IVAN COURTNEY SHORTER (NPI# 1154338689) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154338689 |
| Entity Type | Individual |
| Full Name | IVAN COURTNEY SHORTER |
| Credential | D.O. |
| Practice Address |
1575 Highlands Dr Suite 204 Lititz PA 17543-7507 |
| Mailing Address |
351 Creekside Ln Lititz PA 17543-6811 |
| Practice Telephone | 7176272804 |
| Practice Fax Number | 7176272940 |
| Mailing Telephone | 3053893338 |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2013-04-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207L00000X | Anesthesiology | OS013175 | PA | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | OS013175 | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 102334947 | 05 | |
| PA | HIGHMARK BLUE SHIELD | 2119476 | 01 |
| PA | GATEWAY | 1584982 | 01 |
| Street Address |
1575 HIGHLANDS DR SUITE 204 |
| City | LITITZ |
| State | PA |
| Zip Code | 17543-7507 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215934609 | Tipu Faiz Muhammed Saleem | Internal Medicine | 1575 Highlands Dr, Suite 206, Lititz, PA 17543-7507 | 2005-06-30 |
| 1598131955 | Jessica Maguire | Registered Nurse | 1575 Highlands Dr, Suite 101, Lititz, PA 17543-7507 | 2015-08-19 |
| 1558768150 | Carolyn Dutcher | Registered Nurse | 1575 Highlands Dr, Suite 101, Lititz, PA 17543-7507 | 2014-11-25 |
| 1235544883 | Danielle Masland | Dietitian, Registered | 1575 Highlands Dr, Suite 201, Lititz, PA 17543-7507 | 2014-06-23 |
| 1932443504 | Vivian Carol Haughton | Clinical Nurse Specialist | 1575 Highlands Dr, Suite 101, Lititz, PA 17543-7507 | 2012-11-20 |
| 1710245014 | Kathryn Mccormick | Advanced Practice Midwife | 1575 Highlands Dr, Lititz, PA 17543-7507 | 2012-04-25 |
| 1003193046 | Pennsylvania Institute of Endocrinology LLC | Internal Medicine | 1575 Highlands Dr, Suite 206, Lititz, PA 17543-7507 | 2011-11-04 |
| 1003046681 | Terri Ann Mccormick | Registered Nurse | 1575 Highlands Dr, Suite 101, Lititz, PA 17543-7507 | 2009-07-17 |
| 1942447941 | Tonja H. M. Greene | Advanced Practice Midwife | 1575 Highlands Dr, Suite 101, Lititz, PA 17543-7507 | 2009-01-13 |
| 1083871347 | John Vakkas | Dentist | 1575 Highlands Dr, Suite 106, Lititz, PA 17543-7507 | 2008-05-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205306883 | Lauren Sue Topper | Pharmacist | 740 South Broad Street, Lititz, PA 17543 | 2018-11-27 |
| 1710478540 | Lancaster General Medical Group | Family Medicine | 51 Peters Rd Ste 101, Lititz, PA 17543 | 2018-05-29 |
| 1679062350 | Saima Sarmin Mukta | Family Medicine | Upmc Pinnacle Lititz, 1500 Highlands Dr, Lititz, PA 17543 | 2018-05-08 |
| 1073027488 | Bradford Todd Nicarry | Massage Therapist | 901 Rothsville Rd, Lititz, PA 17543 | 2017-11-21 |
| 1962929539 | Megan Sham | Occupational Therapist | 206 Starflower Vw, Lititz, PA 17543 | 2017-08-24 |
| 1124566815 | Stephanie Schultheisz | Speech-Language Pathologist | 58 E Center St, Lititz, PA 17543 | 2017-02-02 |
| 1720323975 | Gregory Robert James O'neill | Chiropractor | 766 Lititz Pike, Lititz, PA 17543 | 2012-11-29 |
| 1508132234 | J. Cornack Therapy Group LLC | Early Intervention Provider Agency | 604 Cournthouse Cir, Lititz, PA 17543 | 2012-03-27 |
| 1124338793 | T. W. Ponessa and Associates Counseling Services, Inc. | Community/Behavioral Health | 1001 Buckwalter Road, Lititz, PA 17543 | 2010-10-18 |
| 1518289420 | Pamela Lynn Noden | Counselor | 2320 Rothsville Rd Ste 103a, Lititz, PA 17543 | 2010-02-18 |
| Find all providers in zip 17543 | ||||
| Taxonomy Code | 207L00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery. |
| 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 Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679865513 | Daniel David Wert | Anesthesiology | 129 Winterberry Ct, Lititz, PA 17543-7401 | 2011-05-11 |
| 1245351147 | Community Anesthesia Associates, Ltd. | Anesthesiology | 1575 Highlands Dr Ste 200b, Lititz, PA 17543-7507 | 2007-04-02 |
| 1609495506 | Katerina Grynyshin | Anesthesiology | 1500 Highlands Dr, Lititz, PA 17543-7694 | 2020-04-10 |
| 1730749599 | Nicholas Lefevre | Anesthesiology | 1500 Highlands Dr, Lititz, PA 17543-7694 | 2019-06-14 |
| 1225697253 | Lauren Hammell | Anesthesiology | 1500 Highlands Dr, Lititz, PA 17543-7694 | 2019-06-12 |
| 1518459742 | Danielle Cook | Anesthesiology | 1500 Highlands Dr, Lititz, PA 17543-7694 | 2018-06-04 |
| 1407347149 | Abigail Kushner | Anesthesiology | 1500 Highlands Dr, Lititz, PA 17543-7694 | 2018-05-29 |
| 1073048831 | Tara Rose-sukhapinda Secor | Anesthesiology | 1500 Highlands Dr, Lititz, PA 17543-7694 | 2017-04-28 |
| 1518492446 | Jonathan Deboer | Anesthesiology | 1500 Highlands Dr, Lititz, PA 17543-7694 | 2017-04-28 |
| 1013379981 | Chelsea Cambria | Anesthesiology | 1500 Highlands Dr, Lititz, PA 17543-7694 | 2016-03-22 |
| Find all providers in LITITZ | ||||
Please comment or provide details below to improve the information on IVAN COURTNEY SHORTER.
| 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.