DR. S. CHRISTOPHER SHIM (NPI# 1588676415) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1588676415 |
Entity Type | Individual |
Full Name | DR. S. CHRISTOPHER SHIM |
Credential | M.D. |
Practice Address |
415 E Cook Rd Ste 500 Fort Wayne IN 46825-3657 |
Mailing Address |
11012 W Sycamore Hills Dr Fort Wayne IN 46814-9308 |
Practice Telephone | 2609699696 |
Practice Fax Number | 2609697979 |
Mailing Telephone | 2606151216 |
Enumeration Date | 2006-08-12 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
01035698A | IN | Allopathic & Osteopathic Physicians |
Street Address |
415 E COOK RD STE 500 |
City | FORT WAYNE |
State | IN |
Zip Code | 46825-3657 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336772078 | Bradley Murphy | Occupational Therapist | 2626 St Joe Center Ed, Fort Wayne, IN 46825 | 2020-02-21 |
1144851015 | Sabryna Roman | Developmental Therapist | 2626 St Joe Center Rd, Fort Wayne, IN 46825 | 2020-01-30 |
1205474103 | Ashleigh Miller | Developmental Therapist | 2626 St. Joe Center Rd, Fort Wayne, IN 46825 | 2019-12-11 |
1962055152 | Carehalo Ohio LLC | General Practice | 2510 Dupont Circle Dr., Suite 201, Fort Wayne, IN 46825 | 2019-07-17 |
1306318175 | Logan Alan Williams | Nurse Anesthetist, Certified Registered | 10315 Dawsons Creek Blvd Ste B, Fort Wayne, IN 46825 | 2018-12-18 |
1326582925 | Mark F Stoner LLC | Dentist | 9830 Auburn Rd Suite 102, Fort Wayne, IN 46825 | 2016-12-15 |
1336695782 | Nadine Rene' Handy | Nurse Practitioner | 3978 New Vision Dr., Fort Wayne, IN 46825 | 2016-08-26 |
1558815712 | Nathan Paul Miller | Physical Therapist | 10006 Auburn Park Dr, Fort Wayne, IN 46825 | 2016-08-05 |
1013366905 | Brianna Abbott | Physician Assistant | 1234 E Dupont Rd Ste 7, Fort Wayne, IN 46825 | 2016-06-10 |
1003276643 | Seiss, LLC | Psychologist | 9910 Dupont Circle Drive, Suite 140, Fort Wayne, IN 46825 | 2016-02-24 |
Find all providers in zip 46825 |
Taxonomy Code | 2084P0800X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Psychiatry & Neurology |
Specialization | Psychiatry |
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407166077 | Professional Psychiatric Services, LLC | Psychiatry & Neurology | 6203 Constitution Dr, Fort Wayne, IN 46804-1517 | 2010-10-18 |
1023233939 | David T Holmes Md PC | Psychiatry & Neurology | 7224 Engle Rd # 120, Fort Wayne, IN 46804-2222 | 2007-04-16 |
1447303326 | Joseph Paul Fiacable | Psychiatry & Neurology | 2426 Lake Ave, Fort Wayne, IN 46805-5406 | 2007-01-22 |
1013072180 | Raj Clinics Professional Services Corporation | Psychiatry & Neurology | 315 Airport North Office Park, Fort Wayne, IN 46825-6703 | 2006-12-27 |
1316980576 | Ronald Jerry Pancner | Psychiatry & Neurology | 2805 Fairfield Ave, Fort Wayne, IN 46807-1218 | 2006-06-14 |
1790762078 | Alycia Brown | Psychiatry & Neurology | 1818 Carew St Ste 230, Fort Wayne, IN 46805-4764 | 2005-12-28 |
1417940909 | Mahender Reddy Surakanti | Psychiatry & Neurology | 7806 W Jefferson Blvd Ste C, Fort Wayne, IN 46804 | 2005-08-30 |
1245237411 | Prevesh K Rustagi | Psychiatry & Neurology | 3400 E Coliseum Blvd, Suite 340, Fort Wayne, IN 46805-1644 | 2005-07-03 |
1619377280 | Vinita Prasad | Psychiatry & Neurology | 1818 Carew St Ste 230, Fort Wayne, IN 46805 | 2014-09-02 |
1487071809 | Andrea Naaum | Psychiatry & Neurology | 1909 Carew St, Fort Wayne, IN 46805 | 2014-03-24 |
Find all providers in FORT WAYNE |
City | FORT WAYNE |
Zip Code | 46825 |
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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.