DR. JOEL L SHANKLIN (NPI# 1851398580) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851398580 |
| Entity Type | Individual |
| Full Name | DR. JOEL L SHANKLIN |
| Credential | MD |
| Practice Address |
825 W Market St Ste 260 Lima OH 45805-2745 |
| Mailing Address |
Po Box 636930 Cincinnati OH 45263-6930 |
| Practice Telephone | 4199965208 |
| Practice Fax Number | 4199965209 |
| Enumeration Date | 2005-07-07 |
| Last Update Date | 2019-10-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0122X |
Surgery Specialization: Plastic and Reconstructive Surgery |
35137549 | OH | Allopathic & Osteopathic Physicians |
| N | 2086S0122X |
Surgery Specialization: Plastic and Reconstructive Surgery |
48571 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 300044892A | 05 | |
| SC | G48571 | 05 |
| Street Address |
825 W MARKET ST STE 260 |
| City | LIMA |
| State | OH |
| Zip Code | 45805-2745 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316564255 | Margarita Padua | Case Manager/Care Coordinator | 862 S Cable Rd, Suite B, Lima, OH 45805 | 2020-06-26 |
| 1942792908 | Misty Sommer Turner | Community/Behavioral Health | 1115 S. Sapakaneta, Lima, OH 45805 | 2018-06-05 |
| 1427545250 | Blanford Farms | Dentist | 3000 Elida Road Suite 3, Lima, OH 45805 | 2018-04-17 |
| 1639696776 | Joseph Edward Kraynok | Social Worker | 3103 W. Elm St., Lima, OH 45805 | 2017-08-29 |
| 1619424793 | Kylie Mcintyre | Speech-Language Pathologist | 1100 Shawnee Road, Lima, OH 45805 | 2016-09-06 |
| 1568810224 | Wesley Eugene Chan | Student in an Organized Health Care Education/Training Program | 1702 Allentown Road, Lima, OH 45805 | 2016-06-02 |
| 1932508637 | Olurin Olaleye | Licensed Practical Nurse | 1430 Oakland Pkwy Apt 4, Lima, OH 45805 | 2014-08-19 |
| 1780926519 | Patrick Harold Gorman | Chiropractor | 2425 Allentown Road, Lima, OH 45805 | 2013-03-19 |
| 1285979930 | Kelly C Stahr | Registered Nurse | 1955 Hillcrest, Lima, OH 45805 | 2012-12-06 |
| 1750641148 | Christina Renee Triplett | Marriage & Family Therapist | 1240 W. Market St, Suite 3, Lima, OH 45805 | 2012-05-21 |
| Find all providers in zip 45805 | ||||
| Taxonomy Code | 2086S0122X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Plastic and Reconstructive Surgery |
| A surgeon who specializes in plastic and reconstructive surgery. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770192304 | Roberta S Mckinley | Surgery | 5955 Carrbridge Ct, Galloway, OH 43119-1105 | 2020-07-29 |
| 1841707346 | Ptek Solutions | Surgery | 355 E Campus View Blvd Ste 290, Columbus, OH 43235-5680 | 2018-01-05 |
| 1336660034 | Andrew O'brien | Surgery | 915 Olentangy River Rd Fl 2, Columbus, OH 43212-3153 | 2017-07-03 |
| 1114248044 | Advanced Aesthetics and Rejuvination Inc | Surgery | 30701 Lorain Rd Ste A, North Olmsted, OH 44070-6325 | 2010-06-15 |
| 1700118114 | Vidas Dumasius | Surgery | 400 Matthew St Ste B-1, Marietta, OH 45750-1644 | 2010-02-10 |
| 1033382411 | Derek Cody | Surgery | 3925 Embassy Parkway, Suite 300, Akron, OH 44333 | 2008-04-08 |
| 1043381189 | Steven A Goldman Md Inc | Surgery | 3609 Park East Dr Ste 206, Beachwood, OH 44122-4309 | 2006-11-12 |
| 1922198357 | Michael P Binder | Surgery | 8587 East Ave, Mentor, OH 44060-4301 | 2006-10-14 |
| 1154416857 | Jason E Leedy | Surgery | 2060 Lander Rd, Mayfield Heights, OH 44124-4100 | 2006-10-04 |
| 1841225356 | Steven Scott Carp | Surgery | 4031 Massillon Road, Ste A, Uniontown, OH 44685 | 2006-07-12 |
| Find all providers with the same taxonomy | ||||
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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.