SHAUNDA MARIE RODRIGUEZ


Address: 1947 N Founders Cir, Wichita, KS 67206-3548
Phone: 3166134680

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).

Provider Overview

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

Taxonomy

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

Office Location

Street Address 1947 N FOUNDERS CIR
City WICHITA
State KS
Zip Code 67206-3548

Providers in the same location

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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Providers in the same zip code

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 Information

Taxonomy Code 207YX0007X
Grouping Allopathic & Osteopathic Physicians
Classification Otolaryngology
Specialization Plastic Surgery within the Head & Neck

Taxonomy Definition

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)

Providers in the same taxonomy and state

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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City WICHITA
Zip Code 67206

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Dataset Information

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.

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