SHASHIKUMAR R GOWDA (NPI# 1922116672) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922116672 |
| Entity Type | Individual |
| Full Name | SHASHIKUMAR R GOWDA |
| Credential | M.D. |
| Practice Address |
1429 N 6th St Terre Haute IN 47807-1037 |
| Mailing Address |
221 S 6th St Terre Haute IN 47807-4214 |
| Practice Telephone | 8122423109 |
| Practice Fax Number | 8122423990 |
| Mailing Telephone | 8122423109 |
| Mailing Fax Number | 8122423990 |
| Enumeration Date | 2006-08-25 |
| Last Update Date | 2013-03-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
36091244 | IL | Allopathic & Osteopathic Physicians |
| Y | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
01045040A | IN | Allopathic & Osteopathic Physicians |
| N | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
36091244 | IL | Allopathic & Osteopathic Physicians |
| N | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
01045040A | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ANTHEM | 000000226195 | 01 | |
| IN | 200111360S | 05 | |
| IN | RAILROAD MEDICARE | P00834961 | 01 |
| IL | RAILROAD MEDICARE | P01053285 | 01 |
| IN | 200111360 | 05 | |
| IN | 200111360O | 05 | |
| IN | 200111360X | 05 |
| Street Address |
1429 N 6TH ST |
| City | TERRE HAUTE |
| State | IN |
| Zip Code | 47807-1037 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396749966 | Karen Ann Tisinai | Surgery | 1429 N 6th St, Terre Haute, IN 47807-1037 | 2005-06-10 |
| 1497362438 | Loganne D Wertz | Physician Assistant | 1429 N 6th St, Terre Haute, IN 47807-1019 | 2020-09-24 |
| 1346861788 | Marcy Aldrich | Nurse Practitioner | 1429 N 6th St, Terre Haute, IN 47807-1019 | 2020-04-27 |
| 1538798210 | Bernice Imogene Morris | Nurse Practitioner | 1429 N 6th St, Terre Haute, IN 47807-1019 | 2020-04-05 |
| 1760043566 | Alexandra Strunk | Physician Assistant | 1429 N 6th St, Terre Haute, IN 47807-1019 | 2019-06-24 |
| 1366917965 | Rebecca Proctor | Nurse Practitioner | 1429 N 6th St, Terre Haute, IN 47807-1019 | 2018-10-10 |
| 1326535816 | Kindra Lee Shepard | Nurse Practitioner | 1429 N 6th St, Terre Haute, IN 47807-1019 | 2018-04-19 |
| 1992150965 | Jennifer Gruber | Nurse Practitioner | 1429 N 6th St, Terre Haute, IN 47807-1019 | 2016-04-27 |
| 1821467689 | Sarah Kachman | Nurse Practitioner | 1429 N 6th St, Terre Haute, IN 47807-1019 | 2015-09-22 |
| 1538572862 | Mohammed Zaher | Urology | 1429 N 6th St, Terre Haute, IN 47807-1019 | 2014-06-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972150175 | Acceleraed Rehabilitation Centers Ltd | Physical Therapist | 516 Wabash Ave, Terre Haute, IN 47807 | 2019-08-22 |
| 1548753403 | Terre Haute Aal Lp | Assisted Living Facility | 650 Lafayette Avenue, Terre Haute, IN 47807 | 2018-06-14 |
| 1790286300 | Hamilton Center, Inc. | Clinic/Center | 88 Court Wabash Court, Terre Haute, IN 47807 | 2018-02-28 |
| 1073022703 | Charles Martinez | Case Manager/Care Coordinator | 1619 5th Ave, Terre Haute, IN 47807 | 2017-09-26 |
| 1326578931 | Ian Nicholas Bostock | Specialist/Technologist | 1113 North 8th Street, Terre Haute, IN 47807 | 2017-06-15 |
| 1619309804 | Kimberly R Rollings | Audiologist | 1429 North Sixth Street, Terre Haute, IN 47807 | 2013-07-30 |
| 1376827550 | Lazaro Vu | Pharmacist | 1300 Wabash Avenue, Terre Haute, IN 47807 | 2011-10-05 |
| 1609016211 | Midwest Neurosurgery, P.C. | Specialist | 1530 N. 7th Street, Suite 106, Terre Haute, IN 47807 | 2009-02-23 |
| 1114007838 | Micheal J Deady Dds Inc | Oral & Maxillofacial Surgery | 1630 Poplar St, Terre Haute, IN 47807 | 2006-10-17 |
| 1316958549 | Wabash Valley Urological Assoc Inc | Specialist | 1235 Ohio Street, Terre Haute, IN 47807 | 2006-08-11 |
| Find all providers in zip 47807 | ||||
| Taxonomy Code | 207RC0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Critical Care Medicine |
| An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. |
| 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 |
|---|---|---|---|---|
| 1609028885 | Terre Haute Pulmonary & Pediatric Clinic, LLC | Internal Medicine | 4525 S Springhill Jct, Terre Haute, IN 47802-4563 | 2008-10-21 |
| 1831275080 | Associated Physicians & Surgeons Clinic, LLC | Internal Medicine | 1530 N 7th St, Ste 200, Terre Haute, IN 47807-1057 | 2006-10-31 |
| 1093891251 | Associated Physicians & Surgeons Clinic, LLC | Internal Medicine | 1739 N 4th St, Terre Haute, IN 47804-4002 | 2006-10-31 |
| 1255448916 | Lawrence Roy Dultz | Internal Medicine | 1429 N 6th St, Terre Haute, IN 47807-1037 | 2006-08-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649640202 | Bkrd, Inc | Internal Medicine | 302 Garden Trl, Michigan City, IN 46360-2710 | 2015-09-25 |
| 1053744367 | Jagadeesh Yella | Internal Medicine | 1400 N Ritter Ave Ste 375, Indianapolis, IN 46219-3049 | 2013-08-11 |
| 1114367067 | Fouad Kutuby | Internal Medicine | 8840 Calumet Ave Ste 206, Munster, IN 46321-2546 | 2013-06-25 |
| 1235481755 | Dedrick K. Bowe | Internal Medicine | 800 Broadway Ste 204, Fort Wayne, IN 46802-2149 | 2012-10-08 |
| 1871856351 | Muhammad J Habib | Internal Medicine | 355 Westfield Rd Ste 114, Noblesville, IN 46060-1442 | 2012-06-20 |
| 1629356332 | Sangeeth Rao Dubbireddi | Internal Medicine | 1801 N Senate Ave Ste 2000, Indianapolis, IN 46202 | 2011-07-29 |
| 1972894087 | Amanpreet Kaur | Internal Medicine | 3500 N Franciscan Way, Ste 400, Michigan City, IN 46360-0021 | 2011-04-22 |
| 1164735692 | Edgardo Manuel Flores Anticona | Internal Medicine | 2101 Jackson St Ste 110, Anderson, IN 46016-4386 | 2010-07-26 |
| 1598986713 | Eugene C Fletcher Md LLC | Internal Medicine | 428 Vincennes St, New Albany, IN 47150-3054 | 2007-05-02 |
| 1912032434 | Brian Allen Youn | Internal Medicine | 821 S Scott Rd, Fort Wayne, IN 46814-9398 | 2007-02-23 |
| Find all providers with the same taxonomy | ||||
| City | TERRE HAUTE |
| Zip Code | 47807 |
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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.