS NPPES

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