DR. SAMER SHUAIB (NPI# 1720294440) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720294440 |
| Entity Type | Individual |
| Full Name | DR. SAMER SHUAIB |
| Credential | MD |
| Practice Address |
1500 N Oakland Ave Bolivar MO 65613-3011 |
| Practice Telephone | 4173266000 |
| Mailing Telephone | 4173266000 |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2016-06-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
2013044176 | MO | Allopathic & Osteopathic Physicians |
| Y | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
2013044176 | MO | Allopathic & Osteopathic Physicians |
| Street Address |
1500 N OAKLAND AVE |
| City | BOLIVAR |
| State | MO |
| Zip Code | 65613-3011 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992705305 | Bryan E Flueckiger | Psychiatry & Neurology | 1500 N Oakland Ave, Bolivar, MO 65613-3011 | 2005-07-28 |
| 1750994281 | Lynetta S Smith | Dietitian, Registered | 1500 N Oakland Ave, Bolivar, MO 65613-3099 | 2020-08-25 |
| 1689282485 | Austin Gott | Dietitian, Registered | 1500 N Oakland Ave, Bolivar, MO 65613-3011 | 2020-07-17 |
| 1275141129 | Mesha Cowan | Dietitian, Registered | 1500 N Oakland Ave, Bolivar, MO 65613-3099 | 2020-07-16 |
| 1700427358 | Micah Miller | Physician Assistant | 1500 N Oakland Ave, Bolivar, MO 65613-3099 | 2019-10-04 |
| 1619438009 | Kristina Vance | Occupational Therapist | 1500 N Oakland Ave, Bolivar, MO 65613-3011 | 2019-03-27 |
| 1417420381 | Melissa Sue Moores | Social Worker | 1500 N Oakland Ave, Bolivar, MO 65613-3099 | 2019-01-03 |
| 1982171625 | Kimberly Doolin | Registered Nurse | 1500 N Oakland Ave, Bolivar, MO 65613-3011 | 2018-10-31 |
| 1356837694 | Katelynn Stewart | Specialist/Technologist | 1500 N Oakland Ave, Bolivar, MO 65613-3099 | 2018-07-10 |
| 1902315401 | Daniel J Ferguson | Nurse Practitioner | 1500 N Oakland Ave, Bolivar, MO 65613-3011 | 2017-09-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891301552 | Casablanca Care Center, LLC | Home Health | 524 S. Albany Avenue, Bolivar, MO 65613 | 2020-09-18 |
| 1669087045 | Revive Medical LLC | Durable Medical Equipment & Medical Supplies | 5000, S Scenic, Bolivar, MO 65613 | 2020-09-11 |
| 1669097119 | Melanie Nicole Beckham | Nurse Practitioner | 1100 South Springfield Ave, Suite B, Bolivar, MO 65613 | 2020-06-10 |
| 1932754744 | Caitlin M Williams | Specialist/Technologist | 1260 S Pike Avenue, Bolivar, MO 65613 | 2019-08-08 |
| 1073022406 | Jacquelyn Rose Kemnic | Dietitian, Registered | Heart Center, 1500 N Oakland Ave, Willard, MO 65613 | 2017-09-28 |
| 1164897161 | Ozarks Resource Group | Clinic/Center | 203 E. Broadway St., Bolivar, MO 65613 | 2015-12-02 |
| 1962895292 | Professional Christian Counseling | Counselor | 4888 S 139th Road, Bolivar, MO 65613 | 2015-03-11 |
| 1073916573 | Scott Leslie Dennis | Physician Assistant | 1500 North Oakland Ave, Citizens Memorial Hospital, Bolivar, MO 65613 | 2014-09-29 |
| 1053712109 | Citizens Memorial Hospital District | Pharmacy | 1301-b North Oakland, Bolivar, MO 65613 | 2014-09-09 |
| 1740680453 | Jamee M Stimpson | Occupational Therapist | 454 S. Main Avenue, Bolivar, MO 65613 | 2014-08-29 |
| Find all providers in zip 65613 | ||||
| Taxonomy Code | 207RI0011X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Interventional Cardiology |
| An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/ Board Certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. ACGME Accredited Residency Program Requirements: 1 year of training plus a prerequisite of 3 years Internal Medicine, 3 years Cardiovascular Disease for a total of 7 years. ABMS Approved Subspecialty Certificate (Internal Medicine) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275032286 | Cardiac Cin of Kansas City LLC | Internal Medicine | 111 W 10th St Ste 103, Kansas City, MO 64105-1700 | 2018-02-05 |
| 1437658440 | Cardiac Cin of St Louis LLC | Internal Medicine | 11628 Old Ballas Rd # 346, Saint Louis, MO 63141-7030 | 2018-02-05 |
| 1629366984 | Jorge Marcelo Ramirez Romero | Internal Medicine | 1402 S. Grand, Fdt 14th Floor, St. Louis, MO 63104 | 2011-07-20 |
| 1164737490 | Mohan Mallikarjuna Edupuganti | Internal Medicine | 901 Patients First Dr Ste 2500, Washington, MO 63090 | 2010-08-11 |
| 1285945295 | Byungsoo Ko | Internal Medicine | 100 Mercy Way Ste 320, Joplin, MO 64804-4524 | 2010-06-24 |
| 1033370358 | Shamail S. Tariq | Internal Medicine | 1071 Airport Rd, Festus, MO 63028-4103 | 2008-06-19 |
| 1104083351 | Cardiovascular Institute of Jacksonville P A | Internal Medicine | 1406 Ridgetree Trails Dr, Wildwood, MO 63021-5930 | 2008-05-16 |
| 1053401422 | Gus Theodos | Internal Medicine | 710 S Price Rd, Saint Louis, MO 63124-1867 | 2006-10-13 |
| 1225134117 | William R Reilly Inc | Internal Medicine | 450 N. New Ballas Rd, Ste 170w, St. Louis, MO 63141-6835 | 2006-09-16 |
| 1881799336 | Morton R. Rinder | Internal Medicine | 222 S Woods Mill Rd Ste 560, Chesterfield, MO 63017-3625 | 2006-09-13 |
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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.