BRADEN ALAN SHOUPE (NPI# 1255315396) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1255315396 |
Entity Type | Individual |
Full Name | BRADEN ALAN SHOUPE |
Credential | M.D. |
Practice Address |
Landstuhl Regional Medical Center Bldg 3767 (9a) Apo AE 09810 DE |
Mailing Address |
3700 Fettler Park Dr Dumfries VA 22025-2050 DE |
Practice Telephone | 011 49 6371 86 5300 |
Practice Fax Number | 011 49 6371 86 8192 |
Mailing Telephone | 7034417500 |
Enumeration Date | 2005-12-02 |
Last Update Date | 2018-02-13 |
Gender Code | M |
Is Sole Proprietor | X |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2080P0207X |
Pediatrics Specialization: Pediatric Hematology-Oncology |
31072 | NC | Allopathic & Osteopathic Physicians |
Street Address |
LANDSTUHL REGIONAL MEDICAL CENTER BLDG 3767 (9A) |
City | APO |
State | AE |
Zip Code | 09810 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972502540 | Nabil S.h.a. Messiah | Physician Assistant | Landstuhl Regional Medical Center, Cmr402, Apo, AE 09180 | 2005-07-18 |
1699242909 | Jacqlyn Catherine Ann Sanchez | Nurse Practitioner | Landstuhl Regional Medical Center, Attn: Mceu-lst-cr Unit 33100, Apo, AE 09180-3100 | 2018-10-25 |
1851807663 | Mali D Langlie | Physician Assistant | Landstuhl Regional Medical Center, Occupational Health, Apo, AE 09180 | 2017-12-18 |
1205353877 | Annmarie Puttbrese | Registered Nurse | Landstuhl Regional Medical Center, Maternal Health Clinic, Apo, AE 09180 | 2017-08-24 |
1386160307 | Brandy J Love | Dietitian, Registered | Landstuhl Regional Medical Center, Cmr 402, Apo, AE 09180 | 2017-08-22 |
1447624069 | Loc Lam | Nurse Practitioner | Landstuhl Regional Medical Center, Cmr 402, Apo, AE 09180 | 2015-11-19 |
1093195786 | Carlie Gingrich | Speech-Language Pathologist | Landstuhl Regional Medical Center, Cmr 402, Apo, AE 09180 | 2015-06-08 |
1952789315 | Donald Royce Frazee II | Physician Assistant | Landstuhl Regional Medical Center, Cmr 402, Apo, AE 09180 | 2015-05-18 |
1043602139 | Aimee Elizabeth Graham | Dietitian, Registered | Landstuhl Regional Medical Center, Cmr 402, Apo, AE 09180 | 2015-02-26 |
1104246560 | Timothy Patrick Mccarthy | Orthopaedic Surgery | Landstuhl Regional Medical Center, Unit 33100, Apo, AE 09180-3100 | 2014-04-23 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811044928 | Julie Ann Somheil | Registered Nurse | Cmr 402, Apo, AE 09810 | 2007-01-04 |
Taxonomy Code | 2080P0207X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pediatrics |
Specialization | Pediatric Hematology-Oncology |
A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases. |
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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered. |
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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.