SHAINA PLACIDE (NPI# 1346753779) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346753779 |
| Entity Type | Individual |
| Full Name | SHAINA PLACIDE |
| Credential | PA-C |
| Practice Address |
440 E Main St Bay Shore NY 11706-8501 |
| Mailing Address |
38 Harrison Ave Bellport NY 11713-1102 |
| Practice Telephone | 6314146800 |
| Enumeration Date | 2017-11-07 |
| Last Update Date | 2020-01-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | 0215751 | NY | Allopathic & Osteopathic Physicians |
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
0215751 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 1346753779 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 203 Union Ave, Holbrook, NY 117411704 | 6315855858 |
| Street Address |
440 E MAIN ST |
| City | BAY SHORE |
| State | NY |
| Zip Code | 11706-8501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720151103 | Lawrence Miloscia | Pharmacist | 440 E Main St, Bay Shore, NY 11706-8501 | 2006-11-15 |
| 1013232198 | Yvonne Guzman | Pharmacist | 440 E Main St, Bay Shore, NY 11706-8501 | 2010-04-01 |
| 1437307261 | Sumreen Majeed | Internal Medicine | 440 E Main St, Bay Shore, NY 11706-8501 | 2008-09-04 |
| 1093863045 | King Kullen Pharmacy | Pharmacy | 440 E Main St, Bay Shore, NY 11706-8501 | 2007-01-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598394173 | Erin Marie Barlow | Student in an Organized Health Care Education/Training Program | Southside Emergency Department 301 East Main Street, Bay Shore, NY 11706 | 2020-04-06 |
| 1003460890 | Bay Shore Brightwaters Rescue Ambulance Inc. | Ambulance | 911 Aletta Place, Bay Shore, NY 11706 | 2019-07-30 |
| 1861980872 | Raffy Gutman | Student in an Organized Health Care Education/Training Program | Southside Hospital Family Medicine, 301 E Main St, Bay Shore, NY 11706 | 2018-04-25 |
| 1609371004 | Sengal Kelit Alazar | Student in an Organized Health Care Education/Training Program | South Side Hospital Emergency Department - Northwell, 301 East Main Street, Bay Shore, NY 11706 | 2018-03-27 |
| 1780198671 | Stefany Gabriela Armijos | Social Worker | 144 Fifth Ave, Bay Shore, NY 11706 | 2017-11-30 |
| 1417476771 | Jazmin Unda Jimenez | Licensed Practical Nurse | 236 Adams Ave, Bay Shore, NY 11706 | 2017-09-18 |
| 1013436989 | People Pushers LLC | Non-emergency Medical Transport (VAN) | 50 Corbin Ave, Suite D, Bay Shore, NY 11706 | 2017-09-12 |
| 1871011585 | Life Acupuncture & Massage Therapy P.C. | Acupuncturist | 387 East Main Street Suite 104, Bayshore, NY 11706 | 2017-09-01 |
| 1558881458 | Wilda Novembre | Licensed Practical Nurse | 1742 North Thompson Drive, Bayshore, NY 11706 | 2017-06-21 |
| 1194184085 | Georgette Prawl | Nurse's Aide | 54 1st Avenue, Bayshore, NY 11706 | 2016-02-19 |
| Find all providers in zip 11706 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699758482 | John J Loscalzo | Internal Medicine | 24 E Main St, Bay Shore, NY 11706-8301 | 2005-11-25 |
| 1548571359 | Kathy Deng | Internal Medicine | 24 East Main St, Bay Shore, NY 11706 | 2010-06-25 |
| 1437307261 | Sumreen Majeed | Internal Medicine | 440 E Main St, Bay Shore, NY 11706-8501 | 2008-09-04 |
| 1982677761 | Gerry Rubin | Internal Medicine | 180 E Main St, Bay Shore, NY 11706-8427 | 2006-02-10 |
| 1780657148 | Hasan Aijaz Rizvi | Internal Medicine | 180 E Main St, Suite #5, Bay Shore, NY 11706-8427 | 2006-02-08 |
| 1659354280 | Paul M Hyman | Internal Medicine | 24 E Main St, Bay Shore, NY 11706-8301 | 2005-11-29 |
| 1952384596 | Kenneth D Gold | Internal Medicine | 24 E Main St, Bay Shore, NY 11706-8301 | 2005-11-29 |
| 1750364543 | Mark D Lipshutz | Internal Medicine | 24 E Main St, Bay Shore, NY 11706-8301 | 2005-11-25 |
| 1346223138 | Mary Puccio | Internal Medicine | 24 E Main St, Bay Shore, NY 11706-8301 | 2005-11-25 |
| 1316920119 | Hematology-oncology Associates of Western Suffolk PC | Internal Medicine | 24 E Main St, Bay Shore, NY 11706-8301 | 2005-11-25 |
| Find all providers in BAY SHORE | ||||
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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.