DR. LEWIS KIE SHIN (NPI# 1467507863) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467507863 |
| Entity Type | Individual |
| Full Name | DR. LEWIS KIE SHIN |
| Credential | MD |
| Practice Address |
Banner Md Anderson Cancer Center 2946 E Banner Gateway Drive Gilbert AZ 85234 |
| Mailing Address |
2940 E. Banner Gateway Drive Suite 450 Gilbert AZ 85234 |
| Practice Telephone | 4802566444 |
| Practice Fax Number | 4802563682 |
| Mailing Telephone | 4802563430 |
| Mailing Fax Number | 4802563682 |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2018-12-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085B0100X |
Radiology Specialization: Body Imaging |
A89514 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00A895140 | 05 |
| Street Address |
BANNER MD ANDERSON CANCER CENTER 2946 E BANNER GATEWAY DRIVE |
| City | GILBERT |
| State | AZ |
| Zip Code | 85234 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689657025 | William Carmen Cirocco | Colon & Rectal Surgery | Banner Md Anderson Cancer Center, 2940 E. Banner Gateway Drive, Gilbert, AZ 85234 | 2005-11-21 |
| 1629544259 | Whitney Layton | Physician Assistant | Banner Md Anderson Cancer Center, 2946 E Banner Gateway Dr, Gilbert, AZ 85234 | 2018-10-22 |
| 1275030264 | Richelle B Miller | Registered Nurse | Banner Md Anderson Cancer Center, 2946 E. Banner Gateway Drive, Gilbert, AZ 85234 | 2018-04-06 |
| 1073051983 | Tessa Louise Meyer | Nurse Practitioner | Banner Md Anderson Cancer Center, 2946 E. Banner Gateway Drive, Gilbert, AZ 85234 | 2017-02-10 |
| 1558818211 | Clair Watkins | Surgery | Banner Md Anderson Cancer Center, 2946 E. Banner Gateway Drive, Gilbert, AZ 85234 | 2016-09-09 |
| 1194181370 | Ma Janice Lalitha A Desiongco | Nurse Practitioner | Banner Md Anderson Cancer Center, 2946 E. Banner Gateway Drive, Gilbert, AZ 85234 | 2016-01-04 |
| 1447621982 | Rachael Yasuda | Physician Assistant | Banner Md Anderson Cancer Center, 2946 E. Banner Gateway Drive, Gilbert, AZ 85234 | 2015-10-09 |
| 1689058992 | Francis Rahul Luciano | Physician Assistant | Banner Md Anderson Cancer Center, 2946 E. Banner Gateway Drive, Gilbert, AZ 85234 | 2015-07-16 |
| 1104230333 | Sarah E Nicholas | Radiology | Banner Md Anderson Cancer Center, 2946 E. Banner Gateway Drive, Gilbert, AZ 85234 | 2014-06-16 |
| 1649618356 | Jacqueline Kienholz | Surgery | Banner Md Anderson Cancer Center, 2946 E. Banner Gateway Drive, Gilbert, AZ 85234 | 2013-06-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710500962 | Fatima Health LLC | Nurse Practitioner | 760 North Swallow Lane, Gilbert, AZ 85234 | 2020-05-22 |
| 1073152070 | American Care Concepts Hospice LLC | Hospice Care, Community Based | 765 N. Lindsay Rd., Ste. 208, Gilbert, AZ 85234 | 2019-12-23 |
| 1457918864 | Intuitive Healing Counseling Services, Pllc | Counselor | 3303 E Baseline Rd, Building 5, Suite 109, Gilbert, AZ 85234 | 2019-05-21 |
| 1487123907 | San Tan Behavioral Health Services LLC | Respite Care | 2671 East Vermont Court, Gilbert, AZ 85234 | 2018-11-14 |
| 1770052292 | San Tan Behavioral Health Services | Respite Care | 3970 East Juanita Avenue, Gilbert, AZ 85234 | 2018-11-14 |
| 1891262887 | Victoria Elizabeth Klennertt | Behavior Technician | 3503 E Michelle Way, Gilbert, AZ 85234 | 2018-10-27 |
| 1225503634 | Julia Elizabeth Wiens | Social Worker | 3651 E Baseline Rd Ste 120, Gilbert, AZ 85234 | 2018-10-11 |
| 1295219798 | Raylene Dawn Cargiulo | Registered Nurse | 55 S. Greenfield Rd., Gilbert, AZ 85234 | 2018-09-20 |
| 1346729092 | Katherine M Winegar | Nurse Practitioner | Banner Md Anderson Cancer Center- Administration Office, 2940 E Banner Gateway Drive, Gilbert, AZ 85234 | 2018-08-13 |
| 1881189199 | Desert Valley Oral Surgery | Oral & Maxillofacial Surgery | 2915 E. Baseline Road, Suite 106, Gilbert, AZ 85234 | 2018-06-28 |
| Find all providers in zip 85234 | ||||
| Taxonomy Code | 2085B0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Body Imaging |
| A Radiology doctor of Osteopathy that specializes in Body Imaging. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: definiton added, source added] Additional Resources: The American Osteopathic Board of Radiology no longer offers a certificate in this specialty. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548218134 | Richard S Sherry | Radiology | 4915 E Baseline Rd, Suite 116, Gilbert, AZ 85234 | 2006-05-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972100063 | Arizona Imaging Center, LLC | Radiology | 10825 W Mcdowell Rd Suite 130, Avondale, AZ 85392 | 2020-10-02 |
| 1902030166 | Corinne Denise Strickland | Radiology | 4350 E Havasu Rd, Tucson, AZ 85718-2518 | 2009-05-04 |
| 1508039793 | Stephen Farrell Albert | Radiology | 6242 E Catesby Rd, Paradise Valley, AZ 85253-3507 | 2008-04-08 |
| 1134258866 | Az Mobile Imaging LLC | Radiology | 10240 W. Indian School Rd, Ste 155, Phoenix, AZ 85037-5906 | 2007-03-06 |
| 1699783514 | David J Cohen | Radiology | 4300 N Miller Rd Ste 122, Scottsdale, AZ 85251 | 2006-08-04 |
| 1730113903 | Ayad K Agha | Radiology | 3120 Willow Creek Rd Unit 100, Prescott, AZ 86301-6852 | 2006-07-11 |
| 1437101946 | Paul Ray Strautman | Radiology | 677 N. Wilmot Road, Tucson, AZ 85711 | 2006-05-16 |
| 1871550384 | Regina A Robinson-noble | Radiology | 4475 E Valley Vista Lane, Paradise Valley, AZ 85253 | 2006-04-27 |
| 1124099213 | Jae Koul Kim | Radiology | 4729 E Sunrise Dr # 315, Tucson, AZ 85718-4534 | 2006-01-28 |
| 1538130877 | N. Judge King IIi | Radiology | 6370 E Miramist Pl, Tucson, AZ 85750-1314 | 2006-01-26 |
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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.