SHANE TIMOTHY DESIMONE (NPI# 1285736462) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285736462 |
| Entity Type | Individual |
| Full Name | SHANE TIMOTHY DESIMONE |
| Credential | MD |
| Practice Address |
202-206 Milby Street Greensburg KY 42743 |
| Mailing Address |
Po Box 220 Greensburg KY 42743-0220 |
| Practice Telephone | 2709324211 |
| Practice Fax Number | 2702992041 |
| Mailing Telephone | 2709324211 |
| Mailing Fax Number | 2702992041 |
| Enumeration Date | 2006-09-01 |
| Last Update Date | 2011-12-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
43280 | KY | Allopathic & Osteopathic Physicians |
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
T2005018779 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 7100126300 | 05 |
| Street Address |
202-206 MILBY STREET |
| City | GREENSBURG |
| State | KY |
| Zip Code | 42743 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417975459 | Jane Todd Hospital Radiological Associates,llc | Radiology | 202-206 Milby Street, Greensburg, KY 42743 | 2006-07-17 |
| 1629346945 | South Kentucky Physician Services, Inc. | Family Medicine | 202-206 Milby Street, Greensburg, KY 42743 | 2011-12-01 |
| 1386953966 | Jane Todd Crawford Memorial Hospital, Inc. | Clinical Medical Laboratory | 202-206 Milby Street, Greensburg, KY 42743-1136 | 2010-09-30 |
| 1154585289 | Jane Todd Crawford Memorial Hospital, Inc. | Anesthesiology | 202-206 Milby Street, Greensburg, KY 42743-1100 | 2008-07-17 |
| 1548476633 | Jane Todd Crawford Memorial Hospital, Inc. | Radiology | 202-206 Milby Street, Greensburg, KY 42743 | 2007-05-15 |
| 1386863132 | Jane Todd Crawford Memorial Hospital, Inc. | Medicare Defined Swing Bed Unit | 202-206 Milby Street, Greensburg, KY 42743 | 2007-04-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376026328 | Az Health Services LLC | Internal Medicine | Jane Todd Crawford Hospital, 202 Milby Street, Greensburg, KY 42743 | 2018-09-14 |
| 1568634178 | Peggy Gwen Pennington | Occupational Therapist | 202 - 206 Milby Street, Greensburg, KY 42743 | 2008-03-25 |
| 1285814665 | Green County Schools | Local Education Agency (LEA) | 416 Scottsville St, Greensburg, KY 42743 | 2007-11-14 |
| 1427035872 | Sheila Gail Lobb | Nurse Practitioner | 220 Industrial Park, Greensburg, KY 42743 | 2005-12-28 |
| 1265854293 | Melanie R Embry | Case Manager/Care Coordinator | 521 Old Hodgenville Rd, Greensburg, KY 42743 | 2014-01-10 |
| 1477725091 | Shelia Mckinley | Speech-Language Pathologist | 202 - 206 Milby Street, Greensburg, KY 42743 | 2008-03-25 |
| 1386816908 | David Cole | Physical Therapist | 202 - 206 Milby Street, Greensburg, KY 42743 | 2008-03-25 |
| 1861606824 | Teresa Catherine Collison | Pharmacist | 407 Columbia Hwy, Suite D, Greensburg, KY 42743 | 2007-05-09 |
| 1255332193 | Elizabethtown Physical Therapy Psc | Clinic/Center | 1909 Campbellsville Rd, Greensburg, KY 42743 | 2005-08-02 |
| 1730411562 | Glasgow Pediatric Associates, Psc | Pediatrics | 2680 Campbellsville Road, Greensburg, KY 42743-0001 | 2010-02-04 |
| Find all providers in zip 42743 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| 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 Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194110718 | John Stewart Wilson Jr. | Radiology | 220 Glen Forest Dr, Greensburg, PA 15601-3718 | 2015-03-31 |
| 1598781197 | South Central Ky Open Mri, Psc | Radiology | 200 Milby St, Greensburg, KY 42743-1136 | 2006-07-15 |
| 1144260415 | Excela Rcl Pet Ct Imaging LLC | Radiology | 2000 Village Drive, Greensburg, PA 15601 | 2006-06-07 |
| 1881688448 | Shyam Vijay Gohel | Radiology | 717 E Pittsburgh St, Greensburg, PA 15601-2636 | 2005-09-09 |
| 1770588006 | Barbara Elaine Taylor | Radiology | 1428 E State Road 46, Greensburg, IN 47240-7447 | 2005-06-14 |
| 1255521134 | Corinne Isom Lynch | Radiology | 717 E Pittsburgh St, Greensburg, PA 15601-2636 | 2007-07-27 |
| 1568665321 | Neal John Klitsch | Radiology | 717 E Pittsburgh St, Greensburg, PA 15601-2636 | 2007-06-08 |
| 1548476633 | Jane Todd Crawford Memorial Hospital, Inc. | Radiology | 202-206 Milby Street, Greensburg, KY 42743 | 2007-05-15 |
| 1316018161 | Imaginex P C | Radiology | 720 N Lincoln St, Decatur County Memorial Hospital, Attn: Radiology Dept, Greensburg, IN 47240-1327 | 2006-11-13 |
| 1689751729 | Thomas D Mcclure | Radiology | 514 Pellis Rd, Suite 200, Greensburg, PA 15601-4593 | 2006-11-01 |
| Find all providers in GREENSBURG | ||||
| City | GREENSBURG |
| Zip Code | 42743 |
Please comment or provide details below to improve the information on SHANE TIMOTHY DESIMONE.
| 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.