SHELLY GUNN (NPI# 1891853966) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891853966 |
| Entity Type | Individual |
| Full Name | SHELLY GUNN |
| Credential | MD |
| Practice Address |
4383 Medical Dr Suite 4044 San Antonio TX 78229-3307 |
| Mailing Address |
4383 Medical Dr Suite 4077 San Antonio TX 78229-3307 |
| Practice Telephone | 2105935700 |
| Practice Fax Number | 2105935992 |
| Mailing Telephone | 2102887911 |
| Mailing Fax Number | 2102222853 |
| Enumeration Date | 2006-12-04 |
| Last Update Date | 2013-07-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0105X |
Pathology Specialization: Clinical Pathology/Laboratory Medicine |
M5198 | TX | Allopathic & Osteopathic Physicians |
| N | 207ZC0006X |
Pathology Specialization: Clinical Pathology |
250967 | NY | Allopathic & Osteopathic Physicians |
| N | 207ZC0006X |
Pathology Specialization: Clinical Pathology |
A98691 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 184553907 | 05 | |
| CA | MEDICARE | 05D1052995 | 01 |
| Street Address |
4383 MEDICAL DR SUITE 4044 |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78229-3307 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376546861 | Kyriakos Peter Papadopoulos | Internal Medicine | 4383 Medical Dr, San Antonio, TX 78229-3307 | 2005-05-27 |
| 1669016275 | Melissa Yvonne Zuniga | Pharmacist | 4383 Medical Dr, San Antonio, TX 78229-3307 | 2019-11-06 |
| 1548688641 | Prathibha Surapaneni | Internal Medicine | 4383 Medical Dr, San Antonio, TX 78229-3307 | 2014-04-04 |
| 1457779027 | Jennifer Ding | Internal Medicine | 4383 Medical Dr, San Antonio, TX 78229-3307 | 2014-04-01 |
| 1245594639 | Hanni Salih | Internal Medicine | 4383 Medical Dr, San Antonio, TX 78229-3307 | 2012-06-29 |
| 1073888319 | Jaron Evan Mark | Obstetrics & Gynecology | 4383 Medical Dr, San Antonio, TX 78229-3307 | 2012-03-20 |
| 1437440948 | Oncopath Laboratory, LLC | Clinical Medical Laboratory | 4383 Medical Dr, San Antonio, TX 78229-3307 | 2011-05-02 |
| 1245473149 | James Brian Szender | Obstetrics & Gynecology | 4383 Medical Dr, San Antonio, TX 78229-3307 | 2009-04-08 |
| 1730332693 | Niraj Hiro Pahlajani | Radiology | 4383 Medical Dr, San Antonio, TX 78229-3307 | 2008-10-23 |
| 1972787745 | Damon A. Mimari | Surgery | 4383 Medical Dr, San Antonio, TX 78229-3307 | 2007-12-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245857226 | Lyndsey A Sandoval | Optometrist | 7400 Minton Miner St, San Antonio, TX 78229 | 2020-06-25 |
| 1295355311 | Nicolet Finger | Student in an Organized Health Care Education/Training Program | 7703 Floyd Curl Drive, Mc 7798, San Antonio, TX 78229 | 2020-04-18 |
| 1215557400 | Amy Elizabeth Werry | Clinical Neuropsychologist | 7703 Floyd Circle Drive, San Antonio, TX 78229 | 2020-04-17 |
| 1740822972 | Mohammad Safaie Yazdi | Student in an Organized Health Care Education/Training Program | Ut Health Science Center At San Antonio- Agdc, 8210 Floyd Curl Dr., Msc 8103, San Antonio, TX 78229 | 2019-10-09 |
| 1063053072 | Blas Edward Villa | Nurse Practitioner | 7703 Floyd Curl Drive Mc 7885 Pulmonary Diseases & Crit, Medicine, San Antonio, TX 78229 | 2019-10-01 |
| 1124673942 | Integrity Dme Services LLC | Durable Medical Equipment & Medical Supplies | 6323 Sovereign Dr, Suite # 170 Ab, San Antonio, TX 78229 | 2019-08-08 |
| 1730734120 | Marisa Erin Leyden | Speech-Language Pathologist | Joe R. & Teresa Lozano Long Campus, 7703 Floyd Curl Dr., San Antonio, TX 78229 | 2019-08-03 |
| 1285295741 | Alireza Ghezavati | Student in an Organized Health Care Education/Training Program | 7703 Floyd Curl Drive Mc 7750, Department of Pathology and Laboratory Medicine, San Antonio, TX 78229 | 2019-06-25 |
| 1407410285 | Denae Cheyenne Rushing | Student in an Organized Health Care Education/Training Program | 8201 Floyd Curl Drive, San Antonio, TX 78229 | 2019-04-26 |
| 1265993570 | Shehzad Amlani | Student in an Organized Health Care Education/Training Program | Address: 7703 Floyd Curl Dr, San Antonio, TX 78229 | 2019-03-28 |
| Find all providers in zip 78229 | ||||
| Taxonomy Code | 207ZP0105X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Clinical Pathology/Laboratory Medicine |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| 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 Pathology, 2007. http://www.abpath.org/. American Osteopathic Board of Pathology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pathology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093017949 | Genome Consult, LLC | Pathology | 4383 Medical Dr Ste 4077, San Antonio, TX 78229-3307 | 2010-11-29 |
| 1356365688 | Marsha C. Kinney | Pathology | 7703 Floyd Curl Dr, Mc 7977, San Antonio, TX 78229-3901 | 2006-07-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083176457 | Tamiko Smith | Pathology | 410 Nw 11th St # 112, Grand Prairie, TX 75050-5416 | 2019-04-03 |
| 1366912735 | Integrative Medical Solutions Pllc | Pathology | 190 E Stacy Rd Ste 306-238, Allen, TX 75002-8734 | 2018-11-28 |
| 1669991097 | Kai Medical Laboratories, LLC | Pathology | 8230 Elmbrook Dr Ste 200, Dallas, TX 75247 | 2017-09-18 |
| 1922551399 | Magnolia Diagnostics, LLC | Pathology | 4245 N Central Expy Ste 420, Dallas, TX 75205-4566 | 2016-08-02 |
| 1851566566 | Beaumont Port Arthur Pathology Associates, Pa | Pathology | 8801 9th Ave, Port Arthur, TX 77642-8013 | 2008-04-23 |
| 1780880849 | Raul Benavides Jr. | Pathology | 2807 Cessna Ct, Dallas, TX 75228-5424 | 2007-06-26 |
| 1386775880 | Varix Health Care | Pathology | 3107 Dawes Dr, Dallas, TX 75211-5758 | 2007-03-08 |
| 1306902283 | Greater Valley Pathology Group Pa | Pathology | 600 Wichita Ave, Apt #501, Mcallen, TX 78503-3047 | 2006-12-28 |
| 1427136357 | Valencia, Md & Sanchez, Md Pa | Pathology | 612 Nolana St Ste 330, Mcallen, TX 78504-3088 | 2006-11-01 |
| 1124035175 | Cheryl Willman | Pathology | 2325 Camino De Salud Ne, Unm Cancer Research - Treatment Center, Albuquerque, TX 87131 | 2006-08-02 |
| Find all providers with the same taxonomy | ||||
| City | SAN ANTONIO |
| Zip Code | 78229 |
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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.