SATISH P SHANBHAG (NPI# 1215140454) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215140454 |
| Entity Type | Individual |
| Full Name | SATISH P SHANBHAG |
| Credential | MD,MPH |
| Practice Address |
2370 Market Dr Fleming Island FL 32003-4326 |
| Mailing Address |
7015 A C Skinner Pkwy Ste 1 Jacksonville FL 32256-6932 |
| Practice Telephone | 9042646201 |
| Practice Fax Number | 9042646858 |
| Mailing Telephone | 9043632113 |
| Mailing Fax Number | 9043632606 |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2020-05-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | L2568 | AL | Allopathic & Osteopathic Physicians |
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
ME143428 | FL | Allopathic & Osteopathic Physicians |
| N | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
D70907 | MD | Allopathic & Osteopathic Physicians |
| N | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
MT191302 | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 652111800 | 05 | |
| FL | MEDICARE | L3890 | 01 |
| FL | RAILROAD MEDICARE | P02444215 | 01 |
| FL | 105246400 | 05 | |
| FL | FLORIDA BLUE | NHFDE | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4940 Eastern Ave, Baltimore, MD 212242735 | 4105505850 |
| Street Address |
2370 MARKET DR |
| City | FLEMING ISLAND |
| State | FL |
| Zip Code | 32003-4326 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053316190 | Mehdi M Moezi | Internal Medicine | 2370 Market Dr, Fleming Island, FL 32003-4326 | 2005-06-16 |
| 1386167229 | Stacie Lynn Anderson | Social Worker | 2370 Market Dr, Fleming Island, FL 32003-4326 | 2017-07-24 |
| 1639513757 | Brian John Deegan | Radiology | 2370 Market Dr, Fleming Island, FL 32003 | 2013-04-19 |
| 1023227691 | Hema Madhavi Vankayala | Internal Medicine | 2370 Market Dr, Fleming Island, FL 32003-4326 | 2007-05-21 |
| 1699824946 | Christine Ko Bang | Radiology | 2370 Market Dr, Fleming Island, FL 32003-4326 | 2007-01-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649758012 | Pruitthealth - Fleming Island, LLC | Skilled Nursing Facility | 2040 Town Center Boulevard, Fleming Island, FL 32003 | 2018-07-30 |
| 1841733904 | Linda Giacobbe | Community/Behavioral Health | 4609 Hwy 17, Suite 1, Fleming Island, FL 32003 | 2016-11-22 |
| 1538515796 | Kelly Standish | Dentist | 1700 Eagle Harbor Parkway East, Orange Park, FL 32003 | 2016-05-06 |
| 1396119301 | Emily Benn | Physical Therapist | 4689 Hwy 17, Suite 11, Fleming Island, FL 32003 | 2015-11-16 |
| 1467834929 | Sherrye Frady | Nurse Practitioner | 1915 East West Pkwy #2, Fleming Island, FL 32003 | 2015-06-22 |
| 1023497658 | Musa Medical Supplies | Durable Medical Equipment & Medical Supplies | 1915 Eastwest Parkway, Fleming Island, FL 32003 | 2015-05-28 |
| 1093125676 | Stephen Gibbs | Orthopaedic Surgery | 4689 Highway 17, Suite 11, Fleming Island, FL 32003 | 2014-05-05 |
| 1033555198 | Lillie Elaine Switanek | Social Worker | 1 743 Cr 220, Fleming Island, FL 32003 | 2013-05-16 |
| 1003188475 | Comfortable Care Dental Health Professionals | Dentist | 1647 Country Road 220, Suite 101, Fleming Island, FL 32003 | 2012-02-01 |
| 1285901488 | Lynzie Lane Cammilleri | Pharmacist | 1565 Doctor's Inlet, Orange Park, FL 32003 | 2011-11-17 |
| Find all providers in zip 32003 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053316190 | Mehdi M Moezi | Internal Medicine | 2370 Market Dr, Fleming Island, FL 32003-4326 | 2005-06-16 |
| 1801891288 | Jeffrey A Bubis | Internal Medicine | 4689 Us Highway 17 Ste 2-5, Fleming Island, FL 32003-4831 | 2005-06-14 |
| 1558796151 | Integrated Community Oncology Network LLC | Internal Medicine | 1677 Eagle Harbor Pkwy, Suite A, Fleming Island, FL 32003-4802 | 2013-09-13 |
| 1790756450 | Elizabeth C. Kent | Internal Medicine | 4689 Us Highway 17 Ste 2-5, Fleming Island, FL 32003-4831 | 2006-01-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194343210 | Jayaben Patel | Internal Medicine | 11818 Shire Wycliffe Ct, Tampa, FL 33626-3329 | 2020-07-07 |
| 1922628833 | Heme Onc Call, LLC | Internal Medicine | 5825 Sw 117th St, Pinecrest, FL 33156-5007 | 2020-04-21 |
| 1457851552 | Yvette M Herrington | Internal Medicine | 425 S Parsons Ave Ste 101, Brandon, FL 33511-5290 | 2018-02-15 |
| 1104360221 | Mid Florida Hematology and Oncology Centers Pa | Internal Medicine | 658 Oviedo Medical Drive, Oviedo, FL 32765 | 2016-12-08 |
| 1225424369 | Florence Arnold | Internal Medicine | 3830 Bee Ridge Rd Ste 301, Sarasota, FL 34233 | 2015-04-15 |
| 1073901187 | Edward Mcaloon | Internal Medicine | 108 Homeport Dr, Palm Harbor, FL 34683-5409 | 2014-12-26 |
| 1063818235 | Barry M. Krein | Internal Medicine | 4220 Careywood Dr, Melbourne, FL 32934-7679 | 2014-11-14 |
| 1912311630 | David Longacre | Internal Medicine | 2439 Weymouth Dr, Clearwater, FL 33764-6556 | 2014-06-20 |
| 1508270778 | Gerard Chaaya | Internal Medicine | 4306 Alton Rd Fl 3, Miami Beach, FL 33140-2840 | 2014-06-16 |
| 1982026670 | Mid Florida Hematology and Oncology Centers Pa | Internal Medicine | 2100 W 1st St, Sanford, FL 32771-1603 | 2014-01-14 |
| Find all providers with the same taxonomy | ||||
| City | FLEMING ISLAND |
| Zip Code | 32003 |
Please comment or provide details below to improve the information on SATISH P SHANBHAG.
| 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.