SHANDA L J MORRIS MD, PLLC (NPI# 1275665143) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275665143 |
| Entity Type | Organization |
| Organization Name | SHANDA L J MORRIS MD, PLLC |
| Practice Address |
1120 Mccann Dr Winchester KY 40391-1157 |
| Practice Telephone | 8597440032 |
| Practice Fax Number | 8597440154 |
| Mailing Telephone | 8597440032 |
| Mailing Fax Number | 8597440154 |
| Enumeration Date | 2007-03-09 |
| Last Update Date | 2012-09-28 |
| Authorized Official Name | SHANDA L MORRIS (OWNER) |
| Authorized Official Telephone | 8597440032 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | ANTHEM-SM | 000000051565 | 01 |
| KY | ANTHEM-MA | 000000311801 | 01 |
| Street Address |
1120 MCCANN DR |
| City | WINCHESTER |
| State | KY |
| Zip Code | 40391-1157 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255838710 | Sharrock Strength and Rehab LLC | Clinic/Center | 1932 Bypass Road, Winchester, KY 40391 | 2018-04-11 |
| 1316264385 | Yvonne Marie Pendleton | Massage Therapist | 126 Professional Ave., Winchester, KY 40391 | 2010-04-29 |
| 1346478310 | Mack Anderson Kidd IIi | Registered Nurse | 105 Lindberg Rd., Winchester, KY 40391 | 2009-06-29 |
| 1043487572 | Rankin Douglas Skinner | Dentist | 726 Boonesboro Plaza, Winchester, KY 40391 | 2008-05-14 |
| 1427233592 | Clark County Health Department | Public Health or Welfare | 244 E. Broadway, Shearer Elementary School, Winchester, KY 40391 | 2008-01-08 |
| 1437334505 | Clark County Health Department | Public Health or Welfare | 250 N. Main St., Fannie Bush Elementary, Winchester, KY 40391 | 2008-01-08 |
| 1598886251 | Winchester Open Mri | Radiology | 475 Shoppers Village Drive, Winchester, KY 40391 | 2007-04-02 |
| 1265509285 | James Warren Rice | Orthopaedic Surgery | 400 Shoppers Dr, Winchester, KY 40391 | 2006-11-29 |
| 1932279262 | J Todd Scobee Dmd Psc | Clinic/Center | 1216 West Lexington Ave, Winchester, KY 40391 | 2006-11-08 |
| 1396823936 | Commonwealth Urology, Psc | Urology | 68 East Elkin Street, Stanton, KY 40391 | 2006-11-01 |
| Find all providers in zip 40391 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679190441 | Antoaneta Angelova Fitzpatrick | Family Medicine | 607 Pritchards Hill Ct, Winchester, VA 22601-2653 | 2020-06-28 |
| 1851877310 | Acare Medical Center,llc | Family Medicine | 125 Prosperity Dr Ste 800, Winchester, VA 22602-5362 | 2018-07-17 |
| 1639679913 | Fast Pace Medical Clinic Pllc | Family Medicine | 2401 Decherd Blvd, Winchester, TN 37398-1164 | 2018-02-13 |
| 1255842506 | Valley Physician Enterprise, Inc | Family Medicine | 160 Merchant Street, Ste 100, Winchester, VA 22603 | 2017-10-13 |
| 1255851531 | Boden Health System LLC | Family Medicine | 125 Prosperity Dr Ste 500, Winchester, VA 22602-5361 | 2017-06-27 |
| 1952750242 | Morgan Santhamoorthy | Family Medicine | 203 Cambridge St, Winchester, MA 01890-2338 | 2016-06-07 |
| 1285048751 | Akolea K Ioane | Family Medicine | 1870 Amherst St Ste 2g, Winchester, VA 22601-2841 | 2014-06-12 |
| 1902192941 | Bryan D Grooms | Family Medicine | Po Box 155, Winchester, OH 45697-0155 | 2011-06-28 |
| 1891098620 | The Family Doctor's Office Plc | Family Medicine | 440 W Jubal Early Dr Ste 120, Winchester, VA 22601-6319 | 2010-12-16 |
| 1003040072 | Kentucky Bariatric, Inc | Family Medicine | 4925 Rockwell Road, Winchester, KY 40391-1928 | 2009-05-06 |
| Find all providers in WINCHESTER | ||||
| City | WINCHESTER |
| Zip Code | 40391 |
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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.