MIKHAIL BORIS SHIK (NPI# 1891767000) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891767000 |
| Entity Type | Individual |
| Full Name | MIKHAIL BORIS SHIK |
| Credential | MD |
| Practice Address |
182 Intrepid Ln Brighton Medical Associates Syracuse NY 13205 |
| Mailing Address |
182 Intrepid Ln Syracuse NY 13205-2545 |
| Practice Telephone | 3152187020 |
| Practice Fax Number | 3152187050 |
| Enumeration Date | 2006-02-02 |
| Last Update Date | 2013-05-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 2209921 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02192198 | 05 |
| Street Address |
182 INTREPID LN BRIGHTON MEDICAL ASSOCIATES |
| City | SYRACUSE |
| State | NY |
| Zip Code | 13205 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225459175 | Familycare Medical Group PC | Non-Pharmacy Dispensing Site | 182 Intrepid Ln, Syracuse, NY 13205-2545 | 2013-12-19 |
| 1902245384 | Sean Bresnahan | General Practice | 182 Intrepid Ln, Syracuse, NY 13205-2545 | 2013-06-19 |
| 1346584034 | Sue A Stucker | Registered Nurse | 182 Intrepid Ln, Syracuse, NY 13205-2545 | 2012-11-19 |
| 1376898197 | Kathleen Mcdonnell Michel | Nurse Practitioner | 182 Intrepid Ln, Syracuse, NY 13205-2545 | 2012-07-18 |
| 1215017371 | Ajaz B Shawl | Internal Medicine | 182 Intrepid Ln, Brighton Medical Associates, Syracuse, NY 13205 | 2006-10-16 |
| 1962593327 | Kenneth Barrett Parker | Chiropractor | 182 Intrepid Ln, Syracuse, NY 13205-2545 | 2006-09-28 |
| 1356369060 | Gerald V. Mcmahon | Internal Medicine | 182 Intrepid Ln, Brighton Medical Associates, Syracuse, NY 13205 | 2006-07-18 |
| 1811959935 | Digant M. Nanavati | Family Medicine | 182 Intrepid Ln, Brighton Medical Associates, Syracuse, NY 13205 | 2006-04-04 |
| 1144299835 | Timothy John Daughton Jr. | Chiropractor | 182 Intrepid Ln, Syracuse, NY 13205-2545 | 2006-03-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710473707 | Michelle E Case | Social Worker | 2610 S Salina St Ste 2, Syracuse, NY 13205 | 2018-07-02 |
| 1104332022 | Gregory Ramsden | Chiropractor | 182 Intrepid Ln Ste B, Syracuse, NY 13205 | 2017-12-15 |
| 1619379286 | Hope for Us Housing, Inc | Home Health | 5957 South Salina St, Syracuse, NY 13205 | 2014-09-25 |
| 1861822116 | Michael Lee Loudner | Registered Nurse | 4842 Broad Rd, Syracuse, NY 13205 | 2013-11-24 |
| 1285987537 | Teeatta Owens | Licensed Practical Nurse | 114 Mcclure Ave, Syracuse, NY 13205 | 2012-10-24 |
| 1891082533 | Kamaloshini Poovalingam | Student in an Organized Health Care Education/Training Program | 211 Lafayette Road, 604, Syracuse, NY 13205 | 2011-07-01 |
| 1730483348 | Kenneth E. Hoogs Md PC | Urology | 100 Intrepid Lane, Syracuse, NY 13205 | 2010-12-23 |
| 1699092361 | Central Park | Nursing Care | 4905 S Salina St., Syracuse, NY 13205 | 2010-04-21 |
| 1215170741 | Toni Ramele Moore | Licensed Practical Nurse | 614 W. Seneca Turnpike, Syracuse, NY 13205 | 2009-04-14 |
| 1851536080 | Shalanda Cherrise Sutton | Licensed Practical Nurse | 228 W. Lafayette Rd, Syracuse, NY 13205 | 2008-12-02 |
| Find all providers in zip 13205 | ||||
| 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 |
|---|---|---|---|---|
| 1477817401 | Runa Acharya | Internal Medicine | 3229 East Genesee St, Syracuse, NY 13214 | 2012-06-25 |
| 1245551506 | Caitlin Elizabeth Toomey | Internal Medicine | 90 Presidential Plz Fl 2, Syracuse, NY 13202-2240 | 2010-06-21 |
| 1023245313 | Tanya M George | Internal Medicine | 750 E Adams St - Department of Internal Medicine, Department of Internal Medicine, Syracuse, NY 13210-2342 | 2009-06-15 |
| 1740414853 | Richard Walter Weiskopf | Internal Medicine | 259 East Onondaga St., Amaus Health Services At Cathedral, Syracuse, NY 13202 | 2009-05-05 |
| 1952585838 | Indu Gupta | Internal Medicine | 421 Montgomery St. Onondaga County Health Department, John H. Mulroy Civic Center 9th Floor, Syracuse, NY 13202 | 2007-12-27 |
| 1871783969 | Berton R Shayevitz | Internal Medicine | Ima, 518 James Street, Syracuse, NY 13203 | 2007-07-26 |
| 1831318799 | Abha Harish | Internal Medicine | 550 Harrison St Ste I, Syracuse, NY 13202-3188 | 2007-04-25 |
| 1922152651 | Beth Ann Binkowski | Internal Medicine | 111 Waverly Ave., Syracuse, NY 13244 | 2007-01-22 |
| 1154482339 | Stephen J Thomas | Internal Medicine | 725 Irving Avenue, Suite 314, Syracuse, NY 13210 | 2006-12-12 |
| 1659431963 | Michael P. Kenney | Internal Medicine | 6001 E Molloy Rd, Syracuse, NY 13211-2100 | 2006-12-11 |
| Find all providers in SYRACUSE | ||||
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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.