FADI ABU SHAHIN (NPI# 1265608806) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1265608806 |
Entity Type | Individual |
Full Name | FADI ABU SHAHIN |
Credential | MD |
Practice Address |
8931 Colonial Center Dr Suite 400 Fort Myers FL 33905-7809 |
Mailing Address |
2234 Colonial Blvd Attn: Managed Care Dept Fort Myers FL 33907-1412 |
Practice Telephone | 2393346626 |
Practice Fax Number | 2393340404 |
Mailing Telephone | 2399317342 |
Mailing Fax Number | 2399317385 |
Enumeration Date | 2008-05-04 |
Last Update Date | 2017-04-18 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207VX0201X |
Obstetrics & Gynecology Specialization: Gynecologic Oncology |
ME104963 | FL | Allopathic & Osteopathic Physicians |
N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | WELLCARE-MEDICARE AND MEDICAID | 1002617 | 01 |
FL | CIGNA | 3377068 | 01 |
FL | MEDICAID | 001279900 | 01 |
FL | BCBS FL | 145ZM | 01 |
Street Address |
8931 COLONIAL CENTER DR SUITE 400 |
City | FORT MYERS |
State | FL |
Zip Code | 33905-7809 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306843370 | James W. Orr Jr. | Obstetrics & Gynecology | 8931 Colonial Center Dr, Suite 400, Fort Myers, FL 33905-7816 | 2005-07-05 |
1457833196 | Jessica Isaacs | Genetic Counselor, MS | 8931 Colonial Center Dr, Fort Myers, FL 33905-7809 | 2018-08-29 |
1902291263 | Keisha Miller | Nurse Practitioner | 8931 Colonial Center Dr, Suite100, Fort Myers, FL 33905-7809 | 2015-04-03 |
1053703454 | 21st Century Oncology LLC | Urology | 8931 Colonial Center Dr, Suite 100, Fort Myers, FL 33905-7809 | 2015-02-23 |
1396134961 | Christina Clark | Physician Assistant | 8931 Colonial Center Dr, Suite 301, Fort Myers, FL 33905-7809 | 2015-01-20 |
1912303389 | Gabriella Brock | Pharmacist | 8931 Colonial Center Dr, Suite 200, Fort Myers, FL 33905-7809 | 2014-11-13 |
1447650270 | Kristen Marlene Kirdahy | Pharmacist | 8931 Colonial Center Dr, Suite 200 - Pharmacy, Fort Myers, FL 33905-7809 | 2014-08-29 |
1144632217 | Sousan Yazdi Black | Nurse Practitioner | 8931 Colonial Center Dr, Suite 300, Fort Myers, FL 33905-7809 | 2014-05-23 |
1841614237 | Ma Antonietta Orlang | Registered Nurse | 8931 Colonial Center Dr, Suite 302, Fort Myers, FL 33905-7809 | 2014-02-06 |
1073864526 | Michael David Cook | Physician Assistant | 8931 Colonial Center Dr, Suite 100, Fort Myers, FL 33905-7809 | 2012-09-24 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811476211 | Lisa Nicole Campbell | Nurse Practitioner | 2850 Via Campania St, Fort Myers, FL 33905 | 2018-08-07 |
1538670260 | Doctorguarin LLC | Clinic/Center | 3143 Antica St, Fort Myers, FL 33905 | 2017-10-20 |
1366828931 | Dawn Bradley Arnp Pllc | Nurse Practitioner | 3056 Champion Ring Rd, Ft Myers, FL 33905 | 2015-08-06 |
1720480551 | Yohana Pierre Villarroel | Licensed Practical Nurse | 2789 Ortiz Ave., Fort Myers, FL 33905 | 2014-09-24 |
1639592090 | Hamprenate Service | Case Manager/Care Coordinator | 2789 Oritz Avenue, Fort Myere, FL 33905 | 2014-01-21 |
1255688743 | Ronak B Patel | Pharmacist | 9365 Via Murano Ct, Fort Myers, FL 33905 | 2012-08-14 |
1477824852 | Joseph Francis Kusiak | Plastic Surgery | 3320 Shady Bend, Fort Myers, FL 33905 | 2012-01-18 |
1336447838 | Vicky Brooks | Nurse Practitioner | 8960 Colonial Center Dr Ste 300, Fort Myers, FL 33905 | 2011-03-08 |
1790898666 | Access Medical South, Lc | Durable Medical Equipment & Medical Supplies | 5701 Country Lakes Dr., Suite 20, Ft. Myers, FL 33905 | 2006-08-16 |
1780691600 | Arthur Lee Strauss | Social Worker | 6000 South Dixie Hwy, Suite B, West Palm Beach, FL 33905 | 2006-08-02 |
Find all providers in zip 33905 |
Taxonomy Code | 207VX0201X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Obstetrics & Gynecology |
Specialization | Gynecologic Oncology |
An obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316981194 | Genesiscare Usa of Florida LLC | Obstetrics & Gynecology | 8931 Colonial Center Dr Ste 400, Fort Myers, FL 33905-7809 | 2006-06-15 |
1306843370 | James W. Orr Jr. | Obstetrics & Gynecology | 8931 Colonial Center Dr, Suite 400, Fort Myers, FL 33905-7816 | 2005-07-05 |
1669479747 | Edward C. Grendys Jr. | Obstetrics & Gynecology | 8931 Colonial Center Dr, Suite 400, Fort Myers, FL 33905-7816 | 2005-07-05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487168233 | Gynecologic Oncology & Urogynecology | Obstetrics & Gynecology | 1150 N 35th Ave Ste 670, Hollywood, FL 33021 | 2017-11-30 |
1851738793 | Christopher De Haydu | Obstetrics & Gynecology | 1121 Nw 14th St Dept Gyn, Miami, FL 33136-2106 | 2013-06-02 |
1811330897 | Maria Paula Ruiz | Obstetrics & Gynecology | 6400 W Newberry Rd Ste 103, Gainesville, FL 32605-4384 | 2013-04-09 |
1992005086 | Jocelyn Garcia-sayre | Obstetrics & Gynecology | 5000 University Dr Ste 3300, Coral Gables, FL 33146-2008 | 2010-10-24 |
1063641827 | Kenneth Daniel Webster | Obstetrics & Gynecology | 3825 Sw 86th St., Gainesville, FL 32608-7901 | 2009-07-14 |
1942444526 | Mostafa A Selim | Obstetrics & Gynecology | 338 Wellington Dr., Palm Coast, FL 32164 | 2009-04-27 |
1063670255 | Women's Choice Oncology, Pllc | Obstetrics & Gynecology | 3425 University Parkway Unit 102, Sarasota, FL 34243 | 2008-05-25 |
1912197641 | Gyn Oncology Associates Pl | Obstetrics & Gynecology | 2617 Mitcham Dr Ste 101, Tallahassee, FL 32308-5479 | 2007-07-30 |
1336368547 | Stacey Ann South | Obstetrics & Gynecology | 3425 University Pkwy Unit 102, Sarasota, FL 34243-4271 | 2007-04-25 |
1982766044 | Philip Townsend Md Pa | Obstetrics & Gynecology | 675 Harvard St, Brooksville, FL 34601-2823 | 2006-12-15 |
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City | FORT MYERS |
Zip Code | 33905 |
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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.