SHANKAR A SHETTY (NPI# 1396857793) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396857793 |
| Entity Type | Individual |
| Full Name | SHANKAR A SHETTY |
| Credential | MD |
| Practice Address |
126 Foote-hilyer Tallahassee FL 32307 |
| Practice Telephone | 8505993777 |
| Practice Fax Number | 8505993742 |
| Mailing Telephone | 8505993777 |
| Mailing Fax Number | 8505993742 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 023799 | GA | Allopathic & Osteopathic Physicians |
| Y | 207R00000X | Internal Medicine | ME43522 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 0688177 | 05 |
| Street Address |
126 FOOTE-HILYER |
| City | TALLAHASSEE |
| State | FL |
| Zip Code | 32307 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699215301 | Thomas Edward Gorman Jr. | Specialist/Technologist | 1835 Wahnish Way, Tallahassee, FL 32307 | 2017-02-28 |
| 1508870395 | Fla A and M University Student Hlth Phcy | Pharmacy | Rm 113 Student Health Services, Foote Hilver Adm Building, Tallahassee, FL 32307 | 2006-07-28 |
| 1972592962 | Carswella Odessa Phillips | Nurse Practitioner | 116 Foote, Hilyer Administration Center, Tallahassee, FL 32307 | 2005-10-21 |
| 1861480105 | Donna Carter Starke | Nurse Practitioner | Student Health Service 116 Foote-hilyer Adm. Center, Tallahassee, FL 32307 | 2005-10-11 |
| 1760556112 | Tamesia Annette Wilson | Registered Nurse | 103 Ware Rhaney, Tallahassee, FL 32307-0001 | 2006-11-20 |
| 1700293552 | Shanada Thomas | Pharmacy Technician | Florida A&m University, Tallahassee, FL 32307-0802 | 2014-07-14 |
| 1700435286 | Imani Taylor | Physical Therapist | 1601 S Martin Luther King Jr Blvd, Tallahassee, FL 32307-3105 | 2019-09-08 |
| 1881295780 | Charmaine Lasha Adair | Nurse Practitioner | 1601 S Martin Luther King Jr Blvd, Tallahassee, FL 32307-3105 | 2020-11-05 |
| 1699182550 | Chevone Davis-raglan | Pharmacist | 1415 S Martin Luther King Jr Blvd, Tallahassee, FL 32307-3913 | 2014-07-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366043267 | Lovey Harris | Registered Nurse | 1018 Calloway St, Tallahassee, FL 32304-2127 | 2020-11-06 |
| 1790386092 | Rebecca Klein | Behavior Technician | 2331 Hansen Court Tallahassee, Fl 32301, Tallahassee, FL 32301 | 2020-11-03 |
| 1700486503 | Stephanie Patricia Chandler | Nurse Practitioner | 2221 Orange Ave E Apt 215, Tallahassee, FL 32311-6154 | 2020-10-30 |
| 1548860596 | Stacy Poe | Pharmacist | 4021 Lagniappe Way, Tallahassee, FL 32317-1201 | 2020-10-29 |
| 1093314692 | Rothschild Counseling and Consulting, LLC | Marriage & Family Therapist | 820 E. Park Ave, Suite F 100, Tallahassee, FL 32301 | 2020-10-23 |
| 1477152080 | Jazmine Bell | Nurse Practitioner | 2430 Old Saint Augustine Rd, Tallahassee, FL 32301-4914 | 2020-10-23 |
| 1871192070 | Layata Shaundria Twitty-kiser | Licensed Practical Nurse | 2521 Spring Forest Road, Tallahassee, FL 32301 | 2020-10-20 |
| 1528667862 | Ability Plus Mental Health LLC | Clinical Nurse Specialist | 9292 Shoal Creek Dr, Tallahassee, FL 32312-4277 | 2020-10-19 |
| 1205435641 | Lillie Ruth Green | Nurse Practitioner | 1317 Blossom Cir, Tallahassee, FL 32305-6707 | 2020-10-17 |
| 1326646407 | Cheryl A Scott | Counselor | 3778 Suffolk Dr, Tallahassee, FL 32309-3005 | 2020-10-12 |
| Find all providers in TALLAHASSEE | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| 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 |
|---|---|---|---|---|
| 1538794342 | Joy Christianson | Internal Medicine | 431 Tanbark Pl, Tallahassee, FL 32301-3374 | 2020-03-12 |
| 1659934222 | Synergy Health Care and Associates | Internal Medicine | 124 Marriott Dr Ste 104, Tallahassee, FL 32301-2981 | 2019-04-18 |
| 1922456268 | Susan Mary Manson Md Pl | Internal Medicine | 2547 Lakefair Dr, Tallahassee, FL 32317-7002 | 2016-05-26 |
| 1922343466 | Preventive Cardiology & Internal Medicine Associates, P.l. | Internal Medicine | 3606 Maclay Blvd S, Suite 104, Tallahassee, FL 32312-1277 | 2012-12-10 |
| 1407109812 | Bond Community Health Center | Internal Medicine | 1549 South Monroe Street, Bond Speciality and Wellness, Tallahassee, FL 32301 | 2012-10-23 |
| 1548516255 | American Care of North Florida, Inc | Internal Medicine | 1707 S Gadsden St, Tallahassee, FL 32301-5505 | 2012-07-31 |
| 1649550047 | Bond Community Health Center, Inc. | Internal Medicine | 1704 Joe Lewis Street, Tallahassee, FL 32304 | 2011-08-17 |
| 1457643462 | Lidia Maria Sepulveda Rubiera | Internal Medicine | 2626 Capital Medical Boulevard, Tallahassee, FL 32308 | 2011-05-09 |
| 1437462553 | Amara Okoli Emenike | Internal Medicine | 1607 Saint James Ct Ste 1, Tallahassee, FL 32308 | 2010-07-18 |
| 1639309842 | Bond Community Health Center | Internal Medicine | 2729-8 Municipal Way, Kay Freeman Health Center, Tallahassee, FL 32304 | 2009-07-22 |
| Find all providers in TALLAHASSEE | ||||
| City | TALLAHASSEE |
| Zip Code | 32307 |
Please comment or provide details below to improve the information on SHANKAR A SHETTY.
| 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.