KEVIN CHARLES SHANDERA (NPI# 1447298567) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447298567 |
| Entity Type | Individual |
| Full Name | KEVIN CHARLES SHANDERA |
| Credential | M.D. |
| Practice Address |
72057 Highway 111 Rancho Mirage CA 92270-4927 |
| Mailing Address |
39000 Bob Hope Drive Wright Bldg. Suite 412 Rancho Mirage CA 92270-3221 |
| Practice Telephone | 7602067273 |
| Practice Fax Number | 7603467905 |
| Mailing Telephone | 7603468555 |
| Mailing Fax Number | 7603468666 |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2018-03-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | C146245 | CA | Allopathic & Osteopathic Physicians |
| N | 2088F0040X |
Urology Specialization: Female Pelvic Medicine and Reconstructive Surgery |
C146245 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
72057 HIGHWAY 111 |
| City | RANCHO MIRAGE |
| State | CA |
| Zip Code | 92270-4927 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568425239 | Robert Baker | Physician Assistant | 72057 Highway 111, Rancho Mirage, CA 92270-4927 | 2006-04-11 |
| 1609026608 | Lance Patrick Walsh Md Phd A Professional Medical Corporation | Urology | 72057 Highway 111, Rancho Mirage, CA 92270-4927 | 2008-09-25 |
| 1508951997 | Vladislav Bargman | Specialist | 72057 Highway 111, Rancho Mirage, CA 92270 | 2006-10-03 |
| 1376651265 | Gary Leifer | Urology | 72057 Highway 111, Rancho Mirage, CA 92270-4927 | 2006-08-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235757824 | Monsetrrat Martinez | Behavioral Analyst | 69930 Ca-111, Ste 118, Rancho Mirage, CA 92270 | 2020-07-09 |
| 1306475785 | Christine Palmares | Student in an Organized Health Care Education/Training Program | 39000 Bob Hope Drive, Achs-gme Office, Rancho Mirage, CA 92270 | 2020-04-07 |
| 1821627449 | Dino Mellone | Student in an Organized Health Care Education/Training Program | 39000 Bob Hope Drive, Achs-gme Office Ste. 201, Rancho Mirage, CA 92270 | 2020-04-06 |
| 1356970164 | Chris Kim | Student in an Organized Health Care Education/Training Program | Eisenhower Health Emergency Medicine Residency, 39000 Bob Hope Dr., Achs-gme Office, Rancho Mirage, CA 92270 | 2020-04-03 |
| 1609434075 | Junko Ohara | Student in an Organized Health Care Education/Training Program | Eisenhower Health Internal Medicine Residency, 39000 Bob Hope Drive, Achs-gme Office, Rancho Mirage, CA 92270 | 2019-05-31 |
| 1245791896 | Iman Rasheed | Student in an Organized Health Care Education/Training Program | 3900 Bob Hope Drive, Achs-gme Office, Rancho Mirage, CA 92270 | 2019-03-27 |
| 1073086583 | Robert B Greene | Internal Medicine | 8 Moon Lake Drive, Rancho Mirage, CA 92270 | 2019-01-08 |
| 1356818884 | Kade Bartschi | Dentist | 1591 Griffin Rd, 29 Palms, CA 92270 | 2018-11-02 |
| 1841775392 | Rose Pharmacy Rm LLC | Pharmacy | 35400 Bob Hope Drive, Suite #207, Rancho Mirage, CA 92270 | 2018-10-01 |
| 1235615956 | Trang Huyen Nguyen | Dentist | 71-817 Hwy 111 Suite A, Rancho Mirage, CA 92270 | 2018-07-16 |
| Find all providers in zip 92270 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912211566 | Peter Lester Tynberg | Urology | 70711 Tamarisk Lane, Rancho Mirage, CA 92270 | 2010-08-05 |
| 1194969436 | Farshid Mirzaee | Urology | 39000 Bob Hope Drive Probst 303, Rancho Mirage, CA 92270 | 2009-04-30 |
| 1285705533 | Daniel Arie Eventov | Urology | 17 Sherwood Road, Rancho Mirage, CA 92270 | 2006-11-10 |
| 1497770994 | Elliot Barton Lander | Urology | 72780 Country Club Dr Ste C-301, Rancho Mirage, CA 92270-4126 | 2006-07-13 |
| 1710973466 | Desert Comprehensive Urology | Urology | 72-780 County Club Dr., 302-c, Rancho Mirage, CA 92270 | 2005-09-27 |
| 1245659523 | Geraldine Theresa Klein | Urology | 39000 Bob Hope Dr, Rancho Mirage, CA 92270-3221 | 2014-04-15 |
| 1275786535 | Lander Comprehensive Urology | Urology | 72780 Country Club Dr, 301, Rancho Mirage, CA 92270-4126 | 2008-10-30 |
| 1609026608 | Lance Patrick Walsh Md Phd A Professional Medical Corporation | Urology | 72057 Highway 111, Rancho Mirage, CA 92270-4927 | 2008-09-25 |
| 1669660411 | Michael Adam Sanford | Urology | 39000 Bob Hope Dr, W-412, Rancho Mirage, CA 92270-3221 | 2007-10-05 |
| 1407900426 | Valley Urologic Medical Group Inc | Urology | 39000 Bob Hope Dr, Suite P303, Rancho Mirage, CA 92270 | 2007-01-23 |
| Find all providers in RANCHO MIRAGE | ||||
| City | RANCHO MIRAGE |
| Zip Code | 92270 |
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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.