DR. SHANELI FERNANDO (NPI# 1508811654) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508811654 |
| Entity Type | Individual |
| Full Name | DR. SHANELI FERNANDO |
| Credential | M.D. |
| Practice Address |
3000 Regency Ct Suite 207 Toledo OH 43623-3092 |
| Practice Telephone | 4194710493 |
| Practice Fax Number | 4194740390 |
| Mailing Telephone | 4194710493 |
| Mailing Fax Number | 4194740390 |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2018-08-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2085R0001X |
Radiology Specialization: Radiation Oncology |
091524 | OH | Allopathic & Osteopathic Physicians |
| Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
69611-20 | WI | Allopathic & Osteopathic Physicians |
| N | 2085R0001X |
Radiology Specialization: Radiation Oncology |
SF078490 | MI | Allopathic & Osteopathic Physicians |
| N | 2085R0001X |
Radiology Specialization: Radiation Oncology |
239860 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 1508811654 | 05 | |
| OH | 2837005 | 05 | |
| MI | MI MEDICAID - OH LOCATIONS | 1508811654 | 01 |
| OH | RR MEDICARE | P00630915 | 01 |
| MI | RR MEDICARE | P00630915 | 01 |
| MI | MI MEDICARE | 0N24000018 | 01 |
| Street Address |
3000 REGENCY CT SUITE 207 |
| City | TOLEDO |
| State | OH |
| Zip Code | 43623-3092 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386648970 | Ronald N Brown | Ophthalmology | 3000 Regency Ct, Ste 100, Toledo, OH 43623-3081 | 2005-06-10 |
| 1982087540 | Alexandra Schmucker | Optometrist | 3000 Regency Ct, Toledo, OH 43623-3092 | 2015-07-01 |
| 1639443930 | David Trujillo | Optometrist | 3000 Regency Ct, Suite 100, Toledo, OH 43623-3092 | 2012-03-05 |
| 1881843175 | A Woman's Place Inc. | Obstetrics & Gynecology | 3000 Regency Ct, Ste. 201, Toledo, OH 43623-3092 | 2008-09-11 |
| 1619182870 | Tlc Northwest Ohio LLC | Clinic/Center | 3000 Regency Ct, Ste. 100, Toledo, OH 43623-3092 | 2007-05-11 |
| 1205800414 | Susan Ann Pohlod | Specialist | 3000 Regency Ct, Suite 201, Toledo, OH 43623-3092 | 2006-02-14 |
| 1639175565 | Rajender Ahuja | Radiology | 3000 Regency Ct, Ste 207, Toledo, OH 43623-3092 | 2005-06-24 |
| 1700882685 | Faheem Ahmad | Radiology | 3000 Regency Ct, Ste 207, Toledo, OH 43623-3092 | 2005-06-24 |
| 1700882693 | Steven Zeidner | Radiology | 3000 Regency Ct, Ste 207, Toledo, OH 43623-3092 | 2005-06-24 |
| 1588660476 | Dhaval Parikh | Radiology | 3000 Regency Ct, Ste 207, Toledo, OH 43623-3092 | 2005-06-24 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568062750 | Virtual Gender Care Clinic LLC | Clinic/Center | 5616 Birchdale Dr., Toledo, OH 43623 | 2020-10-28 |
| 1043824410 | Paula Milkie | Speech-Language Pathologist | Westwood Early Childhood Center, 3939 Wrenwood, Toledo, OH 43623 | 2020-09-03 |
| 1528678190 | Kori Michelle Pfeiffer | Nurse Practitioner | 4640 Alexis Road, Toledo, OH 43623 | 2020-08-07 |
| 1124683636 | Dana Lynn Oswald | Nurse Practitioner | The Toledo Clinic Cancer Center, 4126 N. Holland Sylvania Rd. Suite 105, Toledo, OH 43623 | 2019-05-09 |
| 1902382922 | Elizabeth Satterthwaite | Dietitian, Registered | 4345 Secor Rd Ste A, Toledo, OH 43623 | 2018-07-12 |
| 1447756804 | Optimum Health Restoration and Anti-aging - Toledo, LLC | General Practice | 4041 Sylvania Avenue, Toledo, OH 43623 | 2018-04-04 |
| 1659897387 | Danajo Marie Woods | Nurse Practitioner | 4235 Secor Rd Bldg 3, Toledo, OH 43623 | 2017-08-15 |
| 1013449784 | Bio-medical Applications of Ohio, Inc. | Clinic/Center | 3546 W. Sylvania Ave, Toledo, OH 43623 | 2017-03-31 |
| 1487101879 | Cletus Payne | Nurse Practitioner | 4405 N. Holland Sylvania Rd., Toledo, OH 43623 | 2016-09-02 |
| 1912451634 | Iman Alazzawi | Registered Nurse | 4615 N Holland Sylvania Rd Apt 40, Toledo, OH 43623 | 2016-08-10 |
| Find all providers in zip 43623 | ||||
| Taxonomy Code | 2085R0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Radiation Oncology |
| A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306194915 | Tangel Chang | Radiology | 1325 Conference Dr, Toledo, OH 43614 | 2012-08-29 |
| 1164721676 | Siddharth Ajaybhai Saraiya | Radiology | 1325 Conference Dr, Toledo, OH 43614-8009 | 2011-03-23 |
| 1710129036 | Krishna Reddy | Radiology | 1325 Conference Dr, Toledo, OH 43614 | 2009-04-01 |
| 1245220458 | Toledo Radiation Oncology, Plc | Radiology | 4841 Monroe St, Suite 103, Toledo, OH 43623-4385 | 2005-10-27 |
| 1639175565 | Rajender Ahuja | Radiology | 3000 Regency Ct, Ste 207, Toledo, OH 43623-3092 | 2005-06-24 |
| 1700882685 | Faheem Ahmad | Radiology | 3000 Regency Ct, Ste 207, Toledo, OH 43623-3092 | 2005-06-24 |
| 1700882693 | Steven Zeidner | Radiology | 3000 Regency Ct, Ste 207, Toledo, OH 43623-3092 | 2005-06-24 |
| 1588660476 | Dhaval Parikh | Radiology | 3000 Regency Ct, Ste 207, Toledo, OH 43623-3092 | 2005-06-24 |
| 1760485064 | Gerald Wayne Marsa | Radiology | 2213 Cherry St, Toledo, OH 43608-2603 | 2005-05-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720486517 | Oncology Hematology Care, Inc. | Radiology | 900 Havemann Rd, Celina, OH 45822-1870 | 2014-12-11 |
| 1548607278 | Michael Jason Bishop | Radiology | 803 W Market St Ste 100, Lima, OH 45805-2796 | 2013-06-04 |
| 1134565120 | Jeremy Brownstein | Radiology | 460 W 10th Ave Fl 2, Columbus, OH 43210-1240 | 2013-05-16 |
| 1942569041 | Matthew Lee Knecht | Radiology | 3525 Pentagon Blvd, Ste 101, Beavercreek, OH 45431-1705 | 2012-05-09 |
| 1083841480 | Giselle T, Bretz | Radiology | 4825 Winding Creek Trl, Dayton, OH 45429-1976 | 2009-06-12 |
| 1275707614 | Thomas Nabhani | Radiology | 330 Glessner Ave, Mansfield, OH 44903-2226 | 2008-04-16 |
| 1518148691 | Ralph Riddall Dobelbower Jr. | Radiology | 1666 River Road, Maumee, OH 43537 | 2007-11-17 |
| 1902007651 | Ryan D. Steinmetz | Radiology | 501 Atrium Dr Ste 100, Middletown, OH 45005-5165 | 2007-05-30 |
| 1386854875 | Andrew B. Freeman | Radiology | 801 Ohio Health Blvd Ste 180, Delaware, OH 43015-7883 | 2007-05-23 |
| 1023143864 | Summa Physicians Inc | Radiology | 3780 Medina Rd Ste 150, Medina, OH 44256-9312 | 2007-02-22 |
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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.