DR. MAKONDO SHIMUKOWA (NPI# 1730389982) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730389982 |
| Entity Type | Individual |
| Full Name | DR. MAKONDO SHIMUKOWA |
| Credential | M.D |
| Practice Address |
356 E Midway Rd Fort Pierce FL 34982-7148 |
| Practice Telephone | 7724649746 |
| Practice Fax Number | 7724649750 |
| Mailing Telephone | 7724649746 |
| Mailing Fax Number | 7724649750 |
| Enumeration Date | 2007-07-24 |
| Last Update Date | 2020-02-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 2010-00305 | NC | Allopathic & Osteopathic Physicians |
| Street Address |
356 E MIDWAY RD |
| City | FORT PIERCE |
| State | FL |
| Zip Code | 34982-7148 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801884028 | Darla L Bagwell | Nurse Practitioner | 356 E Midway Rd, Fort Pierce, FL 34982-7148 | 2005-10-11 |
| 1306487400 | Tiffany Marie Black | Physician Assistant | 356 E Midway Rd, Fort Pierce, FL 34982-7148 | 2019-10-01 |
| 1902466287 | Midway Infectious Diseases, LLC | Internal Medicine | 356 E Midway Rd, Fort Pierce, FL 34982-7148 | 2019-06-18 |
| 1366942039 | Suzette Wood | Pharmacist | 356 E Midway Rd, Fort Pierce, FL 34982-7148 | 2018-02-19 |
| 1306393145 | Lauren Leeflang | Physician Assistant | 356 E Midway Rd, Fort Pierce, FL 34982-7148 | 2016-09-09 |
| 1598114779 | Midway Primary Care LLC | Internal Medicine | 356 E Midway Rd, Fort Pierce, FL 34982-7148 | 2016-06-08 |
| 1376970814 | Midway Specialty Care Center Inc | Internal Medicine | 356 E Midway Rd, Fort Pierce, FL 34982-7148 | 2013-09-30 |
| 1477818367 | Nichole M Castle | Nurse Practitioner | 356 E Midway Rd, Fort Pierce, FL 34982-7148 | 2012-07-07 |
| 1447544408 | Moti Ramgopal Mdpa | Internal Medicine | 356 E Midway Rd, Fort Pierce, FL 34982-7148 | 2011-06-07 |
| 1356580518 | Midway Immunology and Research Center | Internal Medicine | 356 E Midway Rd, Fort Pierce, FL 34982-7148 | 2009-02-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932759305 | Carehere LLC | Family Medicine | Carehere Clinic- St. Lucie Employee Health and Wellness, 2200 Virginia Avenue, Fort Pierce, FL 34982 | 2019-09-17 |
| 1548732159 | Regenerative Medical Group Inc | Family Medicine | 2624 S, Us1, Fort Pierce, FL 34982 | 2018-12-20 |
| 1609352905 | Shapiro Family Dentistry of Fort Pierce Pa | Dentist | Coral Square Shoppes 3006 Us Highway 1, Suite D2/d3, Fort Pierce, FL 34982 | 2018-07-19 |
| 1821585514 | Coralis Ivette Reyes | Social Worker | 2814 South U.S. Hwy1, Suite D4, Fort Pierce, FL 34982 | 2018-04-18 |
| 1720509441 | Quality Care Holdings Inc | Non-emergency Medical Transport (VAN) | 3247 Oleander Ave Suite A5, Fort Pierce, FL 34982 | 2017-07-03 |
| 1770013377 | Kira Patricia Omeally | Assistant Behavior Analyst | 2106 Linda Sue Circle #105, Fort Pierce, FL 34982 | 2017-06-15 |
| 1124557483 | Linda S Colebrooke | Marriage & Family Therapist | 2814 South U.S. Hwy 1, Suite D4, Fort Pierce, FL 34982 | 2017-06-08 |
| 1619404845 | Angili Hamilton | Social Worker | 2814 South .s. Hwy 1 Suite D4, Fort. Pierce, FL 34982 | 2017-05-18 |
| 1881146652 | Tasha Daley | Community Health Worker | 3215 S Hwy 1 Suite F, Fort Pierce, FL 34982 | 2016-10-27 |
| 1952792764 | Casper Lockwood | Case Manager/Care Coordinator | 2814 South U.s Hwsy 1, Suite D4, Fort Pierce, FL 34982 | 2015-02-16 |
| Find all providers in zip 34982 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| 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 |
|---|---|---|---|---|
| 1689050015 | Yudelquis Comas Sanchez | Internal Medicine | Lawnwood Regional Medical Center, 1700 S 23rd St, Fort Pierce, FL 34986 | 2015-08-07 |
| 1528459666 | Lazaro R Completo Jr. | Internal Medicine | #c-823 2400 South Ocean Drive, Fort Pierce, FL 34949 | 2015-02-11 |
| 1235433087 | Internal Medicine Complete Care Pa | Internal Medicine | 4636 S 25th St, Fort Pierce, FL 34981-5057 | 2011-01-07 |
| 1740363589 | Stella Iramil Medina Lewis | Internal Medicine | 1505 Delaware Ave., Fort Pierce, FL 34950-7474 | 2006-10-23 |
| 1831121110 | Liaquddin Shaikh | Internal Medicine | 2504 Acorn St, Suite A, Fort Pierce, FL 34947-4746 | 2006-07-07 |
| 1386675767 | Edward W Pelote | Internal Medicine | 1905 S 25th St, Suite 100, Fort Pierce, FL 34947-4739 | 2006-07-05 |
| 1013959394 | Lakewood Park Walk-in Clinic, LLC | Internal Medicine | 5059 Turnpike Feeder Rd, Fort Pierce, FL 34951-2246 | 2006-06-12 |
| 1265485171 | Margaret A. Altman | Internal Medicine | 1423 S Us Highway 1, Fort Pierce, FL 34950-5102 | 2006-05-19 |
| 1346201753 | Carol Costas | Internal Medicine | 2403 River Hammock Ln, Fort Pierce, FL 34981-4989 | 2006-03-28 |
| 1578523445 | Pulmonary Medical Associates Pa | Internal Medicine | 2580 Rhode Island Ave, Fort Pierce, FL 34947-4777 | 2006-03-24 |
| Find all providers in FORT PIERCE | ||||
| City | FORT PIERCE |
| Zip Code | 34982 |
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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.