MRS. ELIZABETH S GENDY-SHAKER (NPI# 1992912950) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992912950 |
| Entity Type | Individual |
| Full Name | MRS. ELIZABETH S GENDY-SHAKER |
| Other Name | MRS. ELIZABETH S GENDY |
| Credential | M.D. |
| Practice Address |
1690 Barton Rd Ste 104 Redlands CA 92373-4230 |
| Mailing Address |
Po Box 10069 San Bernardino CA 92423-0069 |
| Practice Telephone | 9097954747 |
| Practice Fax Number | 9097938146 |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2017-11-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | 45113 | AZ | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | A97366 | CA | Allopathic & Osteopathic Physicians |
| Y | 2080P0214X |
Pediatrics Specialization: Pediatric Pulmonology |
A97366 | CA | Allopathic & Osteopathic Physicians |
| N | 2080P0214X |
Pediatrics Specialization: Pediatric Pulmonology |
45113 | AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 664353 | 05 |
| Street Address |
1690 BARTON RD STE 104 |
| City | REDLANDS |
| State | CA |
| Zip Code | 92373-4230 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477508356 | Jorge R Mazlumian | Pediatrics | 1690 Barton Rd Ste 104, Redlands, CA 92373-4230 | 2006-05-23 |
| 1285811497 | Heather Marie Barr | Pediatrics | 1690 Barton Rd Ste 104, Redlands, CA 92373-4230 | 2008-01-30 |
| 1174705099 | Julia Ann White | Pediatrics | 1690 Barton Rd Ste 104, Redlands, CA 92373-4230 | 2007-12-03 |
| 1093740680 | Varonica Dixon | Pediatrics | 1690 Barton Rd Ste 104, Redlands, CA 92373-4230 | 2006-07-11 |
| 1649218827 | Mary M Mailander | Pediatrics | 1690 Barton Rd Ste 104, Redlands, CA 92373-4230 | 2006-06-02 |
| 1730135880 | Praful C Shah | Pediatrics | 1690 Barton Rd Ste 104, Redlands, CA 92373-4230 | 2006-05-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508473422 | Mindfulness Counseling Services | Marriage & Family Therapist | 101 E. Redlands, Suite 170a, Redlands, CA 92373 | 2020-09-24 |
| 1710596721 | Vandna Mittal | Counselor | 26967 Beamount Avenue, 1020 Coronado Drive, Redlands, CA 92373 | 2020-07-26 |
| 1164062345 | Sara Bencoe | Nurse Practitioner | 101 E. Redlands Blvd. Ste. 106, Redlands, CA 92373 | 2020-01-15 |
| 1033604103 | John Duane Wuchenich | Anesthesiology | 451 Summit Avenue, Redlands, CA 92373 | 2018-06-29 |
| 1013401074 | Adept Hospice Care | Hospice Care, Community Based | 515 New Jersey St., Suite G, Redlands, CA 92373 | 2018-06-21 |
| 1134616121 | Rodrigo Robles | Student in an Organized Health Care Education/Training Program | 26001 Redlands Blvd ., 2nd Floor, 2d 301, Redlands, CA 92373 | 2018-04-16 |
| 1760987614 | Redlands Endodontics | Dentist | 245 Terracina Blvd Suite 207 B, Redlands, CA 92373 | 2018-03-23 |
| 1487164166 | Tyler Stafford | Behavioral Analyst | 1467 Ford St. Suite 104, Redlands, CA 92373 | 2017-10-06 |
| 1083131486 | Shannon Palmowski | Behavioral Analyst | Institute for Behavioral Health, 1041 Alabama Ave, Redlands, CA 92373 | 2017-08-25 |
| 1275062622 | Erim Sarbuland | Marriage & Family Therapist | 101 East Redlands Boulevard, Suites #215, Redlands, CA 92373 | 2017-06-08 |
| Find all providers in zip 92373 | ||||
| Taxonomy Code | 2080P0214X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Pulmonology |
| A pediatrician dedicated to the prevention and treatment of all respiratory diseases affecting infants, children and young adults. This specialist is knowledgeable about the growth and development of the lung, assessment of respiratory function in infants and children, and experienced in a variety of invasive and noninvasive diagnostic techniques. |
| 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/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659532117 | Salman Raza Khan | Pediatrics | 65 N Madison Ave Ste 701, Pasadena, CA 91101-2046 | 2008-06-18 |
| 1932384682 | University Childrens Medical Group | Pediatrics | 4650 W Sunset Blvd # 83, Los Angeles, CA 90027-6062 | 2007-12-31 |
| 1912188053 | Sebnem Ozdogan | Pediatrics | 3525 Pelandale Ave, Modesto, CA 95356-9781 | 2007-11-16 |
| 1316165384 | Cesar Chavarria, Md, Inc | Pediatrics | 18425 Burbank Blvd Suite 719, Tarzana, CA 91356 | 2007-04-23 |
| 1528184603 | Muhammad M. Saeed | Pediatrics | 4700 W Sunset Blvd Fl 3, Kaiser Permanente Dept of Pediatrics, Los Angeles, CA 90027-6082 | 2007-03-21 |
| 1528194024 | Alan Howard Cohen | Pediatrics | 3180 Porter Dr, Palo Alto, CA 94304-1212 | 2007-02-26 |
| 1720164080 | Carlos Eduardo Milla | Pediatrics | 770 Welch Rd Ste 350, Stanford University, Palo Alto, CA 94304-1523 | 2006-10-30 |
| 1992892822 | Amy Nevin Harrison | Pediatrics | 1501 Superior Ave Ste 202, Newport Beach, CA 92663-3640 | 2006-10-10 |
| 1659468759 | Christopher Endom Harris | Pediatrics | 8700 Beverly Blvd # Nt-4230, West Hollywood, CA 90048-1804 | 2006-10-09 |
| 1760580062 | Arnold C.g. Platzker | Pediatrics | 4650 W. Sunset Blvd, Los Angeles, CA 90027 | 2006-09-20 |
| Find all providers with the same taxonomy | ||||
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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.