SHADE R WHALEN (NPI# 1013929876) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013929876 |
| Entity Type | Individual |
| Full Name | SHADE R WHALEN |
| Credential | MD |
| Practice Address |
2115 N Kansas Children & Adolescent Clinic PC Hastings NE 68901 |
| Practice Telephone | 4024636828 |
| Practice Fax Number | 4024634767 |
| Mailing Telephone | 4024636828 |
| Mailing Fax Number | 4024634767 |
| Enumeration Date | 2006-08-12 |
| Last Update Date | 2012-01-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 23753 | NE | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NE | 47063717813 | 05 |
| Street Address |
2115 N KANSAS CHILDREN & ADOLESCENT CLINIC PC |
| City | HASTINGS |
| State | NE |
| Zip Code | 68901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124121066 | Children & Adolescent Clinic | Pediatrics | 2115 N Kansas, Children & Adolescent Clinic PC, Hastings, NE 68901 | 2006-09-06 |
| 1023125317 | Children & Adoleseant Clinic PC | Pediatrics | 2115 N Kansas, Hastings, NE 68701 | 2006-08-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942771423 | Melanie Rose Gardels | Dental Hygienist | 601 N St. Joseph Ave, Hastings, NE 68901 | 2018-12-10 |
| 1730688227 | Amelia R. Govert | Physician Assistant | 715 North Saint Joseph Avenue, Attn: Kim Kennedy Med Staff Coordinator, Hastings, NE 68901 | 2018-02-09 |
| 1881102846 | Sydney Jo Svehla | Occupational Therapist | 3601 Cimarron Plz Ste 105, Hastings, NE 68901 | 2018-01-11 |
| 1275938995 | Amanda Teter | Community Health Worker | 800 E 12th St, Hastings, NE 68901 | 2014-10-23 |
| 1013271246 | Dacia Dawn Oakeson | Nurse Practitioner | 224 E 14th St. Ste 100, Hastings, NE 68901 | 2012-07-03 |
| 1558590935 | Brenda Marie Bivens | Physical Therapist | 2307 Osborne Drive West, Hastings, NE 68901 | 2009-07-07 |
| 1841475894 | Christopher Andrew Murray | Chiropractor | 1934 West 2nd Street, Hastings, NE 68901 | 2008-01-08 |
| 1073725198 | Hastings Heart Institute LLC | Clinic/Center | 715 N Kansas Avenue, Suite 302, Hastings, NE 68901 | 2007-05-03 |
| 1790827764 | The Evangelical Lutheran Good Samaritan Society | Assisted Living Facility | 926 East 'e' St, Hastings, NE 68901 | 2007-02-13 |
| 1508905308 | Margaret Irene Mc Cready | Counselor | Burlington Plaza, Burlington Street, Hastings, NE 68901 | 2007-02-06 |
| Find all providers in zip 68901 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487940946 | Abby St. Jacques | Pediatrics | 300 Meadow Run Dr, Hastings, MI 49058-9048 | 2011-06-23 |
| 1740244144 | Amy S Beck | Pediatrics | 1375 W Green St, Hastings, MI 49058-1718 | 2006-04-13 |
| 1568942803 | Children & Adoleseant Clinic PC | Pediatrics | 2115 N Kansas Ave Ste 103, Hastings, NE 68901-2615 | 2018-08-16 |
| 1447760517 | Cherry Street Services, Inc | Pediatrics | 200 S Boltwood St, Hastings, MI 49058 | 2017-10-03 |
| 1598109175 | Nicholas Venosdel | Pediatrics | 1210 1st St W, Hastings, MN 55033-1147 | 2013-04-25 |
| 1912252909 | Southside Pediatrics PC | Pediatrics | 300 Meadow Run Dr, Hastings, MI 49058-9048 | 2012-07-17 |
| 1679710248 | Maria O Stanislaw | Pediatrics | 1285 Nininger Rd, Hastings, MN 55033-1086 | 2009-01-19 |
| 1801058243 | Daniel J Leonard Iv | Pediatrics | 2115 N Kansas Ave, Hastings, NE 68901-2640 | 2008-06-26 |
| 1346361276 | Bright Start Pediatrics, P.C. | Pediatrics | 1375 W Green St, Hastings, MI 49058-1718 | 2007-04-02 |
| 1396819751 | Sanaya Darayus Bharucha | Pediatrics | 1285 Nininger Rd, Hastings, MN 55033-1086 | 2006-11-20 |
| Find all providers in HASTINGS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.