REBECCA SHANESMITH (NPI# 1437390564) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437390564 |
| Entity Type | Individual |
| Full Name | REBECCA SHANESMITH |
| Credential | M.D. |
| Practice Address |
1700 University Dr E College Station TX 77840 |
| Mailing Address |
Po Box 844658 Dallas TX 75284-4658 |
| Practice Telephone | 9796913000 |
| Practice Fax Number | 9796913527 |
| Enumeration Date | 2009-03-19 |
| Last Update Date | 2020-10-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ND0900X |
Dermatology Specialization: Dermatopathology |
P8413 | TX | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | 2014-00999 | NC | Allopathic & Osteopathic Physicians |
| Street Address |
1700 UNIVERSITY DR E |
| City | COLLEGE STATION |
| State | TX |
| Zip Code | 77840 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982692448 | Karen Diane Maness | Family Medicine | 1700 University Dr E, College Station, TX 77840-2661 | 2005-10-10 |
| 1588273171 | Meghan Ashley Martin | Registered Nurse | 1700 University Dr E, College Station, TX 77840-2661 | 2020-07-29 |
| 1730611807 | Elaine Lanphere | Pediatrics | 1700 University Dr E, College Station, TX 77840-2661 | 2017-03-29 |
| 1912455460 | William Gerald Gaines Jr. | Internal Medicine | 1700 University Dr E, College Station, TX 77840-2661 | 2016-09-13 |
| 1144673104 | Sandra Soenning | Psychologist | 1700 University Dr E, College Station, TX 77840-2661 | 2016-07-14 |
| 1699147181 | Deena Kothmann | Nurse Practitioner | 1700 University Dr E, College Station, TX 77840-2661 | 2015-10-23 |
| 1679953749 | Stephanie Dewsnap | Family Medicine | 1700 University Dr E, College Station, TX 77840 | 2015-06-04 |
| 1215315064 | Morgan Hines | Family Medicine | 1700 University Dr E, College Station, TX 77840 | 2015-05-13 |
| 1912390642 | Jamyl Walker | Nurse Practitioner | 1700 University Dr E, College Station, TX 77840-2661 | 2015-03-04 |
| 1578954327 | Shafia Naeem | Physician Assistant | 1700 University Dr E, College Station, TX 77840-2661 | 2015-02-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780159301 | Caprock Urgent Care, LLC | Clinic/Center | 1289 University Dr. East, College Station, TX 77840 | 2018-10-10 |
| 1629586110 | Cheyenne M Gehring | Specialist/Technologist | 1725 Harvey Mitchell Pkwy S Apt 3331, College Station, TX 77840 | 2018-01-18 |
| 1003321712 | Stephen Whitt | Specialist/Technologist | 756 Houston Street, College Station, TX 77840 | 2017-12-05 |
| 1801314406 | Leanne Pool | Speech-Language Pathologist | 1805 Lawyer Place, College Station, TX 77840 | 2017-09-03 |
| 1376996728 | Joscelyn Trompeter | Specialist/Technologist | 117 Holleman Dr, Apt 8103, College Station, TX 77840 | 2016-07-21 |
| 1104297472 | E Medical Group of College Station, LLC | Home Health | 707 Texas Ave S Ste 100a, College Station, TX 77840 | 2015-10-13 |
| 1780004036 | Magnified Nursing and Rehabilitation, Lp | Skilled Nursing Facility | 1115 Anderson Street, College Station, TX 77840 | 2014-04-24 |
| 1306084140 | Raidah Saleem Al-baradie Sr. | Psychiatry & Neurology | 1800 Holleman Drive, College Station, TX 77840 | 2009-02-02 |
| 1427238484 | Amanda Kallstrom-fuqua | Psychologist | 1600 University Drive, College Station, TX 77840 | 2007-11-07 |
| 1124141973 | William Wayner Daniels | Dentist | 303 A East University Drive, College Station, TX 77840 | 2007-04-09 |
| Find all providers in zip 77840 | ||||
| Taxonomy Code | 207ND0900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| Specialization | Dermatopathology |
| A dermatopathologist has the expertise to diagnose and monitor diseases of the skin including infectious, immunologic, degenerative and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellular scrapings and smears of skin lesions by means of routine and special (electron and fluorescent) microscopes. |
| 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 Dermatology, 2007. http://www.abderm.org/; American Osteopathic Board of Dermatology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Dermatology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467826131 | Medica Skin Diagnostics Pllc | Dermatology | 2046 Bedford Rd, Bedford, TX 76021-5709 | 2015-11-18 |
| 1942639455 | Dr. Samuel F Bean, Md, Pa | Dermatology | 1200 Binz St Ste 1110, Houston, TX 77004-6935 | 2013-11-05 |
| 1831417211 | Adaobi Nwaneshiudu Obasi | Dermatology | 6801 Mcpherson Rd Ste 332, Laredo, TX 78041-6417 | 2010-05-11 |
| 1366679466 | Ameripath 501a Corporation | Dermatology | 2330 Butler Street, Suite 115, Dallas, TX 75235-7800 | 2009-06-16 |
| 1104091487 | Galveston Dermatology, P.a. | Dermatology | 1501 Broadway Ave, Galveston, TX 77550 | 2008-04-28 |
| 1093865545 | Tracie Denise Swayden | Dermatology | 804 Ne Mall Blvd, Hurst, TX 76053-4653 | 2007-01-10 |
| 1265507941 | Angela Yen Moore, Md Pa | Dermatology | 711 E Lamar Blvd, Suite 200, Arlington, TX 76011-3888 | 2006-11-21 |
| 1568531739 | Melissa P Chiang | Dermatology | 5061 Fm 2920, Spring, TX 77388 | 2006-11-06 |
| 1962430108 | Andrew Marlin Morgan | Dermatology | 1001 N Twin Creek Dr, #201, Killeen, TX 76543-4268 | 2006-06-28 |
| 1245274331 | Anne E Wilkerson | Dermatology | 3010 Williams Dr, Suite 210, Georgetown, TX 78628-2764 | 2006-06-16 |
| Find all providers with the same taxonomy | ||||
| City | COLLEGE STATION |
| Zip Code | 77840 |
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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.