SHAWN D. TRASK (NPI# 1972602902) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972602902 |
| Entity Type | Individual |
| Full Name | SHAWN D. TRASK |
| Credential | M.D |
| Practice Address |
8104 Seaton Pl Montgomery AL 36116-7204 |
| Practice Telephone | 3342723889 |
| Practice Fax Number | 3342724089 |
| Mailing Telephone | 3342723889 |
| Mailing Fax Number | 3342724089 |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2020-05-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 33419 | AL | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | TP873 | KY | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | 20926 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 3056158 | 05 | |
| AL | 180920 | 05 | |
| KY | 65927394 GROUP | 05 | |
| KY | 7100095850 INDIVIDUA | 05 |
| Street Address |
8104 SEATON PL |
| City | MONTGOMERY |
| State | AL |
| Zip Code | 36116-7204 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861032609 | Audrey B Shaw | Counselor | 8104 Seaton Pl, Montgomery, AL 36116-7204 | 2020-01-09 |
| 1518436427 | Tanya Tamkio Graves | Counselor | 8104 Seaton Pl, Montgomery, AL 36116-7204 | 2018-11-20 |
| 1245706035 | Ashley Diandra Dudley | Counselor | 8104 Seaton Pl, Montgomery, AL 36116-7204 | 2018-10-18 |
| 1326423781 | Behavioral Medicine LLC | Counselor | 8104 Seaton Pl, Montgomery, AL 36116 | 2015-07-28 |
| 1629355391 | Sheila Shaffer Babcock | Counselor | 8104 Seaton Pl, Montgomery, AL 36116-7204 | 2011-11-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275153892 | Sayyeda Ann Uz Zahra | Student in an Organized Health Care Education/Training Program | 2055 East South Blvd. Suite 202, Uab Montgomery, Montgomery, AL 36116 | 2020-04-23 |
| 1861958241 | Tameka Lene' Myles | Nurse Practitioner | 2905 East South Boulevard, Montgomery, AL 36116 | 2019-02-11 |
| 1750869814 | Nina Yvette Massey | Family Medicine | Baptist South Uab Multi Specialty Clinic, 2119 E. South Blvd, Montgomery, AL 36116 | 2018-08-01 |
| 1336635697 | Briana Lynn Adair | Speech-Language Pathologist | 2185 Normandie Rd., Montgomery, AL 36116 | 2018-07-10 |
| 1790201770 | Rinka Ravi Pahwani | Student in an Organized Health Care Education/Training Program | 4371 Narrow Lane Road, Suite 100, Montgomery, AL 36116 | 2017-08-21 |
| 1982052015 | Kevin J Jones | Pharmacist | 4385 Narrow Lane Rd, Montgomery, AL 36116 | 2016-05-31 |
| 1891153284 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 8035 Vaughn Road, Montgomery, AL 36116 | 2016-02-01 |
| 1871917583 | E Dental | Dentist | 6956 Vaughn Rd, Montgomery, AL 36116 | 2014-02-17 |
| 1033545199 | Jennings Professional Services LLC | Home Health | 2921 Martin Lane, Montgomery, AL 36116 | 2013-09-20 |
| 1750721973 | Joseph Alan Taylor | Counselor | 8104 Seaton Place, Montgomery, AL 36116 | 2013-07-02 |
| Find all providers in zip 36116 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952945602 | East Montgomery Pediatrics LLC | Pediatrics | 337 St Lukes Drive, Montgomery, AL 36117 | 2019-11-05 |
| 1760914691 | Bradley Gilbert Marple | Pediatrics | 401 6th Ave Ste 101, Montgomery, WV 25136-2116 | 2017-03-30 |
| 1235527417 | John Henry Tholking | Pediatrics | 10064 Old Farm Ct, Montgomery, OH 45242-5926 | 2014-12-22 |
| 1578999256 | Wright Pediatrics, Pa | Pediatrics | 18924 Freeport Dr, Suite B, Montgomery, TX 77356-4589 | 2013-09-25 |
| 1912219387 | Pediatrics At Twilight,llc | Pediatrics | 128 Mitylene Park Ln, Montgomery, AL 36117-3758 | 2010-07-13 |
| 1942536867 | Gillis L. Payne, Jr., M.d., P.C. | Pediatrics | 7006 Fulton Court, Montgomery, AL 36117 | 2009-10-28 |
| 1699930784 | Linda L Kho | Pediatrics | 3183 Venetian Way, Montgomery, IL 60538-3454 | 2008-07-28 |
| 1457409955 | Shearlyn Deanne Peoples | Pediatrics | 1338 Biscayne Dr, Montgomery, AL 36116-2816 | 2007-01-08 |
| 1215008065 | Eddie Hao Uy | Pediatrics | 42d Medical Group, 300 S.twining St. Bldg 760, Montgomery, AL 36112-6219 | 2006-11-13 |
| 1386732642 | Rama Lakshmi Mukkamala | Pediatrics | 8160 Seaton Pl, Montgomery, AL 36116-7204 | 2006-10-11 |
| Find all providers in MONTGOMERY | ||||
| City | MONTGOMERY |
| Zip Code | 36116 |
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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.