MAKILZHAN SHANMUGAM (NPI# 1306885371) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306885371 |
| Entity Type | Individual |
| Full Name | MAKILZHAN SHANMUGAM |
| Credential | M.D. |
| Practice Address |
1330 Mercy Dr Nw Suite 101 Canton OH 44708-2626 |
| Mailing Address |
Po Box 932100 Cleveland OH 44193-0008 |
| Practice Telephone | 3305884676 |
| Practice Fax Number | 3305884677 |
| Mailing Telephone | 2164722730 |
| Mailing Fax Number | 2164722740 |
| Enumeration Date | 2006-06-05 |
| Last Update Date | 2015-10-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
35-074146 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MEDICARE RAILROAD | 110170325 | 01 | |
| OH | 2094102 | 05 |
| Street Address |
1330 MERCY DR NW SUITE 101 |
| City | CANTON |
| State | OH |
| Zip Code | 44708-2626 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215930946 | Mark Carless Stachel | Internal Medicine | 1330 Mercy Dr Nw, Ste 318, Canton, OH 44708-2624 | 2005-05-27 |
| 1407305402 | Lindsay Anne Haupt | Nurse Practitioner | 1330 Mercy Dr Nw, Canton, OH 44708-2626 | 2016-10-02 |
| 1902261944 | Laurie Jean Fitzgibbon | Nurse Practitioner | 1330 Mercy Dr Nw, Suite 418, Canton, OH 44708-2626 | 2015-12-17 |
| 1235502303 | Amanda Michelle Johnson | Nurse Practitioner | 1330 Mercy Dr Nw, Suite 101, Canton, OH 44708-2626 | 2015-11-11 |
| 1245493477 | Heather B Lee | Physician Assistant | 1330 Mercy Dr Nw, Suite 101, Canton, OH 44708-2626 | 2008-07-08 |
| 1992980783 | Mazin Shackour | Surgery | 1330 Mercy Dr Nw, Suite 420, Canton, OH 44708-2626 | 2007-12-31 |
| 1649450669 | Simonette Carol Jones | Internal Medicine | 1330 Mercy Dr Nw, Suite 101, Canton, OH 44708-2626 | 2007-11-07 |
| 1649468240 | Stark Cardiothoracic Surgery, Inc | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1330 Mercy Dr Nw, Suite 410, Canton, OH 44708-2626 | 2007-10-09 |
| 1942414313 | Meena Rajan | Internal Medicine | 1330 Mercy Dr Nw, Canton, OH 44708-2626 | 2007-05-09 |
| 1922135136 | Michael Patrick Mccormack | Plastic Surgery | 1330 Mercy Dr Nw, Suite 522, Canton, OH 44708-2626 | 2007-02-27 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669072583 | Xl Developmental Services, Inc. | Home Health | 4403 19th St Nw, Canton, OH 44708 | 2020-10-29 |
| 1942827084 | Emily Glor | Dentist | 1320 Mercy Drive Northwest, Attn: Dental Services, Canton, OH 44708 | 2020-07-05 |
| 1811479009 | Linda Adams | Counselor | 2421 13th Street Nw, Canton, OH 44708 | 2018-09-04 |
| 1104308527 | Toreka Lishay Miller | Social Worker | 2421 13th Nw, Canton, OH 44708 | 2018-09-01 |
| 1679051213 | Edward Arthur Hill | Family Medicine | 6104 Cedar Lane Nw, Canton, OH 44708 | 2018-08-06 |
| 1467939371 | Kristen M Reardon | Registered Nurse | 1330 Mercy Dr Nw Ste 319, Canton, OH 44708 | 2018-07-24 |
| 1538659131 | Jeffrey Scott Mechtenberg | Chiropractor | 3410 Tuscarawas Street W, Canton, OH 44708 | 2018-05-18 |
| 1699284844 | Our Caring Hands Home Care, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3005 W. Tuscuswas St, Canton, OH 44708 | 2017-09-20 |
| 1528580933 | Elizabeth Ann Bonchek | Licensed Practical Nurse | 4550 Hills and Dales Nw Road, Canton, OH 44708 | 2017-07-07 |
| 1518315837 | Bio-medical Applications of Ohio, Inc. | Clinic/Center | 2835 Tuscarawas St. West, Canton, OH 44708 | 2016-05-26 |
| Find all providers in zip 44708 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982168100 | Optimum Cardiology Inc | Internal Medicine | 4825 Higbee Ave Nw Ste 102, Canton, OH 44718-2567 | 2019-01-23 |
| 1861716508 | Premier Diagnostics PC | Internal Medicine | 48492 Inveraray Rd, Canton, MI 48188 | 2010-03-24 |
| 1477593572 | Daniel Andrew Pietro | Internal Medicine | 19 Hunter Ln, Canton, MA 02021-1731 | 2006-06-07 |
| 1114997822 | Mohamad Hikmat Kabbani | Internal Medicine | 2050 N Haggerty Rd Ste 200, Canton, MI 48187-3796 | 2006-01-25 |
| 1548269756 | David J. Utlak | Internal Medicine | 4455 Dressler Rd Nw, Canton, OH 44718-2769 | 2005-07-19 |
| 1487653986 | Stephen W Pipoly | Internal Medicine | 1330 Mercy Drive Nw, Suite 410, Canton, OH 44708 | 2005-07-18 |
| 1154329928 | Kirk B Laman | Internal Medicine | 15 Reinhardt College Pkwy, Suite 110, Canton, GA 30114-5257 | 2005-07-14 |
| 1205126851 | Anjan Deka | Internal Medicine | 460 Northside Cherokee Blvd Ste 190, Canton, GA 30115-8018 | 2011-04-17 |
| 1306086228 | Kennestone Heart Physicians Group | Internal Medicine | 200 Oakside Ln, Suite D, Canton, GA 30114-6416 | 2009-03-05 |
| 1184864258 | Kennestone Heart Physicians Group, PC | Internal Medicine | 720 Transit Ave, Building 100, Suite 102, Canton, GA 30114-2540 | 2009-03-02 |
| Find all providers in CANTON | ||||
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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.