DR. SHAAN KHAN (NPI# 1629488002) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629488002 |
| Entity Type | Individual |
| Full Name | DR. SHAAN KHAN |
| Credential | M.D. |
| Practice Address |
500 Legacy Plz W La Porte IN 46350-5254 |
| Mailing Address |
7528 Perrier Dr Indianapolis IN 46278-1647 |
| Practice Telephone | 2193261234 |
| Mailing Telephone | 3178281900 |
| Enumeration Date | 2014-05-06 |
| Last Update Date | 2019-06-02 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
01082263A | IN | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 750 E Adams St, Syracuse, NY 132102306 | 3178281900 |
| Street Address |
500 LEGACY PLZ W |
| City | LA PORTE |
| State | IN |
| Zip Code | 46350-5254 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922476878 | Elisa Bergquist | Nurse Practitioner | 500 Legacy Plz W, La Porte, IN 46350-5254 | 2015-09-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871139246 | Carolyn Ann Perra | Pharmacist | 55 Pine Lake S.c., Laporte, IN 46350 | 2019-11-20 |
| 1306496492 | Trinity Healthcare Inc. | Occupational Therapist | 2002 Andrew Avenue, Laporte, IN 46350 | 2019-09-19 |
| 1184136665 | Diane Margaret Rich | Physical Therapist | 1643 S Willow Bend Dr, La Porte, IN 46350 | 2017-10-24 |
| 1114460102 | Judith Marie Fitzhugh | Dietitian, Registered | 1775 S. Basswood Trail, Laporte, IN 46350 | 2016-11-23 |
| 1568916971 | Total Renal Care, Inc. | Clinic/Center | 1406 E Lincolnway, Ste A, La Porte, IN 46350 | 2016-08-15 |
| 1083079008 | Irene Torres | Nurse Practitioner | 1407 Lincolnway, La Porte, IN 46350 | 2015-12-17 |
| 1124422910 | Becky Alwood-wallace | Occupational Therapist | 1203 Washington Street, Iu Health La Porte Hospital Wellness & Rehabilitation, La Porte, IN 46350 | 2014-10-22 |
| 1881001527 | Johnson Memorial Hospital | Skilled Nursing Facility | 3530 Monroe Street, La Porte, IN 46350 | 2014-07-15 |
| 1306268941 | Tiffany Anne Satterfield | Physical Therapy Assistant | 194 S 400 E, Laporte, IN 46350 | 2014-01-16 |
| 1801122239 | Mary Barbara Backer | Internal Medicine | 301 Willow Bend Dr, La Porte, IN 46350 | 2009-10-20 |
| Find all providers in zip 46350 | ||||
| Taxonomy Code | 207LP2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| Specialization | Pain Medicine |
| An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. |
| 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 Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902429509 | Apollo Pain Center, LLC | Anesthesiology | 1458 S Jackson St, Frankfort, IN 46041-3315 | 2020-05-19 |
| 1215497763 | Hendricks County Hospital | Anesthesiology | 8244 E Us Highway 36 Ste 150, Avon, IN 46123-5526 | 2019-03-21 |
| 1881081552 | Aapolo Spine and Pain Management Center | Anesthesiology | 4215 N 210 E, Marion, IN 46952-6634 | 2015-04-21 |
| 1578800561 | Complete Pain Care LLC | Anesthesiology | 10744 E Us Highway 36, Avon, IN 46123-7982 | 2013-01-10 |
| 1710282439 | Unity Healthcare, LLC | Anesthesiology | 3738 Landmark Drive, Suite A, Lafayette, IN 47905-6633 | 2011-01-12 |
| 1073831160 | Shahbaz Qavi | Anesthesiology | 107 S Washington St Ste C, Kokomo, IN 46901-4601 | 2010-05-13 |
| 1750522660 | Nicolaus D Winters | Anesthesiology | 7145 E Virginia St Ste 5000, Evansville, IN 47715-9143 | 2009-03-23 |
| 1245449172 | Charles S Lindzy | Anesthesiology | 14104 Peddlers Ford, Fort Wayne, IN 46814 | 2007-05-21 |
| 1669500229 | Advanced Pain Management Surgery,inc | Anesthesiology | 4010 W Goeller Blvd, Suite C, Columbus, IN 47201-8892 | 2007-03-02 |
| 1912084369 | Daniel Howard Nolan | Anesthesiology | 608 Union Chapel Rd, Fort Wayne, IN 46845-9357 | 2006-11-01 |
| 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.