SHAUNDA MARIE RODRIGUEZ (NPI# 1932356078) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1932356078 |
Entity Type | Individual |
Full Name | SHAUNDA MARIE RODRIGUEZ |
Credential | D.O. |
Practice Address |
1947 N Founders Cir Wichita KS 67206-3548 |
Mailing Address |
Po Box 8035 Wichita KS 67208-0035 |
Practice Telephone | 3166134680 |
Practice Fax Number | 3166134906 |
Mailing Telephone | 3166899135 |
Mailing Fax Number | 3166899769 |
Enumeration Date | 2008-08-20 |
Last Update Date | 2015-07-01 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207Y00000X | Otolaryngology | 931 | NE | Allopathic & Osteopathic Physicians |
Y | 207YX0007X |
Otolaryngology Specialization: Plastic Surgery within the Head & Neck |
05-38208 | KS | Allopathic & Osteopathic Physicians |
N | 207YX0007X |
Otolaryngology Specialization: Plastic Surgery within the Head & Neck |
OTO12165 | PA | Allopathic & Osteopathic Physicians |
Street Address |
1947 N FOUNDERS CIR |
City | WICHITA |
State | KS |
Zip Code | 67206-3548 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174528053 | Douglas E Frederick | Nurse Practitioner | 1947 N Founders Cir, Wichita, KS 67206-3548 | 2005-06-16 |
1114534013 | Natasha Robin Moran | Physical Therapy Assistant | 1947 N Founders Cir, Wichita, KS 67206-3548 | 2020-09-25 |
1780290379 | Aureline Stephanie Ta | Nurse Anesthetist, Certified Registered | 1947 N Founders Cir, Wichita, KS 67206-3548 | 2020-09-18 |
1295386266 | Craig Meitler | Registered Nurse | 1947 N Founders Cir, Wichita, KS 67206-3548 | 2019-09-21 |
1578116091 | Kaitlin Sullivan | Audiologist | 1947 N Founders Cir, Wichita, KS 67206-3548 | 2019-07-23 |
1972065217 | Kelley Renee Ewert | Occupational Therapist | 1947 N Founders Cir, Wichita, KS 67206-3548 | 2019-04-04 |
1427533876 | Angela Madrid | Registered Nurse | 1947 N Founders Cir, Wichita, KS 67206-3548 | 2018-10-02 |
1649778960 | Caitlyn Coffey | Nurse Practitioner | 1947 N Founders Cir, Wichita, KS 67206-3548 | 2018-02-01 |
1801314745 | Lauren Cote | Nurse Practitioner | 1947 N Founders Cir, Wichita, KS 67206-3548 | 2017-08-30 |
1497201958 | Leanne Bath | Occupational Therapy Assistant | 1947 N Founders Cir, Wichita, KS 67206-3548 | 2016-08-25 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760020846 | Founders Surgery Center, LLC | Clinic/Center | 1961 N Founders Circle, Wichita, KS 67206 | 2019-12-19 |
1174006613 | Courtney Dawn Simon | Physical Therapist | 9360 E Central Ave Ste 100, Wichita, KS 67206 | 2018-09-11 |
1902308919 | Center At Waterfront LLC | Skilled Nursing Facility | 1541 North Lindberg Circle, Wichita, KS 67206 | 2018-03-06 |
1750804597 | Katelyn Aguiar | Psychologist | 250 N Rock Rd Ste 210, Wichita, KS 67206 | 2017-07-24 |
1457888778 | Mona Kay Cherryholmes | Social Worker | 1223 N. Rock Rd, Bldg A. Suite 100, Wichita, KS 67206 | 2017-05-17 |
1164899415 | Elizabeth Herl | Marriage & Family Therapist | 250 N Rock Rd Ste 150, Wichita, KS 67206 | 2015-08-21 |
1851715510 | Ndjj Corp | Custodial Care Facility | 6403 E Marjore, Wichita, KS 67206 | 2014-02-14 |
1801238217 | Courtney Ann Lang | Physical Therapist | 1603 North Chapel Hill Street, Suite 400, Wichita, KS 67206 | 2013-07-26 |
1194063032 | Peak Performance Health Pa | Chiropractor | 10111 E 21st St, #106, Wichita, KS 67206 | 2013-01-28 |
1750629002 | Rachel Marie Conrad | Speech-Language Pathologist | 1861 N. Rock Rd, Ste 101, Wichita, KS 67206 | 2013-01-22 |
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Taxonomy Code | 207YX0007X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Otolaryngology |
Specialization | Plastic Surgery within the Head & Neck |
An otolaryngologist with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgeries are practiced, there are many additional procedures which interface with them. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy is currently provided in the subspecialty of Otolaryngology/Facial Plastic Surgery (see Taxonomy Code 207YX0905X) |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487779922 | Jean-michel, Hassan, Md Southwest Clinic Inc | Otolaryngology | 555 W 15th St Ste D, Liberal, KS 67901-2468 | 2007-03-21 |
1871712380 | Richard B. Price, M.d., P.a. | Otolaryngology | 12330 Metcalf Ave, Suite 550, Overland Park, KS 66213-1324 | 2007-04-24 |
1346386265 | Kansas University Physicians Inc | Otolaryngology | 3901 Rainbow Blvd, Ms 3010, Kansas City, KS 66160 | 2007-01-29 |
1073667275 | Mark Stephen Walton | Otolaryngology | 5370 College Blvd, Suite 100, Overland Park, KS 66211-1891 | 2007-01-23 |
1942354246 | Steven Frank Ellis | Otolaryngology | 5370 College Blvd, Suite 100, Overland Park, KS 66211-1891 | 2007-01-23 |
1942354014 | Head & Neck Surgery of Kansas City P A | Otolaryngology | 5370 College Blvd, Suite 100, Overland Park, KS 66211-1935 | 2007-01-23 |
1205981263 | Head & Neck Surgery of Kansas City P A | Otolaryngology | 4951 W 18th St, Lawrence, KS 66047-2090 | 2007-01-23 |
1598819849 | Robert F Thompson | Otolaryngology | 5370 College Blvd, Suite 100, Overland Park, KS 66211-1935 | 2007-01-23 |
1194769943 | Douglas A Girod | Otolaryngology | 3901 Rainbow Blvd, Ms 3010, Kansas City, KS 66160-0001 | 2006-06-15 |
1508804667 | Yelizaveta Shnayder | Otolaryngology | 3901 Rainbow Blvd, Ms 3010, Kansas City, KS 66160-8500 | 2006-06-02 |
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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.