TIMOTHY JAMES SHOEMAKER (NPI# 1871751461) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871751461 |
| Entity Type | Individual |
| Full Name | TIMOTHY JAMES SHOEMAKER |
| Credential | MD |
| Practice Address |
1703 W Stones Crossing Rd Ste 200 Greenwood IN 46143 |
| Mailing Address |
1703 W Stones Crossing Rd Ste 200 Greenwood IN 46143-8569 |
| Practice Telephone | 3178593737 |
| Mailing Telephone | 3178593737 |
| Enumeration Date | 2008-05-30 |
| Last Update Date | 2018-11-13 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
01066341A | IN | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | 11013258A | IN | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200944990 | 05 | |
| IN | ANTHEM | 000000620285 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 5230 E Stop 11 Rd, Suite 150, Indianapolis, IN 462376398 | 3178655904 | 3178655314 |
| Street Address |
1703 W STONES CROSSING RD STE 200 |
| City | GREENWOOD |
| State | IN |
| Zip Code | 46143 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164490215 | Michael L Shoemaker | Family Medicine | 1703 W Stones Crossing Rd Ste 200, Greenwood, IN 46143 | 2006-03-14 |
| 1013477587 | Laura Walradth | Nurse Practitioner | 1703 W Stones Crossing Rd Ste 200, Greenwood, IN 46143-8558 | 2019-03-21 |
| 1205310588 | Kayla Heldman | Nurse Practitioner | 1703 W Stones Crossing Rd Ste 200, Greenwood, IN 46143-8558 | 2018-09-21 |
| 1386001451 | Erin Johnson | Nurse Practitioner | 1703 W Stones Crossing Rd Ste 200, Greenwood, IN 46143-8558 | 2016-01-20 |
| 1821465659 | Jennifer Adolay | Registered Nurse | 1703 W Stones Crossing Rd Ste 200, Greenwood, IN 46143-8558 | 2015-08-27 |
| 1619315298 | Kami L. Smith | Family Medicine | 1703 W Stones Crossing Rd Ste 200, Greenwood, IN 46143 | 2013-06-05 |
| 1194162511 | Cecilia Marie David-capes | Family Medicine | 1703 W Stones Crossing Rd Ste 200, Greenwood, IN 46143-8558 | 2013-05-24 |
| 1144494592 | James Lee Gahimer | Internal Medicine | 1703 W Stones Crossing Rd Ste 200, Greenwood, IN 46143-8558 | 2008-04-16 |
| 1780748194 | Melodie G. Gill | Nurse Practitioner | 1703 W Stones Crossing Rd Ste 200, Greenwood, IN 46143-8558 | 2006-12-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891395299 | Tiffany Smirat | Pharmacist | 882 S Sr 135, Greenwood, IN 46143 | 2020-10-27 |
| 1083250138 | Benajmin Thomas Nyboer | Pharmacist | 5961 North State Road 135, Kroger Pharmacy, Greenwood, IN 46143 | 2019-11-25 |
| 1609417260 | Orthopaedics-indianapolis, Inc | Orthopaedic Surgery | 1579 Olive Branch Parke Lane, Suite 130, Greenwood, IN 46143 | 2019-10-04 |
| 1194282525 | Homebased Mental Health Service | Case Management | 2244 Blossom Dr, Greenwood, IN 46143 | 2019-02-21 |
| 1710478078 | Anne E Packard | Pharmacist | 333 E County Line Rd # 101, Greenwood, IN 46143 | 2018-05-22 |
| 1033607924 | Ez Clinic Inc. | Nurse Practitioner | 494 S Emerson Ave Ste I, Greenwood, IN 46143 | 2018-04-25 |
| 1891246633 | Kroger Limited Partnership I | Durable Medical Equipment & Medical Supplies | 5961 N Sr 135, Greenwood, IN 46143 | 2016-10-17 |
| 1477919637 | Ourhealth Physicians Group, LLC | Clinic/Center | 1273 N Emerson Ave Ste H, Greenwood, IN 46143 | 2016-01-04 |
| 1003212655 | American Health Network of Indiana, LLC | Non-Pharmacy Dispensing Site | 2355 Endress Place St A, Healthy Measures Wellness Clinic, Greenwood, IN 46143 | 2014-11-10 |
| 1265831366 | Katie D'agosto | Counselor | 3000 S State Road 135 Ste 230, Greenwood, IN 46143 | 2014-08-14 |
| Find all providers in zip 46143 | ||||
| Taxonomy Code | 207RE0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Endocrinology, Diabetes & Metabolism |
| An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. |
| 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 |
|---|---|---|---|---|
| 1639152408 | Hilary Cheslack Brynildsen | Internal Medicine | 115 Overland Dr, Greenwood, SC 29646-4053 | 2005-11-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992344071 | Deaconess Clinc Inc | Internal Medicine | 120 Se 4th St, Evansville, IN 47708-1607 | 2020-01-06 |
| 1568930220 | Impact Physician Group, Indiana, LLC | Internal Medicine | 13219 N Meridian St, Carmel, IN 46032-5480 | 2018-11-10 |
| 1679080683 | Gregory Alan Gaich | Internal Medicine | 5891 N New Jersey St, Indianapolis, IN 46220-2534 | 2017-12-29 |
| 1154833002 | Endocrinology & Diabetes of Indiana LLC | Internal Medicine | 9240 N Meridian St Ste 240, Indianapolis, IN 46260-1876 | 2017-11-01 |
| 1669909388 | Primariahealth, PC | Internal Medicine | 9365 Counselors Row Ste 210, Indianapolis, IN 46240-6418 | 2017-05-11 |
| 1083078943 | James K Malone | Internal Medicine | 5256 N Illinois St, Indianapolis, IN 46208-2636 | 2016-04-07 |
| 1538524491 | John Henry Krege | Internal Medicine | 12443 Pebblepointe Pass, Carmel, IN 46033-9686 | 2015-12-19 |
| 1619301165 | Thomas Andrew Hardy | Internal Medicine | 1417 Stoney Creek Cir, Carmel, IN 46032-9115 | 2013-09-02 |
| 1356781983 | Jose Francisco Caro | Internal Medicine | 1296 Conner St, Noblesville, IN 46060-2911 | 2013-06-27 |
| 1891040762 | Shrikant Uttam Tamhane | Internal Medicine | 1050 Reid Pkwy Ste 300, Richmond, IN 47374-1155 | 2012-07-17 |
| 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.