SHANE CHRISTOPHER MASTERS (NPI# 1053595439) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053595439 |
| Entity Type | Individual |
| Full Name | SHANE CHRISTOPHER MASTERS |
| Credential | M.D. PH.D. PHARM.D. |
| Practice Address |
Wfuhs Department of Radiology Medical Center Blvd Winston Salem NC 27157-0001 |
| Mailing Address |
Po Box 602658 Charlotte NC 28260-2658 |
| Practice Telephone | 3367162255 |
| Practice Fax Number | 3367163202 |
| Enumeration Date | 2007-12-21 |
| Last Update Date | 2012-11-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
2011-00703 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 3810023022 | 05 | |
| NC | 5920599 | 05 | |
| SC | Q03011 | 05 |
| Street Address |
WFUHS DEPARTMENT OF RADIOLOGY MEDICAL CENTER BLVD |
| City | WINSTON SALEM |
| State | NC |
| Zip Code | 27157-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255960241 | Alexandra Marie Balmaceda | Student in an Organized Health Care Education/Training Program | Wake Forest Baptist Medical Center Pathology Dept, #1 Medical Center Blvd., Winston-salem, NC 27157 | 2020-04-02 |
| 1164916680 | Jorie Elizabeth Gatts | Student in an Organized Health Care Education/Training Program | Wake Forest Baptist Medical Department of Pediatrics, Winston Salem, NC 27157 | 2018-06-18 |
| 1932606555 | Alexi Rae Ellington Webb | Student in an Organized Health Care Education/Training Program | Wake Forest School of Medicine, Dept of Psychiatry, Medical Center Blvd, Winston Salem, NC 27157 | 2018-04-10 |
| 1851896674 | Wasim Muhammad | Student in an Organized Health Care Education/Training Program | Wake Forest School of Medicine Dept. of Psychiatry, Medical Center Blvd, Winston Salem, NC 27157 | 2018-03-25 |
| 1336643535 | Phillip Martin Kostelic | Student in an Organized Health Care Education/Training Program | Anesthesiology - Wake Forest Baptist Medical Center, 1 Medical Center Blvd, Winston-salem, NC 27157 | 2018-03-21 |
| 1831693324 | Aleah Bond | Student in an Organized Health Care Education/Training Program | Anesthesiology Wake Forest Baptist Medical Center, Medical Center Boulevard, Winston-salem, NC 27157 | 2018-03-20 |
| 1134644859 | Ilan Binyamin Klein | Urology | Wake Forest Baptist Health, Department of Urology, Medical Center Boulevard, Winston-salem, NC 27157 | 2017-08-03 |
| 1023467529 | Edward John Doyle IIi | Student in an Organized Health Care Education/Training Program | Wake Forest School of Medicine Dept. of Otolaryngology, Watlington Hall 4th Fl. Medical Center Boulevard, Winston-salem, NC 27157 | 2016-06-07 |
| 1477917888 | Jordan Mae Burner | Student in an Organized Health Care Education/Training Program | Graduate Medical Education Office, Wake Forest Baptist Medical Center, Medical Center Blvd, Winston-salem, NC 27157 | 2016-04-12 |
| 1174900476 | Kate Elise Winterbottom | Speech-Language Pathologist | 4 Janeway Medical Center Blvd, Hearing and Speech, Winston Salem, NC 27157 | 2015-05-06 |
| Find all providers in zip 27157 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| 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 Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356623714 | Paula Valeria Vergara-wentland | Radiology | 455 Summergate Dr, Winston Salem, NC 27103-5538 | 2011-09-12 |
| 1508175043 | Nrs Arizona, Pa | Radiology | 792 Roslyn Rd, Winston Salem, NC 27104-2122 | 2010-10-01 |
| 1972824688 | Jeffrey Russell Sachs | Radiology | 1 Medical Ctr Blvd, Wfubmc House Staff Office, Winston Salem, NC 27157 | 2010-06-16 |
| 1083848824 | Jonathan M Day | Radiology | Wake Forest University Baptist Medical C, Medical Center Boulevard, Winston Salem, NC 27157-0001 | 2009-05-07 |
| 1972763357 | Wake Forest Baptist Imaging, LLC | Radiology | 265 Executive Park Blvd, Winston Salem, NC 27103-1503 | 2008-06-10 |
| 1942470844 | Q Brenda Ye | Radiology | 1 Medical Center Blvd Wfubmc Dept of Radiology, Winston Salem, NC 27157-0001 | 2008-03-06 |
| 1134151814 | Daniel Howard Golwyn Jr. | Radiology | Wake Forest School of Medicine, Medical Center Blvd., Winston Salem, NC 27157-1088 | 2006-07-06 |
| 1679530067 | Joseph C Contento | Radiology | 3155 Maplewood Avenue, Winston Salem, NC 27103 | 2006-04-28 |
| 1841279718 | Helena G Summers | Radiology | 3010 Trenwest Dr, Winston Salem, NC 27103-3208 | 2006-01-10 |
| 1952389009 | Wendell Stephen Myers | Radiology | 153 Club Pointe Dr, Winston Salem, NC 27104-3663 | 2006-01-08 |
| Find all providers in WINSTON SALEM | ||||
| City | WINSTON SALEM |
| Zip Code | 27157 |
Please comment or provide details below to improve the information on SHANE CHRISTOPHER MASTERS.
| 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.