KEITH B SHELMAN (NPI# 1609972678) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609972678 |
| Entity Type | Individual |
| Full Name | KEITH B SHELMAN |
| Credential | MD |
| Practice Address |
7901 E 22nd St Tucson AZ 85710-8509 |
| Mailing Address |
655 E River Rd Tucson AZ 85704-5840 |
| Practice Telephone | 5206848400 |
| Practice Fax Number | 5206848424 |
| Mailing Telephone | 5206942700 |
| Enumeration Date | 2006-09-16 |
| Last Update Date | 2015-04-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RA0000X |
Internal Medicine Specialization: Adolescent Medicine |
18710 | AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 285123 | 05 |
| Street Address |
7901 E 22ND ST |
| City | TUCSON |
| State | AZ |
| Zip Code | 85710-8509 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689645574 | Hani Rizk | Internal Medicine | 7901 E 22nd St, Tucson, AZ 85710-8509 | 2006-01-30 |
| 1477174852 | Dennis Kaiyan Fong | Internal Medicine | 7901 E 22nd St, Tucson, AZ 85710-8509 | 2020-04-27 |
| 1659897635 | Jeremy Michael Goral | Nurse Practitioner | 7901 E 22nd St, Tucson, AZ 85710-8509 | 2017-08-21 |
| 1831610690 | Ayesha Javed | Internal Medicine | 7901 E 22nd St, Tucson, AZ 85710-8509 | 2017-07-03 |
| 1588760656 | Cathy A Geisert | Pediatrics | 7901 E 22nd St, Tucson, AZ 85710-8509 | 2006-09-16 |
| 1841396827 | Marilyn Medwied | Obstetrics & Gynecology | 7901 E 22nd St, Tucson, AZ 85710-8509 | 2006-09-16 |
| 1467569368 | Robert Roland Byerly | Pediatrics | 7901 E 22nd St, Tucson, AZ 85710-8509 | 2006-08-24 |
| 1386618957 | Jennifer Flynn | Internal Medicine | 7901 E 22nd St, Tucson, AZ 85710-8509 | 2006-02-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689220691 | Elidia Beas Newbold | Technician | 9122 E. Calle Maria, Tuscon, AZ 85710 | 2019-08-15 |
| 1669934014 | Pain Institute of Southern Arizona (pisa), PC | Pain Medicine | 7140 E Rosewood Street, Suite 110, Tucson, AZ 85710 | 2019-04-04 |
| 1316438351 | Life Aligned Regenerative Medical Center LLC | General Practice | 7920 E Broadway Blvd, Suite 106, Tuscon, AZ 85710 | 2018-05-25 |
| 1497264253 | Beverly Capili | Nurse Practitioner | 6622 East Carondelet Drive, Tucson, AZ 85710 | 2017-09-25 |
| 1629590120 | Linsey Nicole Tomaro | Physician Assistant | 6303 E. Broadway Blvd., Suite 161, Tucson, AZ 85710 | 2017-07-17 |
| 1750803748 | Christopher Sullivan | Podiatrist | 6442 S. Speedway Blvd, Ste 102, Tucson, AZ 85710 | 2017-07-11 |
| 1346762713 | Friday Sika | Respite Care | 8251 E. Kenyon Dr., Tucson, AZ 85710 | 2017-07-07 |
| 1821536228 | Southern Arizona Urgent Care, LLC | Clinic/Center | 6303 E. Broadway Blvd, 161, Tucson, AZ 85710 | 2017-02-06 |
| 1659727816 | Mwangaza Residential Care LLC | Community Based Residential Treatment Facility, Mental Illness | 8421 E. Colette St, Tucson, AZ 85710 | 2016-05-06 |
| 1124494240 | Caring Connections for Special Needs, LLC | Community/Behavioral Health | 921 S Prudence Rd, Tucson, AZ 85710 | 2015-08-12 |
| Find all providers in zip 85710 | ||||
| Taxonomy Code | 207RA0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Adolescent Medicine |
| An internist who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
| 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 |
|---|---|---|---|---|
| 1659332971 | Jyoti R Patel | Internal Medicine | 13620 N Saguaro Blvd, Suite 100, Fountain Hills, AZ 85268-8551 | 2006-03-28 |
| 1720200470 | Quang Minh Dao | Internal Medicine | 1111 E Mcdowell Rd, Phoenix, AZ 85006-2612 | 2007-05-03 |
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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.