DR. JENNIFER MARIE SHADE (NPI# 1801028600) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801028600 |
| Entity Type | Individual |
| Full Name | DR. JENNIFER MARIE SHADE |
| Other Name | DR. JENNIFER MARIE JAWORSKI |
| Credential | M.D. |
| Practice Address |
89 Sylvania Dr Beavercreek OH 45440-3281 |
| Practice Telephone | 9373202020 |
| Mailing Telephone | 9373202020 |
| Enumeration Date | 2009-08-13 |
| Last Update Date | 2014-11-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | 35123554 | OH | Allopathic & Osteopathic Physicians |
| N | 207W00000X | Ophthalmology | 56584 | MN | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922645696 | Jennifer Ann Shade | Nurse Practitioner | 3269 N Stockton Hill Rd, Kingman, AZ 86409-3619 | 2019-12-02 |
| 1730577388 | Jennifer Shade | Registered Nurse | 16529 Coastal Hwy, Lewes, DE 19958-3696 | 2015-01-06 |
| Street Address |
89 SYLVANIA DR |
| City | BEAVERCREEK |
| State | OH |
| Zip Code | 45440-3281 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477110310 | Cei Physicians P.s.c., LLC | Eyewear Supplier (Equipment, not the service) | 89 Sylvania Dr, Beavercreek, OH 45440-3281 | 2019-05-28 |
| 1871738146 | Leah K. Cloud | Ophthalmology | 89 Sylvania Dr, Beavercreek, OH 45440-3281 | 2008-12-15 |
| 1194989582 | Adam R Cloud | Ophthalmology | 89 Sylvania Dr, Beavercreek, OH 45440-3281 | 2008-07-15 |
| 1245404383 | Donghai Viet Ho | Specialist | 89 Sylvania Dr, Beavercreek, OH 45440-3281 | 2008-04-18 |
| 1811176548 | Scott Davies Schoenberger | Ophthalmology | 89 Sylvania Dr, Floor 2, Beavercreek, OH 45440-3281 | 2007-10-30 |
| 1023169638 | Karen E Mcpherson | Optometrist | 89 Sylvania Dr, Beavercreek, OH 45440-3281 | 2007-01-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427657568 | Jason Michael Knippen | Pharmacist | 5400 Cornerstone, Centerville, OH 45440 | 2020-10-20 |
| 1184222564 | Kimberly Downs | Pharmacist | 5400 North Cornerstone Blvd, Centerville, OH 45440 | 2020-10-16 |
| 1659902153 | Caryn Hoffman | Pharmacist | 5400 Cornerstone Blvd, Centerville, OH 45440 | 2020-02-03 |
| 1023673100 | Katren Elizabeth Clark | Psychologist | 70 Birch Alley, Suite 240, Dayton, OH 45440 | 2019-05-05 |
| 1649784737 | Amy Lynn Winstead | Dietitian, Registered | 5721 Bigger Road, Kettering, OH 45440 | 2017-11-28 |
| 1104245455 | Aprscp, Inc. | Hearing Instrument Specialist | 3341 East Stroop Road, Kettering, OH 45440 | 2014-04-15 |
| 1457601858 | Victoria L Saylor | Pharmacy Technician | 4480 Indianripple Rd, Dayton, OH 45440 | 2012-09-12 |
| 1528368644 | Sara Jankowski | Art Therapist | 5178 Scarsdale Dr., Kettering, OH 45440 | 2010-10-22 |
| 1356651012 | Senior Options Group | Home Health | 4025 Marshall Road, Kettering, OH 45440 | 2010-10-15 |
| 1417106345 | Sheenu Goel | Dentist | 4235 Indian Ripple Rd., Suite 200a, Dayton, OH 45440 | 2008-09-16 |
| Find all providers in zip 45440 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205256708 | Mary Ellen Runkle | Ophthalmology | 89 Sylvania Dr Fl 1, Beavercreek, OH 45440-3282 | 2014-04-23 |
| 1518164995 | Martin F Wilkes | Ophthalmology | 89 Sylvania Dr Fl 2, Beavercreek, OH 45440 | 2007-06-29 |
| 1477511475 | Sung Kwong Or | Ophthalmology | 1538 Marsetta Dr, Beavercreek, OH 45432-2733 | 2006-05-02 |
| 1942202700 | Brian Ray Stahl | Ophthalmology | 4235 Indian Ripple Rd, Ste 100, Beavercreek, OH 45440-3247 | 2005-08-11 |
| 1871738146 | Leah K. Cloud | Ophthalmology | 89 Sylvania Dr, Beavercreek, OH 45440-3281 | 2008-12-15 |
| 1194989582 | Adam R Cloud | Ophthalmology | 89 Sylvania Dr, Beavercreek, OH 45440-3281 | 2008-07-15 |
| 1811176548 | Scott Davies Schoenberger | Ophthalmology | 89 Sylvania Dr, Floor 2, Beavercreek, OH 45440-3281 | 2007-10-30 |
| 1518925429 | Trinity Eye Care,llc | Ophthalmology | 1538 Marsetta Dr, Beavercreek, OH 45432-2733 | 2006-05-02 |
| 1053306001 | James Roy Knowles | Ophthalmology | 4235 Indian Ripple Rd, Ste 100, Beavercreek, OH 45440-3247 | 2005-09-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376142182 | Tri-state Centers for Sight Inc | Ophthalmology | 8270 Pine Rd, Cincinnati, OH 45236-1900 | 2020-10-22 |
| 1952913311 | Dayton Glaucoma and Cataract Consultants Inc | Ophthalmology | 1222 S Patterson Blvd Ste 300, Dayton, OH 45402-2643 | 2020-08-18 |
| 1497365449 | Victor M Bello Md, LLC | Ophthalmology | 3169 Park East Drive, Suite 306, Parkway Medical Building South, Beachwood, OH 44122-4132 | 2020-08-05 |
| 1922660620 | The Cincinnati Eye Institute Foundation | Ophthalmology | 1574 Claretta Dr, Cincinnati, OH 45231-5405 | 2019-07-02 |
| 1154834562 | Fountain Anti-aging | Ophthalmology | 892 Beach Rd, Lakewood, OH 44107-1018 | 2017-11-07 |
| 1063865863 | Claudine Bellerive | Ophthalmology | Cole Eye Institute 9500 Euclid Avenue I 13, Cleveland, OH 44195-0001 | 2016-07-15 |
| 1396193009 | Arif Omar Khan | Ophthalmology | Ophthalmology Cole Eye Institute I30, 9500 Euclid Ave, Cleveland, OH 44195-0001 | 2016-06-03 |
| 1053768374 | Kevin Halenda | Ophthalmology | Cleveland Clinic Cole Eye Institute 9500 Euclid Ave I30, Cleveland, OH 44195-2536 | 2016-05-17 |
| 1316301765 | Joseph Ling | Ophthalmology | 7001 S Edgerton Rd Ste B, Brecksville, OH 44141-4206 | 2016-04-12 |
| 1568825222 | Matthew Phillip Nicholas | Ophthalmology | 9500 Euclid Ave # I30, Cleveland, OH 44195-4201 | 2016-03-31 |
| Find all providers with the same taxonomy | ||||
| City | BEAVERCREEK |
| Zip Code | 45440 |
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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.