DR. HASSAN SHAHBANDAR (NPI# 1467581223) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467581223 |
| Entity Type | Individual |
| Full Name | DR. HASSAN SHAHBANDAR |
| Credential | MD |
| Practice Address |
900 E Grant St E110 Appleton WI 54911-3487 |
| Mailing Address |
3913 W Prospect Ave Suite Ll1 Appleton WI 54914-8798 |
| Practice Telephone | 9207297105 |
| Practice Fax Number | 9207392609 |
| Mailing Telephone | 9207297105 |
| Mailing Fax Number | 9208318306 |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2009-04-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
18921 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 31146500 | 05 |
| Street Address |
900 E GRANT ST E110 |
| City | APPLETON |
| State | WI |
| Zip Code | 54911-3487 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235127903 | Kobi S Caracci | Physician Assistant | 900 E Grant St, Appleton, WI 54911-3487 | 2005-10-07 |
| 1992352835 | Katie Vannuland | Occupational Therapist | 900 E Grant St, Appleton, WI 54911-3487 | 2019-08-26 |
| 1992214415 | Sara Plath | Speech-Language Pathologist | 900 E Grant St, Appleton, WI 54911-3487 | 2017-09-27 |
| 1043461460 | Fox Valley Gastroenterology, S.c. | Specialist | 900 E Grant St, Appleton, WI 54911-3487 | 2008-10-03 |
| 1124163407 | Avi Bar-lev | Internal Medicine | 900 E Grant St, Appleton, WI 54911-3487 | 2007-02-21 |
| 1609964261 | Alan Peter Jakubowski | Physical Medicine & Rehabilitation | 900 E Grant St, Appleton, WI 54911-3487 | 2006-10-10 |
| 1982682456 | Michael George Geall | Internal Medicine | 900 E Grant St, Appleton, WI 54911-3487 | 2006-01-05 |
| 1962487512 | Nathan Daryl Munson | Radiology | 900 E Grant St, Appleton, WI 54911-3487 | 2005-12-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912545633 | Brotherly Love, LLC | Day Training, Developmentally Disabled Services | 1513 E Frances St, Appleton, WI 54911 | 2019-12-12 |
| 1952952129 | Eagle Point Senior Living Inc | Assisted Living Facility | 995 East John Street, Appleton, WI 54911 | 2019-09-27 |
| 1619524766 | University Rx LLC | Pharmacy | 133 E College Ave, Appleton, WI 54911 | 2019-08-23 |
| 1174080063 | Shayla Russell | Counselor | Outagamie County Health and Human Services, 320 S. Walnut St., Appleton, WI 54911 | 2019-02-27 |
| 1871086645 | Megan Kilsdonk | Health Educator | 1604 N Meade St, Appleton, WI 54911 | 2018-06-07 |
| 1871085480 | Tanya Lynn Vickery | Social Worker | 410 S. Elm St., Appleton, WI 54911 | 2018-05-31 |
| 1013407501 | Teri G Metropulos | Counselor | 229 S. Morrison, Appleton, WI 54911 | 2018-05-10 |
| 1093211211 | Bonnie Anne Korytkowski | Student in an Organized Health Care Education/Training Program | 229 S. Morrison Street, Appleton, WI 54911 | 2018-04-05 |
| 1639673940 | Brett Follett | Psychologist | 401 S. Elm St., Appleton, WI 54911 | 2018-03-21 |
| 1700202892 | Brian Withrow | Counselor | 607 West 7th St., Appleton, WI 54911 | 2014-03-13 |
| Find all providers in zip 54911 | ||||
| Taxonomy Code | 207VG0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Gynecology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558567735 | Preetha Y Kurudiyara | Obstetrics & Gynecology | 2701 E Enterprise Ave, Appleton, WI 54913-7729 | 2007-06-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750899357 | Helen Manning | Obstetrics & Gynecology | University of Wisconsin Gynecology 600 Highland Avenue, Madison, WI 53792-0001 | 2018-01-17 |
| 1326427824 | Kathleen P Penzenstadler | Obstetrics & Gynecology | 4202 W Oakwood Park Ct Ste 120, Franklin, WI 53132-9565 | 2015-05-29 |
| 1508187949 | Jessica Love Thomason | Obstetrics & Gynecology | 4914 W Parkview Dr, Mequon, WI 53092-2027 | 2010-06-21 |
| 1669703195 | Ik Hak Bae | Obstetrics & Gynecology | 2116 Craig Rd., Eau Claire, WI 54701 | 2010-01-22 |
| 1104091685 | Cara Robinson King | Obstetrics & Gynecology | 1528 Vilas Ave, Madison, WI 53711-2228 | 2008-04-25 |
| 1619022274 | Perinatal Center of Wisconsin, Inc. | Obstetrics & Gynecology | 3353 N Dr Martin Luther King Dr, Milwaukee, WI 53212-1455 | 2007-01-24 |
| 1841368206 | Dennis Dean Christensen | Obstetrics & Gynecology | 3706 Orin Rd, Madison, WI 53704-3643 | 2006-12-01 |
| 1497860639 | Irfane M Khatib | Obstetrics & Gynecology | 1110 Oak Ridge Dr, Eau Claire, WI 54701-6133 | 2006-08-20 |
| 1043255367 | Colleen Anne Keane-mullooly | Obstetrics & Gynecology | 302 N Jackson St, Milwaukee, WI 53202-5904 | 2006-06-19 |
| 1013965615 | Edward G Vogel | Obstetrics & Gynecology | 2641 Development Dr, Green Bay, WI 54311-4240 | 2006-05-05 |
| Find all providers with the same taxonomy | ||||
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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.