STEVEN M SHIMOURA MD PA (NPI# 1043407299) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043407299 |
| Entity Type | Organization |
| Organization Name | STEVEN M SHIMOURA MD PA |
| Practice Address |
18111 Prince Philip Dr Suite 123 Olney MD 20832-1513 |
| Practice Telephone | 3015701333 |
| Practice Fax Number | 3015705640 |
| Mailing Telephone | 3015701333 |
| Mailing Fax Number | 3015705640 |
| Enumeration Date | 2007-10-02 |
| Last Update Date | 2012-09-25 |
| Authorized Official Name | DR. STEVEN MARK SHIMOURA (PRESIDENT) |
| Authorized Official Telephone | 3015701333 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | D0039071 | MD | Allopathic & Osteopathic Physicians |
| Street Address |
18111 PRINCE PHILIP DR SUITE 123 |
| City | OLNEY |
| State | MD |
| Zip Code | 20832-1513 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447253679 | Susanne T Woodlan | Specialist | 18111 Prince Philip Dr, Ste 111, Olney, MD 20832-1503 | 2005-05-23 |
| 1952787400 | Lera Salvatierra Ison | Nurse Practitioner | 18111 Prince Philip Dr, Ste 300, Olney, MD 20832-1513 | 2015-08-07 |
| 1043691884 | Sherry Hood Dulling | Nurse Practitioner | 18111 Prince Philip Dr, Suite 300, Olney, MD 20832-1507 | 2015-06-17 |
| 1518359066 | The Neurology Clinic of Washington | Clinical Nurse Specialist | 18111 Prince Philip Dr, Suite 124, Olney, MD 20832-1513 | 2015-02-20 |
| 1497150411 | Michele Parent | Physical Therapist | 18111 Prince Philip Dr, Suite 125, Olney, MD 20832-1513 | 2014-11-03 |
| 1487089819 | Centers for Advanced Orthopaedics, LLC | Orthopaedic Surgery | 18111 Prince Philip Dr, Suite 221, Olney, MD 20832 | 2013-09-04 |
| 1346506219 | Mclmhp Inc. | Clinic/Center | 18111 Prince Philip Dr, Suite 312, Olney, MD 20832-1513 | 2012-04-05 |
| 1881963544 | Phs Orhthopaedics Olney | General Acute Care Hospital | 18111 Prince Philip Dr, Suite 208, Olney, MD 20832-1513 | 2011-12-23 |
| 1568745750 | Allyson Deborah Bull | Audiologist | 18111 Prince Philip Dr, Suite 224, Olney, MD 20832-1513 | 2011-09-23 |
| 1194023234 | Ashraf M. Sufi, M.d. LLC | Internal Medicine | 18111 Prince Philip Dr, Suite 202, Olney, MD 20832-1513 | 2011-03-13 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417443532 | Ludmila Costenco | Behavior Technician | 18218 Fox Chase Cir, Olney, MD 20832 | 2018-07-02 |
| 1912422874 | Shannon Denham Nguy | Nurse Practitioner | 18109 Prince Philip Dr Ste 300, Olney, MD 20832 | 2017-08-11 |
| 1578092904 | Rodney John Bohlmann | Naturopath | 17517 Queen Elizabeth Drive, Olney, MD 20832 | 2017-06-08 |
| 1972999746 | Arooj Babar | Internal Medicine | 18101 Prince Philip Dr Ste 230n, Olney, MD 20832 | 2015-04-08 |
| 1437547684 | Cynthia Ann Cook | Social Worker | 18006 Vintage River Terrace, Olney, MD 20832 | 2014-12-22 |
| 1598165334 | Gedion Haile | Pharmacist | 3110 Onley Sandy Spring Rd, Onley, MD 20832 | 2014-08-29 |
| 1285047902 | Melanie Ann Grady | Family Medicine | 18109 Prince Phillip Drive, Suite B200, Olney, MD 20832 | 2014-06-10 |
| 1063847267 | Mari Nako Tchantcho | Home Health Aide | 17149 Moss Side Lane, Olney, MD 20832 | 2013-09-06 |
| 1033558358 | Emily Sue Browning | Dentist | 3416 Olandwood Court, Suite 205, Suite 205, Olney, MD 20832 | 2013-06-19 |
| 1487093167 | Centers for Advanced Orthopaedics, LLC | Orthopaedic Surgery | 3414 Olandwood Court, Olney, MD 20832 | 2013-06-17 |
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| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013049212 | Niranat Dejtiranukul | Otolaryngology | 800 E Locust St, Olney, IL 62450-2553 | 2007-03-12 |
| 1285782748 | Nicholas Mehta | Otolaryngology | 18111 Prince Philip Dr, Suite 224, Olney, MD 20832-1513 | 2007-01-08 |
| 1285681205 | Chrosniak,schwartzbauer & Mehta Md Pa | Otolaryngology | 18111 Prince Philip Dr, Suite 224, Olney, MD 20832-1513 | 2006-05-27 |
| 1457314981 | Steven Marc Shimoura | Otolaryngology | 18109 Prince Philip Dr, Suite 300, Olney, MD 20832-1519 | 2006-04-07 |
| 1346247616 | Cynthia G. Chrosniak | Otolaryngology | 18111 Prince Philip Dr, Ste 224, Olney, MD 20832-1504 | 2005-07-01 |
| 1073510343 | Heather R. Schwartzbauer | Otolaryngology | 18111 Prince Philip Dr, Ste 224, Olney, MD 20832-1504 | 2005-07-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194219899 | Hearing and Balance Centers of The Chesapeake LLC | Otolaryngology | 4000 Mitchellville Rd Ste A410, Bowie, MD 20716-3141 | 2018-06-18 |
| 1023539632 | Ent Allergy and Asthma Center PC | Otolaryngology | 11119 Rockville Pike Ste 207, North Bethesda, MD 20852-3143 | 2017-07-05 |
| 1770945917 | Michelle S Hwang | Otolaryngology | 600 N Caroline St, 6th Floor, Baltimore, MD 21205-1839 | 2016-03-27 |
| 1962817098 | Sunny Joseph Haft | Otolaryngology | James T. Frenkil Bldg, 16 S Eutaw Street, Suite 500, Baltimore, MD 21201-9000 | 2014-06-27 |
| 1790195485 | Total Ent Care LLC | Otolaryngology | 3333 N Calvert St Ste 680, Baltimore, MD 21218-6517 | 2014-05-02 |
| 1700206869 | Joseph Choi Park | Otolaryngology | 601 N Caroline St # Street6, Baltimore, MD 21287-0006 | 2014-04-16 |
| 1689091522 | Omar Gasudraz Ahmed | Otolaryngology | 601 N Caroline St Ste 6011, Baltimore, MD 21287-0006 | 2014-03-27 |
| 1871936112 | Deepa J Galaiya | Otolaryngology | 601 N Caroline St Ste 6, Baltimore, MD 21287-0006 | 2013-04-16 |
| 1225392558 | Nicholas Ray Rowan | Otolaryngology | 601 N Caroline St Ste 6161, Baltimore, MD 21287-0006 | 2012-07-02 |
| 1598034183 | Edward John Drawbaugh | Otolaryngology | 19004 Cherry Tree Dr, Hagerstown, MD 21742-2633 | 2011-12-28 |
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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.