DR. TIMOTHY S SHAVER (NPI# 1336145804) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336145804 |
| Entity Type | Individual |
| Full Name | DR. TIMOTHY S SHAVER |
| Credential | MD |
| Practice Address |
1921 N Webb Rd Wichita KS 67206-3405 |
| Practice Telephone | 3166124815 |
| Practice Fax Number | 3166124825 |
| Mailing Telephone | 3166124815 |
| Mailing Fax Number | 3166810244 |
| Enumeration Date | 2005-06-21 |
| Last Update Date | 2020-10-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
0424526 | KS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MEDICARE | 060097 | 01 | |
| KS | 100158340C | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417950981 | Timothy Roddy Shaver | Surgery | 13135 Lee Jackson Memorial Hwy Ste 305, Fairfax, VA 22033-1907 | 2005-05-27 |
| 1275598674 | Timothy Scott Shaver | Specialist | 3000 Saint Matthews Rd, Orangeburg, SC 29118-1442 | 2006-04-19 |
| Street Address |
1921 N WEBB RD |
| City | WICHITA |
| State | KS |
| Zip Code | 67206-3405 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134124084 | Ruth E Busch | Internal Medicine | 1921 N Webb Rd, Wichita, KS 67206-3405 | 2005-06-16 |
| 1992043202 | Arthritis and Rheumatology Clinics of Kansas, LLC | Pharmacy | 1921 N Webb Rd, Wichita, KS 67206-3405 | 2013-01-21 |
| 1992054431 | Stacy L Wagner | Internal Medicine | 1921 N Webb Rd, Wichita, KS 67206-3405 | 2012-08-30 |
| 1326396565 | Jamie L Agan | Internal Medicine | 1921 N Webb Rd, Wichita, KS 67206-3405 | 2012-08-20 |
| 1851687313 | Maya Estephan | Internal Medicine | 1921 N Webb Rd, Wichita, KS 67206-3405 | 2011-06-23 |
| 1790741148 | Vivian A Illera | Internal Medicine | 1921 N Webb Rd, Wichita, KS 67206-3405 | 2006-04-25 |
| 1568457950 | Shadi Hassan Shahouri | Internal Medicine | 1921 N Webb Rd, Wichita, KS 67206-3405 | 2005-09-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760020846 | Founders Surgery Center, LLC | Clinic/Center | 1961 N Founders Circle, Wichita, KS 67206 | 2019-12-19 |
| 1174006613 | Courtney Dawn Simon | Physical Therapist | 9360 E Central Ave Ste 100, Wichita, KS 67206 | 2018-09-11 |
| 1902308919 | Center At Waterfront LLC | Skilled Nursing Facility | 1541 North Lindberg Circle, Wichita, KS 67206 | 2018-03-06 |
| 1750804597 | Katelyn Aguiar | Psychologist | 250 N Rock Rd Ste 210, Wichita, KS 67206 | 2017-07-24 |
| 1457888778 | Mona Kay Cherryholmes | Social Worker | 1223 N. Rock Rd, Bldg A. Suite 100, Wichita, KS 67206 | 2017-05-17 |
| 1164899415 | Elizabeth Herl | Marriage & Family Therapist | 250 N Rock Rd Ste 150, Wichita, KS 67206 | 2015-08-21 |
| 1851715510 | Ndjj Corp | Custodial Care Facility | 6403 E Marjore, Wichita, KS 67206 | 2014-02-14 |
| 1801238217 | Courtney Ann Lang | Physical Therapist | 1603 North Chapel Hill Street, Suite 400, Wichita, KS 67206 | 2013-07-26 |
| 1194063032 | Peak Performance Health Pa | Chiropractor | 10111 E 21st St, #106, Wichita, KS 67206 | 2013-01-28 |
| 1750629002 | Rachel Marie Conrad | Speech-Language Pathologist | 1861 N. Rock Rd, Ste 101, Wichita, KS 67206 | 2013-01-22 |
| Find all providers in zip 67206 | ||||
| Taxonomy Code | 207RR0500X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Rheumatology |
| An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://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 |
|---|---|---|---|---|
| 1639307663 | Malik Rheumatology, Pa | Internal Medicine | 2260 N Ridge Rd Ste 210, Wichita, KS 67205-1130 | 2009-06-29 |
| 1700881646 | Arthritis and Rheumatology Clinics of Kansas LLC | Internal Medicine | 1921 N Webb, Wichita, KS 67206 | 2005-06-16 |
| 1134124084 | Ruth E Busch | Internal Medicine | 1921 N Webb Rd, Wichita, KS 67206-3405 | 2005-06-16 |
| 1316399645 | Frederick Wolfe | Internal Medicine | 1035 N Emporia St, Suite 288, Wichita, KS 67214-2944 | 2016-07-11 |
| 1992054431 | Stacy L Wagner | Internal Medicine | 1921 N Webb Rd, Wichita, KS 67206-3405 | 2012-08-30 |
| 1326396565 | Jamie L Agan | Internal Medicine | 1921 N Webb Rd, Wichita, KS 67206-3405 | 2012-08-20 |
| 1164698593 | Nadia Gibson | Internal Medicine | 3311 E Murdock St, Wichita, KS 67208-3054 | 2008-05-06 |
| 1598942328 | Preethi C Kurakula | Internal Medicine | 3311 E Murdock St, Wichita, KS 67208-3054 | 2008-01-23 |
| 1205865672 | Richard B Lies | Internal Medicine | 3311 E Murdock St, Wichita, KS 67208-3054 | 2006-06-30 |
| 1457396236 | Steen E Mortensen | Internal Medicine | 3311 E Murdock St, Wichita, KS 67208-3054 | 2006-06-17 |
| Find all providers in WICHITA | ||||
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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.