MRS. ELANA L SHACKELFORD (NPI# 1023097623) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023097623 |
| Entity Type | Individual |
| Full Name | MRS. ELANA L SHACKELFORD |
| Other Name | MS. ELANA M LEVY |
| Credential | ARNP |
| Practice Address |
1111 S. Orange Ave 4th Floor Orlando FL 32806 |
| Practice Telephone | 4079920660 |
| Practice Fax Number | 4079927702 |
| Mailing Telephone | 4079920660 |
| Mailing Fax Number | 4079927702 |
| Enumeration Date | 2006-01-11 |
| Last Update Date | 2009-01-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | ME89879 | FL | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | ARNP9203677 | FL | Allopathic & Osteopathic Physicians |
| Street Address |
1111 S. ORANGE AVE 4TH FLOOR |
| City | ORLANDO |
| State | FL |
| Zip Code | 32806 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710585674 | Erika Williams | Pharmacist | 2715 South Orlando Ave, Orlando, FL 32806 | 2020-10-13 |
| 1013545664 | Johanna Yadira Cook | Registered Nurse | Orlando Health Orlando Regional Medical Center, 52 W. Underwood St, Orlando, FL 32806 | 2020-03-30 |
| 1396372306 | Warren Andrew Williams | Student in an Organized Health Care Education/Training Program | 1222 S. Orange Ave., 5th Fl, Mp# 43, Orlando, FL 32806 | 2020-03-27 |
| 1225665433 | Astrid Helen Casin | Student in an Organized Health Care Education/Training Program | 1222 S. Orange Avenue, 5th Fl., Mp#43, Orland, FL 32806 | 2020-03-26 |
| 1508404211 | Hidden Potential Florida LLC | Assistant Behavior Analyst | 2857 South Bumby Avenue, Orlando, FL 32806 | 2019-12-12 |
| 1720639883 | Cynthia Lee Kling | Clinical Nurse Specialist | Arnold Palmer Hospital, 92 W. Miller St., Orlando, FL 32806 | 2019-09-20 |
| 1033769930 | Darleen Ann Williams | Clinical Nurse Specialist | 52 W. Underwood, Orlando, FL 32806 | 2019-09-13 |
| 1508412644 | Trischaday Kimberley Demetrius | Nurse Practitioner | Orlando Epilepsy Center, 226 W Michigan Street, Orlando, FL 32806 | 2019-08-14 |
| 1962964809 | Ajc Software Inc | Prosthetic/Orthotic Supplier | 1405 South Orange Avenue Suite 308, Orlando, FL 32806 | 2019-04-01 |
| 1598232852 | Sodo Smiles Dentistry, Pa | Dentist | 3123 S. Orange Ave., Suite 107, Orlando, FL 32806 | 2018-10-25 |
| Find all providers in zip 32806 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902209844 | Jennifer Lynn Brinckerhoff | Dermatology | 4750 The Grove Drive Ste 280, Orlando, FL 32819 | 2014-10-07 |
| 1184985996 | Savina Aneja | Dermatology | 9368 Narcoossee Rd Ste 104, Orlando, FL 32827-5704 | 2012-06-07 |
| 1275805921 | Nicole Swenson | Dermatology | 2116 S Orange Ave Ste C, Orlando, FL 32806 | 2012-01-27 |
| 1932490778 | Lina Maria Cardona | Dermatology | 829 Woodbury Rd Ste 103, Orlando, FL 32828 | 2011-04-27 |
| 1255639357 | Sasha Gay Ashmeade | Dermatology | 10727 Narcoossee Rd Ste B6, Orlando, FL 32832-6943 | 2011-03-14 |
| 1821227133 | Monique Gupta Kumar | Dermatology | 615 E Princeton St Ste 416, Orlando, FL 32803-1469 | 2009-07-08 |
| 1205032497 | Kevin Spohr | Dermatology | 1507 Park Center Drive, Unit 1d, Orlando, FL 32835 | 2007-06-25 |
| 1518929116 | Dzi-long Newman | Dermatology | 80 W Gore St, Orlando, FL 32806-1114 | 2006-04-06 |
| 1285634550 | Steven Marc Price | Dermatology | 300 E Hazel St, Orlando, FL 32804-4023 | 2005-07-28 |
| 1356971394 | Stephanie Marie Cook | Dermatology | 100 W Gore St, Orlando, FL 32806-1044 | 2020-01-17 |
| Find all providers in ORLANDO | ||||
Please comment or provide details below to improve the information on MRS. ELANA L SHACKELFORD.
| 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.