MINDY SUE SHAPIRO (NPI# 1114001112) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114001112 |
| Entity Type | Individual |
| Full Name | MINDY SUE SHAPIRO |
| Credential | MD |
| Practice Address |
401 Bicentennial Way Santa Rosa CA 95403-2149 |
| Mailing Address |
1800 Harrison St Fl 7 Oakland CA 94612-3429 |
| Practice Telephone | 7075714000 |
| Mailing Telephone | 5106256262 |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2020-03-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 5798 | NV | Allopathic & Osteopathic Physicians |
| N | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
5798 | NV | Allopathic & Osteopathic Physicians |
| Y | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
C51272 | CA | Allopathic & Osteopathic Physicians |
| N | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
5798 | NV | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00C512720 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1155 Mill St, Reno, NV 895021576 | 7759827878 | 7759824196 |
| Street Address |
401 BICENTENNIAL WAY |
| City | SANTA ROSA |
| State | CA |
| Zip Code | 95403-2149 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649276940 | Virginia E Hofmann | Psychiatry & Neurology | 401 Bicentennial Way, Department of Psychiatry, Santa Rosa, CA 95403-2149 | 2005-06-22 |
| 1376142646 | Denny Jeb Piolo Sta Ana | Respiratory Therapist, Registered | 401 Bicentennial Way, Santa Rosa, CA 95403-2149 | 2020-10-19 |
| 1417564915 | Nancy Patricia Prussiamerritt | Respiratory Therapist, Registered | 401 Bicentennial Way, Santa Rosa, CA 95403-2149 | 2020-09-28 |
| 1629682042 | Mio John Villagomez | Respiratory Therapist, Registered | 401 Bicentennial Way, Santa Rosa, CA 95403-2149 | 2020-09-02 |
| 1679181861 | Miriam Stone | Respiratory Therapist, Registered | 401 Bicentennial Way, Santa Rosa, CA 95403-2149 | 2020-07-14 |
| 1902414196 | Brenda L Yates | Respiratory Therapist, Registered | 401 Bicentennial Way, Santa Rosa, CA 95403-2149 | 2020-07-14 |
| 1215550801 | John Callander | Student in an Organized Health Care Education/Training Program | 401 Bicentennial Way, Santa Rosa, CA 95403-2149 | 2020-05-18 |
| 1124649074 | Gustavo Gabriel Romero | Student in an Organized Health Care Education/Training Program | 401 Bicentennial Way, Santa Rosa, CA 95403-2149 | 2020-05-01 |
| 1184244147 | Kimberly Hower | Student in an Organized Health Care Education/Training Program | 401 Bicentennial Way, Santa Rosa, CA 95403-2149 | 2020-04-20 |
| 1316574452 | Constantine Kulkoff | Student in an Organized Health Care Education/Training Program | 401 Bicentennial Way, Santa Rosa, CA 95403-2149 | 2020-03-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912549841 | Abundance Acupuncture Healing Clinic | Acupuncturist | 3410 Mendocino Avenue, Santa Rosa, CA 95403 | 2019-10-11 |
| 1982161337 | Crystal J Ward | Registered Nurse | 2350 Mendocino Ave, Ste A4, Santa Rosa, CA 95403 | 2019-02-21 |
| 1033674379 | George Edward Griese | Respiratory Therapist, Registered | 501 Bicentennial Way, Santa Rosa, CA 95403 | 2019-01-31 |
| 1508320672 | East-west Natural Medicine Inc. | Acupuncturist | 2200 Range Ave #207, Santa Rosa, CA 95403 | 2019-01-23 |
| 1316410640 | Lionel C Cooper | Counselor | 315 Mark West Springs Road, Santa Rosa, CA 95403 | 2019-01-09 |
| 1326519182 | Jkb Solutions Inc. | In Home Supportive Care | 3554 Round Barn Boulevard, Suite 311, Santa Rosa, CA 95403 | 2018-12-05 |
| 1487121265 | Catholic Charities of The Diocese of Santa Rosa | Clinic/Center | 987 Airway Ct, Santa Rosa, CA 95403 | 2018-10-30 |
| 1447746524 | Lisa Jean Quang | Optometrist | 3925 Old Redwood, Medical Office Building 4, Suite 141, Santa Rosa, CA 95403 | 2018-07-02 |
| 1598253353 | Jennifer Renee Lummus | Community Health Worker | 3614 Condo Court, Santa Rosa, CA 95403 | 2018-04-27 |
| 1871042366 | Sadie Thuet | Marriage & Family Therapist | 3434 A Mendocino Ave, Santa Rosa, CA 95403 | 2016-09-26 |
| Find all providers in zip 95403 | ||||
| Taxonomy Code | 207RC0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Critical Care Medicine |
| An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891896163 | Kenneth Cecil Lamb | Internal Medicine | 122 Calistoga Rd # 399, Santa Rosa, CA 95409-3702 | 2006-09-26 |
| 1548298060 | James Marco Steele | Internal Medicine | 3867 Montgomery Dr, Santa Rosa, CA 95405-5244 | 2006-06-30 |
| 1588690051 | Daniel I Loube | Internal Medicine | 3622 Orbetello Ct., Santa Rosa, CA 95404 | 2006-06-24 |
| 1528021490 | Vu Anh Tran | Internal Medicine | 4710 Hoen Ave # B, Santa Rosa, CA 95405-7887 | 2006-04-10 |
| 1427052851 | Vadim Leyenson | Internal Medicine | 95 Montgomery Dr Ste 104, Santa Rosa, CA 95404-6617 | 2005-06-13 |
| 1952603177 | Northern California Medical Assoc Inc | Internal Medicine | 3867 Montgomery Dr, Santa Rosa, CA 95405-5244 | 2010-11-19 |
| 1912081902 | Monica Minguillon | Internal Medicine | 401 Bicentennial Way, Santa Rosa, CA 95403-2149 | 2006-10-25 |
| 1316917883 | Hyun Kang | Internal Medicine | 1165 Montgomery Dr, Santa Rosa, CA 95405-4801 | 2006-01-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386245082 | Oc Pulmonary & Sleep, Inc | Internal Medicine | 14642 Newport Ave #101, Irvine, CA 92780-6058 | 2020-11-08 |
| 1295332633 | Compassionate Critical Care Group, Inc. | Internal Medicine | 22543 Ventura Blvd Ste 220, Woodland Hills, CA 91364-1403 | 2020-10-08 |
| 1972149748 | Bay Area Neurointensivists Inc | Internal Medicine | 3066 Deer Meadow Dr, Danville, CA 94506-2135 | 2019-11-26 |
| 1356903298 | Benjamin R Deaton Md Inc. | Internal Medicine | 7468 Muirwood Ct, Pleasanton, CA 94588-4232 | 2019-07-01 |
| 1851950232 | Riverside Medical Clinic Inc | Internal Medicine | 4100 Central Ave Ste 201, Riverside, CA 92506-2930 | 2019-06-10 |
| 1407414329 | Riverside Medical Clinic Inc | Internal Medicine | 2079 Compton Ave Ste A101, Corona, CA 92881-7284 | 2019-06-05 |
| 1144718875 | Jeffrey Tobias | Internal Medicine | 10 Lavender Ter, Petaluma, CA 94952-4938 | 2018-04-27 |
| 1780187229 | Jesse Robles | Internal Medicine | 651 Sunnyside Ave, San Diego, CA 92114-4945 | 2018-03-12 |
| 1710403183 | Excelcare | Internal Medicine | 2400 Chester Ave, Bakersfield, CA 93301-4020 | 2017-08-17 |
| 1255865549 | Liou Medical Inc | Internal Medicine | 17310 Evening Star Ave, Cerritos, CA 90703-8318 | 2017-04-13 |
| Find all providers with the same taxonomy | ||||
| City | SANTA ROSA |
| Zip Code | 95403 |
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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.