SHOAIB JUNEJO (NPI# 1902251010) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902251010 |
| Entity Type | Individual |
| Full Name | SHOAIB JUNEJO |
| Credential | M.D. |
| Practice Address |
2620 W Faidley Ave Grand Island NE 68803-4205 |
| Mailing Address |
8268 164th St Jamaica NY 11432-1121 |
| Practice Telephone | 3083988919 |
| Mailing Telephone | 7188834080 |
| Enumeration Date | 2016-04-26 |
| Last Update Date | 2018-08-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 31063 | NE | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 8268 164th St, Jamaica, NY 114321121 | 7188834080 |
| Street Address |
2620 W FAIDLEY AVE |
| City | GRAND ISLAND |
| State | NE |
| Zip Code | 68803-4205 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194701276 | Susan Elaine Beaty | Registered Nurse | 2620 W Faidley Ave, Wound Ostomy Healing Center, Grand Island, NE 68803-4205 | 2005-12-20 |
| 1780200139 | Emily Rae Christensen | Nurse Practitioner | 2620 W Faidley Ave, Grand Island, NE 68803-4205 | 2020-06-22 |
| 1720621121 | Rachel James | Nurse Practitioner | 2620 W Faidley Ave, Grand Island, NE 68803-4205 | 2019-10-18 |
| 1245724137 | Suellen Ranee Bruguera | Nurse Practitioner | 2620 W Faidley Ave, Grand Island, NE 68803-4205 | 2018-06-14 |
| 1508357930 | Midwest Emergency Grand Island Inc | Emergency Medicine | 2620 W Faidley Ave, Grand Island, NE 68803-4205 | 2018-05-22 |
| 1740782770 | Lpp of Nebraska LLC | Emergency Medicine | 2620 W Faidley Ave, Grand Island, NE 68803-4205 | 2018-03-06 |
| 1528588357 | Chelsea Mae Pedroza | Nurse Practitioner | 2620 W Faidley Ave, Grand Island, NE 68803-4205 | 2017-06-22 |
| 1477009686 | Zeeshan Khalid | Internal Medicine | 2620 W Faidley Ave, Grand Island, NE 68803 | 2016-08-28 |
| 1730593823 | Suresh Manapuram | Internal Medicine | 2620 W Faidley Ave, Dept of Hospital Medicine, Grand Island, NE 68803 | 2014-06-17 |
| 1306194337 | Babak Farivar | Emergency Medicine | 2620 W Faidley Ave, Department of Emergency Medicine, Grand Island, NE 68803-4205 | 2012-08-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467053884 | Christopher Patrin | Counselor | 1811 West 2nd Street, Suite 450, Grand Island, NE 68803 | 2020-11-03 |
| 1942848593 | Specialized Outpatient Services | Counselor | 1811 West 2nd Street Suite 450, Grand Island, NE 68803 | 2019-12-13 |
| 1558910604 | Grand Island Regional Medical Center | General Acute Care Hospital | 3533 Prairieview Street, Grand Island, NE 68803 | 2019-09-10 |
| 1992225817 | Destiny Mostek | Dietitian, Registered | 2201 N. Broadwell Ave, Grand Island, NE 68803 | 2017-06-21 |
| 1184150591 | Brandy Rae Bird | Registered Nurse | Mosaic Msu 2905 West 5th Street, Grand Island, NE 68803 | 2017-05-04 |
| 1831633171 | Karla Jean Sextro | Counselor | 2112 W. Faidley Ave, Grand Island, NE 68803 | 2016-12-06 |
| 1689062895 | Good Hands Clinic PC | Specialist | 524 South Webb Rd, Suite 1, Grand Island, NE 68803 | 2014-12-23 |
| 1346664554 | Lindsey M Modlin | Dental Hygienist | 4234 New York Ave, Grandi Island, NE 68803 | 2014-02-07 |
| 1568711711 | Danessa Marie Kenney | Counselor | 908 N. Howard Ave. Suite 107, Nebraska Children's Home Society, Grand Island, NE 68803 | 2012-09-04 |
| 1649528563 | Nicole Morris | Physical Therapist | 2116 Faidley Ave, Grand Island, NE 68803 | 2012-08-27 |
| Find all providers in zip 68803 | ||||
| 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 |
|---|---|---|---|---|
| 1831270404 | Erich Richard Fruehling | Internal Medicine | 3515 Richmond Cir, Grand Island, NE 68803-4965 | 2006-10-18 |
| 1003826330 | Thomas Edward Price | Internal Medicine | 160 Forest Creek Ln, Grand Island, NY 14072-3502 | 2006-08-09 |
| 1821082603 | Moncarm A Fouche | Internal Medicine | 2201 N Broadwell Ave, Grand Island, NE 68803-2153 | 2005-09-07 |
| 1144228966 | Jeffrey K. King | Internal Medicine | 3515 Richmond Circle, Grand Island, NE 68803-4965 | 2005-07-14 |
| 1972501716 | Jennifer L King | Internal Medicine | 800 N Alpha St, Grand Island, NE 68803-4320 | 2005-07-13 |
| 1679571673 | Anne K Morse | Internal Medicine | 729 N Custer Ave, Grand Island, NE 68803-4311 | 2005-07-13 |
| 1477009686 | Zeeshan Khalid | Internal Medicine | 2620 W Faidley Ave, Grand Island, NE 68803 | 2016-08-28 |
| 1619357191 | Mathew Boyd Day | Internal Medicine | 729 N Custer Ave, Grand Island, NE 68803-4311 | 2015-06-01 |
| 1265847396 | Madhavi Reddy Cherukula | Internal Medicine | 2116 W Faidley Ave, Grand Island, NE 68803-4678 | 2014-06-26 |
| 1730593823 | Suresh Manapuram | Internal Medicine | 2620 W Faidley Ave, Dept of Hospital Medicine, Grand Island, NE 68803 | 2014-06-17 |
| Find all providers in GRAND ISLAND | ||||
| City | GRAND ISLAND |
| Zip Code | 68803 |
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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.