| Shannon Elizabeth Barker, DO | |
|
10180 W Happy Valley Pkwy Ste 100, Peoria, AZ 85383-1389 | |
| (623) 322-3380 | |
| (623) 234-3274 |
| Full Name | Shannon Elizabeth Barker |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 10180 W Happy Valley Pkwy Ste 100, Peoria, Arizona |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093127458 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 009471 (Arizona) | Primary |
| Entity Name | Faculty Physicians And Surgeons Of Llusm |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205009917 PECOS PAC ID: 1153227814 Enrollment ID: O20031211000981 |
| Mailing Address | Practice Location Address |
|---|---|
| Shannon Elizabeth Barker, DO 10180 W Happy Valley Pkwy Ste 100, Peoria, AZ 85383-1389 Ph: (623) 322-3380 | Shannon Elizabeth Barker, DO 10180 W Happy Valley Pkwy Ste 100, Peoria, AZ 85383-1389 Ph: (623) 322-3380 |
Kristin Sue Shepherd, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 7757 W. Deer Valley Road Suite 275, Peoria, AZ 85382 Phone: 623-878-2800 Fax: 623-878-9150 | |
Dr. Wylie Carhartt, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 9000 W Thunderbird Rd Ste 110, Peoria, AZ 85381 Phone: 855-776-7266 | |
Sandhya Ravi, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 9059 W Lake Pleasant Pkwy, Ste E 540, Peoria, AZ 85382 Phone: 623-322-3380 Fax: 623-322-4399 | |
Dr. Agnes T Lardizabal, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 6780 W Thunderbird Rd, Suite A101, Peoria, AZ 85381 Phone: 602-843-1991 Fax: 602-843-3224 | |
Ashley Lynn Matrose Hineman, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 21681 N 77th Ave Ste 1410, Peoria, AZ 85382 Phone: 623-362-1818 Fax: 623-362-8095 | |
Heather Holley, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 9059 W Lake Pleasant Pkwy Ste E-540, Peoria, AZ 85382 Phone: 623-322-3380 Fax: 623-332-4399 |