IHAB MOURIS BOTROS SHENOUDA (NPI# 1265692537) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265692537 |
| Entity Type | Individual |
| Full Name | IHAB MOURIS BOTROS SHENOUDA |
| Credential | M.D. |
| Practice Address |
727 Se Main St Suite 130 Simpsonville SC 29681-3247 |
| Mailing Address |
1 Independence Pt Ste 212 Greenville SC 29615-4536 |
| Practice Telephone | 8644546560 |
| Mailing Telephone | 8647976303 |
| Enumeration Date | 2008-06-11 |
| Last Update Date | 2018-01-26 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 30962 | SC | Allopathic & Osteopathic Physicians |
| Street Address |
727 SE MAIN ST SUITE 130 |
| City | SIMPSONVILLE |
| State | SC |
| Zip Code | 29681-3247 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013989623 | Debra Ann Wagner | Internal Medicine | 727 Se Main St, Suite 300, Simpsonville, SC 29681-3247 | 2006-02-07 |
| 1619420650 | Nicole Elizabeth Welborn | Nurse Practitioner | 727 Se Main St, Suite 320, Simpsonville, SC 29681-3247 | 2016-07-26 |
| 1700248283 | Rebecca Strycharz | Specialist/Technologist | 727 Se Main St, Simpsonville, SC 29681-3247 | 2016-03-24 |
| 1891164224 | John-thomas Carson | Physician Assistant | 727 Se Main St, Suite 220, Simpsonville, SC 29681-3247 | 2015-09-16 |
| 1720476377 | Clarence Blyler Kugler | Physical Therapist | 727 Se Main St, Ste 200, Simpsonville, SC 29681-3247 | 2015-01-06 |
| 1558774331 | Andrew Royalty | Physical Therapist | 727 Se Main St, Ste 200, Simpsonville, SC 29681-3247 | 2014-06-09 |
| 1508281726 | Danielle Elizabeth Lacelle | Physical Therapist | 727 Se Main St, Ste 200, Simpsonville, SC 29681-3247 | 2014-02-25 |
| 1134551989 | Hannah Marie Fox | Physical Therapist | 727 Se Main St, Ste 200, Simpsonville, SC 29681-3247 | 2013-08-04 |
| 1528406550 | Renee Darlene Joseph | Internal Medicine | 727 Se Main St, Suite 300, Simpsonville, SC 29681-3247 | 2013-06-12 |
| 1659612703 | Adam Ridgdell | Physical Therapist | 727 Se Main St, Ste 200, Simpsonville, SC 29681-3247 | 2013-03-13 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851858013 | The Tot Spot of South Carolina | Dentist | 1334 S. Hwy 14, Simpsonville, SC 29681 | 2019-02-25 |
| 1194206540 | Lynnette Kathleen Beyerle | Nurse Practitioner | 227 N Main Street, Simpsonville, SC 29681 | 2018-08-23 |
| 1477030070 | Mena M Melek | Pharmacist | 115 Sc-14, Simpsonville, SC 29681 | 2018-07-26 |
| 1437673423 | Abby Elizabeth Meagher | Nurse Practitioner | 1338 South Carolina Highway 14, Simpsonville, SC 29681 | 2017-08-01 |
| 1326586447 | Brooke Huffman | Speech-Language Pathologist | 5 Moorgate Dr, Simpsonville, SC 29681 | 2017-02-09 |
| 1053869818 | A Ray of Sunshine | Home Health | 216 Chickamauga Ln, Simpsonville, SC 29681 | 2016-09-21 |
| 1679924195 | Guardian Angels of The Upstate | Licensed Practical Nurse | 117 Fairview Pointe Dr, Simpsonville, SC 29681 | 2016-06-27 |
| 1033560552 | Jimetta Littlejohn | Licensed Practical Nurse | 117 Fairview Pointe Drive, Simpsonville, SC 29681 | 2016-06-27 |
| 1932597473 | Peace and Comfort Care LLC, Home Health | Home Health | 3106 Bethel Rd Unit 55, Simpsonvill, SC 29681 | 2015-01-07 |
| 1093136830 | Kidbuilders LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 203 N. Maple St, Suite 8, Simpsonville, SC 29681 | 2013-12-20 |
| Find all providers in zip 29681 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| 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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003855578 | Brian Wayne Dach | Surgery | 727 Se Main St Ste 130, Simpsonville, SC 29681-3266 | 2006-06-06 |
| 1104920750 | Morgan Todd Milford Jr. | Surgery | 727 Se Main St, Suite 130, Simpsonville, SC 29681-3247 | 2006-09-12 |
| 1699883454 | Derek Scott Watson | Surgery | 727 Se Main St, Suite 130, Simpsonville, SC 29681-3247 | 2006-08-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538785282 | Christopher James Levy | Surgery | Prisma Health Medical Group General Surgery, 2 Medical Park, Ste 300, Collumbia, SC 29203 | 2020-06-18 |
| 1881219137 | Meredith Elizabeth Taylor | Surgery | 96 Jonathan Lucas St # 613, Charleston, SC 29425-8900 | 2020-06-12 |
| 1073136511 | Trey Jeffrey Mathews | Surgery | 101 E. Wood St, Spartanburg, SC 29303-3098 | 2020-05-19 |
| 1356984322 | Katelyn Tuley | Surgery | 210 Village Center Blvd Ste 140, Myrtle Beach, SC 29579-6706 | 2019-10-23 |
| 1477114569 | Justin Robert Silverman | Surgery | 169 Ashley Avenue, Room 202 Muh, Msc 333, Charleston, SC 29425 | 2019-06-28 |
| 1104485648 | Gregory Tyler Rives | Surgery | 96 Jonathan Lucas St Csb 423-a / Msc 613, Charleston, SC 29425-0001 | 2019-06-09 |
| 1396220554 | Spartanburg Medical Center | Surgery | 840 W Floyd Baker Blvd Ste B, Gaffney, SC 29341-1845 | 2018-10-03 |
| 1659853596 | Roper Saint Francis Physicians Network | Surgery | 300 Callen Blvd, Summerville, SC 29486-2809 | 2018-09-06 |
| 1336633569 | Lytani Wilson | Surgery | 96 Jonathan Lucas St # 423, Charleston, SC 29425 | 2018-06-20 |
| 1609360890 | Alicia Marie Stafford | Surgery | 169 Ashley Avenue Rm 202 Main Hospital, Msc333, Charleston, SC 29425 | 2018-06-20 |
| Find all providers with the same taxonomy | ||||
| City | SIMPSONVILLE |
| Zip Code | 29681 |
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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.