SHENANDOAH MEDICAL CENTER (NPI# 1184021602) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184021602 |
| Entity Type | Organization |
| Organization Name | SHENANDOAH MEDICAL CENTER |
| Practice Address |
300 Pershing Ave Shenandoah IA 51601-2355 |
| Practice Telephone | 7122461230 |
| Practice Fax Number | 7122467357 |
| Mailing Telephone | 7122461230 |
| Mailing Fax Number | 7122467357 |
| Enumeration Date | 2014-11-26 |
| Last Update Date | 2014-11-26 |
| Authorized Official Name | KAREN S COLE (CEO) |
| Authorized Official Telephone | 7122461230 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208M00000X | Hospitalist | 730065H | IA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467841726 | Shenandoah Medical Center | Internal Medicine | 101 E Reed St, Red Oak, IA 51566 | 2015-01-09 |
| 1558766956 | Shenandoah Medical Center | Clinic/Center | 527 Iowa Ave, Essex, IA 51638-8076 | 2014-10-28 |
| 1790840239 | Shenandoah Medical Center | Home Health | 300 Park Avenue, Shenandoah, IA 51601-2355 | 2006-12-26 |
| 1700941648 | Shenandoah Medical Center | Clinic/Center | 802 Illinois St, Sidney, IA 51652-0217 | 2006-12-22 |
| 1609862887 | Shenandoah Medical Center | Nursing Facility/Intermediate Care Facility | 1203 S Elm St, Shenandoah, IA 51601-2221 | 2005-09-23 |
| 1184621096 | Shenandoah Medical Center | General Acute Care Hospital | 300 Pershing Ave, Shenandoah, IA 51601-2355 | 2005-07-07 |
| 1508487547 | Shenandoah Medical Center | Clinic/Center | 713 Main St, Tabor, IA 51653-2031 | 2020-04-30 |
| 1174908362 | Shenandoah Medical Center | Internal Medicine | 300 Pershing Ave, Shenandoah, IA 51601-2355 | 2015-07-29 |
| 1497150825 | Shenandoah Medical Center | Clinic/Center | 802 Illinois St, Sidney, IA 51652-8028 | 2014-10-28 |
| 1184033300 | Shenandoah Medical Center | Nurse Practitioner | 1 Jack Foster Dr, Shenandoah, IA 51601-4586 | 2014-08-13 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | SHENANDOAH MEDICAL CENTER | 300 Pershing Ave, Shenandoah, IA 51601-2355 |
| Iowa Business Entities | SHENANDOAH MEDICAL CENTER | 300 Pershing Ave., Shenandoah, IA 51601 |
| Iowa Business Entities | SHENANDOAH MEDICAL CENTER FOUNDATION | 300 Pershing Ave, Shenandoah, IA 51601 |
| Street Address |
300 PERSHING AVE |
| City | SHENANDOAH |
| State | IA |
| Zip Code | 51601-2355 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184621096 | Shenandoah Medical Center | General Acute Care Hospital | 300 Pershing Ave, Shenandoah, IA 51601-2355 | 2005-07-07 |
| 1952914566 | Dena Herzberg | Nurse Practitioner | 300 Pershing Ave, Shenandoah, IA 51601-2355 | 2020-08-25 |
| 1104317379 | Denise J Mcenaney | Dietitian, Registered | 300 Pershing Ave, Shenandoah, IA 51601-2355 | 2018-05-23 |
| 1730697681 | Jessica Anne Heitkamp | Nurse Practitioner | 300 Pershing Ave, Shenandoah, IA 51601-2355 | 2018-01-12 |
| 1073964854 | Ashlee Jo Richardson | Physical Therapist | 300 Pershing Ave, Shenandoah, IA 51601-2355 | 2016-06-23 |
| 1447609300 | Logan J Kopf | Nurse Anesthetist, Certified Registered | 300 Pershing Ave, Shenandoah, IA 51601-2355 | 2016-06-10 |
| 1154797876 | Shala Davidson | Nutritionist | 300 Pershing Ave, Shenandoah, IA 51601-2355 | 2015-08-17 |
| 1174908362 | Shenandoah Medical Center | Internal Medicine | 300 Pershing Ave, Shenandoah, IA 51601-2355 | 2015-07-29 |
| 1194079954 | Shenandoah Medical Center | Durable Medical Equipment & Medical Supplies | 300 Pershing Ave, Shenandoah, IA 51601-2355 | 2012-11-01 |
| 1073874343 | Stephanie Eide | Occupational Therapist | 300 Pershing Ave, Shenandoah, IA 51601-2355 | 2012-06-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336589969 | Jenifer Ann Deziel | Nurse Practitioner | Shenandoah Medical Center, 300 Pershing Avenue, Shenandoah, IA 51601 | 2013-06-27 |
| 1154621282 | Md West One, PC | Neurological Surgery | 1 Jack Foster Drive, Shenandoah, IA 51601 | 2010-10-22 |
| 1912119124 | Swfac Plc | Podiatrist | 813 Church St., Shenandoah, IA 51601 | 2007-05-03 |
| 1134246895 | David Carroll Dickson | Pedorthist | 612 W. Sheridan Avenue, Shenandoah, IA 51601 | 2007-03-26 |
| 1558433037 | Joseph Patrick Emge | Dentist | 301 Maple St, Suite 3, Shenandoah, IA 51601 | 2006-11-14 |
| 1487766309 | Scott Richard King | Obstetrics & Gynecology | 300 Pershing Avenue, Shenandoah, IA 51601 | 2006-08-31 |
| 1801904933 | Marvin E Belknap | Dentist | 617 West Thomas, Shenandoah, IA 51601 | 2006-08-28 |
| 1083687636 | Charles J Peterson Dc PC | Chiropractor | 1203 W Sheridan Ave, Shenandoah, IA 51601 | 2006-02-13 |
| 1467692152 | Carol A Stehlik | Nutritionist | 300 Pershing Avenue, Shenandoah, IA 51601-0382 | 2009-02-20 |
| 1265526248 | Nishna Productions, Inc. | Community/Behavioral Health | 902 Day St, Shenandoah, IA 51601-1106 | 2006-10-03 |
| Find all providers in zip 51601 | ||||
| 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 |
|---|---|---|---|---|
| 1598226359 | James Camp | Hospitalist | 9250 Pinecroft Dr Ste N2.101, Shenandoah, TX 77380-3218 | 2019-03-26 |
| 1891283396 | Memorial Hermann Medical Group | Hospitalist | 9250 Pinecroft Dr, Shenandoah, TX 77380-3218 | 2018-04-30 |
| 1043606650 | Saba Ahmed | Hospitalist | 9250 Pinecroft Dr # N2.101, Shenandoah, TX 77380-3218 | 2015-04-09 |
| 1891189817 | Andrew Kim | Hospitalist | 9250 Pinecroft Dr # N2.101, Shenandoah, TX 77380-3218 | 2015-03-27 |
| 1801216676 | Jessica Berry | Hospitalist | 9250 Pinecroft Dr # N2.101, Shenandoah, TX 77380-3218 | 2014-04-21 |
| 1114231636 | Oluwadamilola Abisola Romiluyi | Hospitalist | 9250 Pinecroft Dr # N2.101, Shenandoah, TX 77380-3218 | 2010-07-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710474259 | Bashar H. H. Abuqayas | Hospitalist | 200 Hawkins Dr, Se 636 Gh, Uihc-internal Medicine, Iowa City, IA 52242 | 2018-04-19 |
| 1063962710 | Oyakhire C Ofori | Hospitalist | 1577 25th Street, Davenport, IA 52722-0000 | 2016-10-06 |
| 1336411685 | Jagpal Singh Suman | Hospitalist | 3421 West 9th Street, Waterloo, IA 50702 | 2012-02-02 |
| 1881893253 | Quad Cities Infectious Diseases, LLC | Hospitalist | 3385 Dexter Ct Ste 140, Davenport, IA 52807-3471 | 2007-07-16 |
| 1265437081 | Richard L. Glenn Jr. | Hospitalist | 1215 Duff Ave, Ames, IA 50010-5400 | 2005-06-17 |
| 1841716651 | Monica D Wescott | Hospitalist | 1215 Pleasant St Ste 400, Des Moines, IA 50309-1418 | 2017-08-15 |
| 1548782964 | Laura Ann Armstrong | Hospitalist | 1200 1st Ave E, Spencer, IA 51301-4330 | 2017-07-07 |
| 1184150476 | Alan Sutton | Hospitalist | 1221 S Gear Ave, West Burlington, IA 52655-1679 | 2017-05-04 |
| 1346796646 | Jonas Mieczyslaw Kwiatkowski | Hospitalist | 1000 4th St Sw, Mason City, IA 50401-2800 | 2016-08-28 |
| 1477904589 | Priyadarshini Gangula | Hospitalist | 1111 Duff Ave, Ames, IA 50010 | 2016-06-29 |
| Find all providers with the same taxonomy | ||||
| City | SHENANDOAH |
| Zip Code | 51601 |
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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.