DR. JACK SHENOUDA (NPI# 1023247822) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023247822 |
| Entity Type | Individual |
| Full Name | DR. JACK SHENOUDA |
| Credential | M.D. |
| Practice Address |
1600 N Rose Ave Oxnard CA 93030 |
| Mailing Address |
1016 Cactus Ct Thousand Oaks CA 91320-5907 |
| Practice Telephone | 7175773938 |
| Practice Fax Number | 7853546349 |
| Mailing Telephone | 7175573938 |
| Enumeration Date | 2009-07-14 |
| Last Update Date | 2018-06-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | A140119 | CA | Allopathic & Osteopathic Physicians |
| Y | 208M00000X | Hospitalist | A140119 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | 200962510A | 05 | |
| KS | MEDICARE PTAN | 068002171 | 01 |
| Street Address |
1600 N ROSE AVE |
| City | OXNARD |
| State | CA |
| Zip Code | 93030 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013907153 | Missione Emergency Medical Associates | Emergency Medicine | 1600 N Rose Ave, Oxnard, CA 93030-3722 | 2005-10-27 |
| 1265087290 | Daniel Laurence Shaw | Nurse Practitioner | 1600 N Rose Ave, Oxnard, CA 93030-3722 | 2019-08-06 |
| 1710531561 | Kendra Keith | Physical Therapist | 1600 N Rose Ave, Oxnard, CA 93030-3722 | 2019-07-30 |
| 1598244337 | Anthony W Migler, Md, A Professional Medical Corporation | Pathology | 1600 N Rose Ave, Oxnard, CA 93030-3722 | 2018-08-13 |
| 1760910020 | Crystal Ann Rhea | Family Medicine | 1600 N Rose Ave, Oxnard, CA 93030-3722 | 2017-05-31 |
| 1811342850 | Beverly Pluche | Nurse Practitioner | 1600 N Rose Ave, Oxnard, CA 93030-3722 | 2016-04-27 |
| 1619322815 | Robert Fell | Internal Medicine | 1600 N Rose Ave, Oxnard, CA 93030 | 2016-04-26 |
| 1730540030 | Luke Robinson | Physician Assistant | 1600 N Rose Ave, Oxnard, CA 93030-3722 | 2016-03-14 |
| 1679932172 | Lancelot Andrew Beier | Emergency Medicine | 1600 N Rose Ave, Oxnard, CA 93030-3722 | 2016-02-12 |
| 1538539895 | Erin Jennifer Rasmussen | Dietitian, Registered | 1600 N Rose Ave, Sjrmc / Food & Nutrition Services Department, Oxnard, CA 93030-3722 | 2015-09-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710599741 | Perla Ivette Romero | Dietitian, Registered | 1006 Vaquero Dr, Oxnard, CA 93030 | 2020-08-20 |
| 1649797432 | Scott Andrew Lessin | Marriage & Family Therapist | 1425 Vaquero Dr, Oxnard, CA 93030 | 2017-08-23 |
| 1881118974 | Abraham Ambriz | Counselor | 1212 Vaquero Cir, Oxnard, CA 93030 | 2017-07-31 |
| 1164944088 | Kiana Marie Gleason | Specialist/Technologist | 1611 Ebony Dr., Oxnard, CA 93030 | 2017-07-12 |
| 1740721067 | Jaymi Kathleen Stevens | Marriage & Family Therapist | 410 N. A St, Oxnard, CA 93030 | 2017-03-20 |
| 1386023984 | Jessica Marie Lopez | Specialist | 930 Nottingham Drive, Oxnard, CA 93030 | 2015-05-28 |
| 1902204803 | Nicolas Dejong | Specialist/Technologist | 1751 Lombard St Ste A, Oxnard, CA 93030 | 2014-12-09 |
| 1447688924 | Jerry L Lanier, Dds, Inc | Dentist | 1200 Saviers Rd, Oxnard, CA 93030 | 2013-10-21 |
| 1760820104 | Kevin Brian Janeway | Counselor | 426 W. 5th Street, Oxnard Clubhouse, Oxnard, CA 93030 | 2013-06-07 |
| 1396095477 | County of Ventura | Clinic/Center | 800 Morado Place, Oxnard, CA 93030 | 2012-09-14 |
| Find all providers in zip 93030 | ||||
| Taxonomy Code | 208M00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Hospitalist |
| Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients. |
| Notes: Source: American Society of Hospital Medicine, 2007. http://www.hospitalmedicine.org/ [7/1/2009: definition aded] Additional Resources: Hospitalist is a recognized fellowship specialty program offered by many medical institutions. There is no board certification for the specialty at this point. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962631192 | Tingfei Hu | Hospitalist | 1600 N Rose Ave, Oxnard, CA 93030-3722 | 2009-07-09 |
| 1588826267 | Travis B Bond | Hospitalist | 1600 N Rose Ave, Oxnard, CA 93030-3722 | 2008-06-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043830813 | Ikigai Physician Group Inc | Hospitalist | 1523 Main St, Fortuna, CA 95540-2430 | 2020-04-22 |
| 1760012959 | Mylea N Wiley Md Inc. | Hospitalist | 6246 N 1st St. Ste 101, Fresno, CA 93710-5480 | 2020-01-16 |
| 1972152072 | The Hospitalist Group, LLC | Hospitalist | 5150 E Pacific Coast Hwy Ste 500, Long Beach, CA 90804-3328 | 2019-09-10 |
| 1871092254 | Andrew Pascual | Hospitalist | 4929 Van Nuys Blvs, Sherman Oaks, CA 91403 | 2018-02-12 |
| 1871025957 | Saba Arshad | Hospitalist | 30924 Granger Ave, Union City, CA 94587-1621 | 2017-03-29 |
| 1124481098 | Clari Nguyen | Hospitalist | 9455 Clairemont Mesa Blvd # Ca92123, San Diego, CA 92123-1297 | 2016-03-30 |
| 1427410539 | Vrs Enterprises LLC | Hospitalist | 2088 Westminster Dr, Riverside, CA 92506-5526 | 2016-03-28 |
| 1912378324 | Huntington Specialist & Nursing Corporation | Hospitalist | 517 S Myrtle Ave, 101, Monrovia, CA 91016-2825 | 2015-10-12 |
| 1639551435 | Jaafar Al-dahwi | Hospitalist | 847 Lemieux Ln, Clovis, CA 93619-5702 | 2015-06-29 |
| 1578959318 | Hospitalist Group of Montebello Inc | Hospitalist | 817 S Main St Ste D, Corona, CA 92882-3407 | 2015-04-08 |
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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.