DR. SHAKER ITANI (NPI# 1538193826) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538193826 |
| Entity Type | Individual |
| Full Name | DR. SHAKER ITANI |
| Credential | M.D. |
| Practice Address |
11104 Parkview Circle Dr Ste 40 Fort Wayne IN 46845-1733 |
| Mailing Address |
3702 New Vision Dr Bldg B Fort Wayne IN 46845-1703 |
| Practice Telephone | 2603739935 |
| Practice Fax Number | 2603739926 |
| Mailing Telephone | 2602666013 |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2017-11-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RI0200X |
Internal Medicine Specialization: Infectious Disease |
01079422A | IN | Allopathic & Osteopathic Physicians |
| N | 207RI0200X |
Internal Medicine Specialization: Infectious Disease |
A89867 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
11104 PARKVIEW CIRCLE DR STE 40 |
| City | FORT WAYNE |
| State | IN |
| Zip Code | 46845-1733 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164936969 | Nicole Hartman | Nurse Practitioner | 11104 Parkview Circle Dr Ste 40, Fort Wayne, IN 46845-1733 | 2017-12-01 |
| 1063851913 | Aaron Ochoa | Internal Medicine | 11104 Parkview Circle Dr Ste 40, Fort Wayne, IN 46845 | 2013-06-24 |
| 1831405547 | Jolynn Wann | Nurse Practitioner | 11104 Parkview Circle Dr Ste 40, Fort Wayne, IN 46845-1672 | 2010-08-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881154110 | Nancy Jean Ehmke | Clinical Nurse Specialist | 11151 Parkview Plaza Dr, Fort Wayne, IN 46845 | 2019-03-22 |
| 1043703903 | Kara Stackhouse | Nurse Practitioner | 11050 Parkview Plaza Drive, Fort Wayne, IN 46845 | 2018-06-14 |
| 1871082412 | Tara K Jellison | Pharmacist | 11109 Parkview Plaza Drive -- Attn Pharmacy, Fort Wayne, IN 46845 | 2018-05-09 |
| 1578097572 | Forefront Dermatology, S.c. | Dermatology | 4020 New Vision Drive, Fort Wayne, IN 46845 | 2017-04-17 |
| 1811437999 | Jessica Ann Lefever | Behavioral Analyst | 3898 New Vision Dr Ste D, Fort Wayne, IN 46845 | 2017-03-08 |
| 1033668041 | Bhi Home Care, Inc. | In Home Supportive Care | 820 Mill Lake Road, Fort Wayne, IN 46845 | 2016-10-03 |
| 1467814939 | Austin Wyss | Specialist/Technologist | 11130 Parkview Circle Drive, Ft. Wayne, IN 46845 | 2016-03-24 |
| 1154713584 | Ashley Whitcraft | Specialist/Technologist | 11130 Parkview Plaza Drive #4, Fort Wayne, IN 46845 | 2015-02-23 |
| 1275975682 | Lakshmi Mohan Viji Das | Internal Medicine | 11143 Parkview Plaza Dr Ste 311, Fort Wayne, IN 46845 | 2013-07-26 |
| 1336482496 | Mithun Mohana Shenoi | Colon & Rectal Surgery | 11104 Parkview Circle Drive Suite 320, Fort Wayne, IN 46845 | 2013-03-27 |
| Find all providers in zip 46845 | ||||
| Taxonomy Code | 207RI0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Infectious Disease |
| An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine. |
| 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 Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962494971 | Roger Scott Stienecker | Internal Medicine | 11109 Parkview Plaza Dr., Fort Wayne, IN 46845-1701 | 2005-08-16 |
| 1235121377 | Barbara Nohinek | Internal Medicine | 2736 Covington Hollow Trl, Fort Wayne, IN 46804-6146 | 2005-08-16 |
| 1447242599 | Suzanne B. Smith-elekes | Internal Medicine | 7900 W Jefferson Blvd Ste 304, Fort Wayne, IN 46804-4128 | 2005-08-16 |
| 1700272564 | Rehman Ukani | Internal Medicine | 11104 Parkview Circle Dr Ste 440, Fort Wayne, IN 46845-1672 | 2015-04-08 |
| 1063851913 | Aaron Ochoa | Internal Medicine | 11104 Parkview Circle Dr Ste 40, Fort Wayne, IN 46845 | 2013-06-24 |
| 1386881993 | Emmanuel E. Okon | Internal Medicine | 7900 W Jefferson Blvd Ste 304, Fort Wayne, IN 46804-4128 | 2009-01-20 |
| 1205089414 | Maria Ferling Curfman | Internal Medicine | 11109 Parkview Plaza Dr., Fort Wayne, IN 46845-1701 | 2008-10-31 |
| 1265694541 | Jason Reese Bailey | Internal Medicine | 2231 Carew St, Fort Wayne, IN 46805-4713 | 2008-06-27 |
| 1053584623 | Andre Gerardo Melendez | Internal Medicine | 2231 Carew St, Fort Wayne, IN 46805-4713 | 2008-04-03 |
| 1013132109 | Nikkiya M. Fraser | Internal Medicine | 7900 W Jefferson Blvd Ste 304, Fort Wayne, IN 46804-4128 | 2007-04-16 |
| Find all providers in FORT WAYNE | ||||
| City | FORT WAYNE |
| Zip Code | 46845 |
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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.