MICHAEL E SHIVERS (NPI# 1669439444) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669439444 |
| Entity Type | Individual |
| Full Name | MICHAEL E SHIVERS |
| Credential | M.D. |
| Practice Address |
620 Howard Ave Altoona PA 16601-4804 |
| Practice Telephone | 8148892854 |
| Practice Fax Number | 8148897982 |
| Mailing Telephone | 8148892854 |
| Mailing Fax Number | 8148897982 |
| Enumeration Date | 2006-04-27 |
| Last Update Date | 2016-01-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
MD061239L | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 4098026800 | 05 | |
| NY | 02662857 | 05 | |
| PA | HIGHMARK | SH750404 | 01 |
| PA | 0017715150002 | 05 | |
| PA | CAPITAL BLUE CROSS | 02094901 | 01 |
| Street Address |
620 HOWARD AVE |
| City | ALTOONA |
| State | PA |
| Zip Code | 16601-4804 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174521124 | Altoona Regional Health System | Rehabilitation Hospital | 620 Howard Ave, Altoona, PA 16601-4804 | 2005-07-13 |
| 1700484946 | Keri Rose Fulton | Nurse Practitioner | 620 Howard Ave, Altoona, PA 16601-4804 | 2020-10-10 |
| 1295332609 | Abigail Printz | Physician Assistant | 620 Howard Ave, Altoona, PA 16601-4804 | 2020-10-08 |
| 1194335091 | Ashley Shaheen | Physician Assistant | 620 Howard Ave, Altoona, PA 16601-4804 | 2020-08-05 |
| 1316555899 | Nicole Allen | Physician Assistant | 620 Howard Ave, Altoona, PA 16601-4804 | 2020-07-21 |
| 1053939900 | Elizabeth Lantznester | Nurse Practitioner | 620 Howard Ave, Altoona, PA 16601-4804 | 2020-07-08 |
| 1841817616 | Taylor Nicole Young | Physician Assistant | 620 Howard Ave, Altoona, PA 16601-4804 | 2020-06-28 |
| 1891310447 | Nicole Elizabeth Taylor | Physician Assistant | 620 Howard Ave, Altoona, PA 16601-4804 | 2020-06-10 |
| 1184256919 | Alyson Strapple | Nurse Practitioner | 620 Howard Ave, Altoona, PA 16601-4804 | 2020-02-10 |
| 1679113567 | Matthew Bogdanski | Physician Assistant | 620 Howard Ave, Altoona, PA 16601-4804 | 2020-01-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205456498 | Divya Venkata Tumuluru | Student in an Organized Health Care Education/Training Program | 501 Howard Avenue-suite F2 Altoona Family Physicians, Altoona, PA 16601 | 2020-04-17 |
| 1114574787 | Neil Pietrolungo | Counselor | 1216 11th Avenue, St. 215, Altoona, PA 16601 | 2019-08-19 |
| 1326509621 | Lucas L Warton | Student in an Organized Health Care Education/Training Program | Altoona Family Physicians, 501 Howard Ave, Ste F2, Altoona, PA 16601 | 2019-03-28 |
| 1669932141 | Edmiston Physical Therapy Co | Physical Therapist | 2927 Beale Ave. Suite E101, Altoona, PA 16601 | 2019-03-21 |
| 1871052407 | Ji Won Lee | Student in an Organized Health Care Education/Training Program | 501 Howard Avenue Altoona Family Physicians, Suite F2, Altoona, PA 16601 | 2019-03-13 |
| 1982199774 | Shikha Salhotra | Student in an Organized Health Care Education/Training Program | 501 Howard Avenue Altoona Family Physicians, Suite F2, Altoona, PA 16601 | 2018-06-25 |
| 1679063655 | Sarah Ann Bier | Registered Nurse | 2900 Plank Rd, Altoona, PA 16601 | 2018-05-15 |
| 1306334073 | Mohammad Omar Bukhari | Student in an Organized Health Care Education/Training Program | Altoona Family Physicians 501 Howard Avenue, Suite F2, Altoona, PA 16601 | 2018-04-27 |
| 1730676164 | Kathleen Elizabeth Woods | Student in an Organized Health Care Education/Training Program | 501 Howard Avenue Suite F2, Altoona Family Physicians, Altoona, PA 16601 | 2018-04-20 |
| 1386082485 | Zachary Charles Haulman | Physical Medicine & Rehabilitation | 2900 Beale Ave Ste 110, Altoona, PA 16601 | 2013-06-11 |
| Find all providers in zip 16601 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881665404 | Jeffrey Thomas Goodwin | Radiology | 7007 S Shore Dr, Altoona, WI 54720-2381 | 2006-01-31 |
| 1699069393 | James Leo Nasralla | Radiology | 620 Howard Ave, Altoona, PA 16601 | 2011-05-31 |
| 1881910974 | Lexington Radiology Inc | Radiology | 620 Howard Ave, Altoona, PA 16601-4804 | 2010-04-14 |
| 1699090266 | Keni Augustin | Radiology | 620 Howard Ave, Altoona, PA 16601-4804 | 2010-04-07 |
| 1417918756 | Frank Olney & Rudy Nicolas Ptrs | Radiology | 2950 Fairway Dr, Altoona, PA 16602-4494 | 2006-03-28 |
| 1245210608 | Richard Wertz | Radiology | 620 Howard Ave, Altoona, PA 16601-4804 | 2006-01-20 |
| 1447230974 | Arun Patel | Radiology | 620 Howard Ave, Altoona, PA 16601-4804 | 2006-01-19 |
| 1851371389 | Ronald Kihm | Radiology | 620 Howard Ave, Altoona, PA 16601-4804 | 2006-01-19 |
| 1043290034 | Sylvan Radiology Associates Inc | Radiology | 620 Howard Ave, Altoona, PA 16601-4804 | 2006-01-18 |
| 1447230537 | Esiri Karunaratne | Radiology | 620 Howard Ave, Altoona, PA 16601-4804 | 2006-01-17 |
| Find all providers in ALTOONA | ||||
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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.