SHANI KAMARIA SMITH (NPI# 1659674240) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659674240 |
| Entity Type | Individual |
| Full Name | SHANI KAMARIA SMITH |
| Credential | D.O., M.B.A. |
| Practice Address |
917 W Washington Blvd Chicago IL 60607-2203 |
| Mailing Address |
917 W Washington Blvd # 238 Chicago IL 60607-2203 |
| Practice Telephone | 5555555555 |
| Enumeration Date | 2010-12-21 |
| Last Update Date | 2018-03-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | 036.130820 | IL | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | 036.130820 | IL | Allopathic & Osteopathic Physicians |
| Y | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
036.130820 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | MEDICARE IL PTAN | F00280905 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851513352 | Shani Smith | Counselor | 100 New Salem Rd, Suite 116, Uniontown, PA 15401-8936 | 2007-05-03 |
| Street Address |
917 W WASHINGTON BLVD |
| City | CHICAGO |
| State | IL |
| Zip Code | 60607-2203 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568820298 | Kavita B. Khara | Counselor | 917 W Washington Blvd, Suite #113, Chicago, IL 60607-2203 | 2016-02-09 |
| 1558734343 | Christine M Radomski | Social Worker | 917 W Washington Blvd, Suite 113, Chicago, IL 60607-2203 | 2015-11-03 |
| 1548697618 | Connections Medical Group Associates LLC | Psychiatry & Neurology | 917 W Washington Blvd, Unit #113, Chicago, IL 60607-2203 | 2013-10-03 |
| 1285060475 | Mdhearingaid | Hearing Aid Equipment | 917 W Washington Blvd, Suite 202, Chicago, IL 60607-2203 | 2013-09-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992349237 | Portia Dowd | Registered Nurse | 140 N Ashland, Chicago, IL 60607 | 2019-10-30 |
| 1114577210 | Joseph Matthew Thiel | Emergency Medical Technician, Intermediate | 558 West De Koven, Chicago, IL 60607 | 2019-09-19 |
| 1215585757 | Highland Park Cvs LLC | Durable Medical Equipment & Medical Supplies | 1034 West Lake St, Chicago, IL 60607 | 2019-08-28 |
| 1003462821 | Michael Marek Maka | Psychologist | 820 W. Jackson Blvd, Suite 515, Chicago, IL 60607 | 2019-08-16 |
| 1558922344 | Kellie Meyer | Speech-Language Pathologist | Eyas Landing West Loop, 1409 W. Carroll Ave, Chicago, IL 60607 | 2019-06-24 |
| 1811460108 | Corinna House | Social Worker | 932 W Washington, Chicago, IL 60607 | 2019-01-09 |
| 1962979518 | Louise Taussig Bush | Counselor | 1142 West Madison Street, Suite 406, Chicago, IL 60607 | 2018-10-31 |
| 1568941318 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1051 W Randolph, Chicago, IL 60607 | 2018-08-13 |
| 1851883425 | Alefiyah Zulfiqar Pishori | Psychologist | 1200 West Harrison St, Chicago, IL 60607 | 2018-05-30 |
| 1679062954 | Elizabeth R Rolston | Physical Therapist | 24 S Morgan St Ste 100, Chicago, IL 60607 | 2018-05-02 |
| Find all providers in zip 60607 | ||||
| Taxonomy Code | 207RC0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Critical Care Medicine |
| An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and 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 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 |
|---|---|---|---|---|
| 1588970933 | Farbod Ghods | Internal Medicine | 5841 S Maryland Ave # Mc6026, Chicago, IL 60637-1447 | 2010-08-24 |
| 1588984454 | James M Walter | Internal Medicine | 240 East Huron, Mcgaw M-300, Chicago, IL 60611 | 2010-06-02 |
| 1972829240 | Devon Wayne Paul | Internal Medicine | 1414 S Fairfield Ave, Chicago, IL 60608 | 2010-04-12 |
| 1538346200 | Irtaza Iqbal Khan | Internal Medicine | 2626 N Lakeview Ave Apt 1003, Chicago, IL 60614-1811 | 2008-01-24 |
| 1528242682 | Sherene Sami Fakhran | Internal Medicine | 240 E. Huron, Mcgaw Pavillion, Suite M-360, Chicago, IL 60611 | 2007-12-26 |
| 1255483897 | Jason Thomas Poston | Internal Medicine | 5841 S Maryland Ave Ste Mc6076, Chicago, IL 60637-1626 | 2007-01-16 |
| 1609937432 | Jeffrey Randall Jacobson | Internal Medicine | 909 South Wolcott Avenue, 3141 Comrb, Chicago, IL 60612-3725 | 2006-12-13 |
| 1396839973 | Yaakov Friedman | Internal Medicine | Provident Hospital, 500 . 51 Street, Chicago, IL 60615-2400 | 2006-10-03 |
| 1669574299 | Jyothi Jolepalem | Internal Medicine | 1500 South California Ave, Sinai Medical Group Dept. of Pulmonary & Critical Care, Chicago, IL 60608-1797 | 2006-09-03 |
| 1265451397 | Babak Mokhlesi | Internal Medicine | University of Chicago Hospitals, 5841 S. Maryland Ave, Mc 6026, Chicago, IL 60637 | 2006-07-19 |
| Find all providers in CHICAGO | ||||
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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.