MOHAN SHENOY (NPI# 1093773376) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093773376 |
| Entity Type | Individual |
| Full Name | MOHAN SHENOY |
| Credential | M.D. |
| Practice Address |
1312 W. Arch Haven Avenue Bloomington IN 47403 |
| Mailing Address |
Po Box 1329 Bloomington IN 47402 |
| Practice Telephone | 8126764144 |
| Practice Fax Number | 8123398344 |
| Mailing Telephone | 8123533087 |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2016-05-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
01075144A | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 201281210 | 05 |
| Street Address |
1312 W. ARCH HAVEN AVENUE |
| City | BLOOMINGTON |
| State | IN |
| Zip Code | 47403 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104821974 | Jennifer Petersen-goldspiel | Internal Medicine | 1312 W. Arch Haven Avenue, Bloomington, IN 47403 | 2005-06-16 |
| 1518366947 | Atiq Zamani | Physician Assistant | 1312 W. Arch Haven Avenue, Bloomington, IN 47403 | 2014-08-21 |
| 1205276177 | Julianne Frey | Physician Assistant | 1312 W. Arch Haven Avenue, Bloomington, IN 47403 | 2013-06-25 |
| 1023189677 | Kevin Edward Zawacki | Internal Medicine | 1312 W. Arch Haven Avenue, Bloomington, IN 47403 | 2006-11-13 |
| 1780796417 | Andrew Dundee Ferguson | Internal Medicine | 1312 W. Arch Haven Avenue, Suite A, Bloomington, IN 47403 | 2006-08-31 |
| 1164429411 | James S Fix | Internal Medicine | 1312 W. Arch Haven Avenue, Bloomington, IN 47403 | 2005-07-01 |
| 1770588568 | Gregory S. Heumann | Internal Medicine | 1312 W. Arch Haven Avenue, Bloomington, IN 47403 | 2005-06-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043783673 | Brook Whitaker | Registered Nurse | 4011 S. Monroe Medical Park Blvd, Bloomington, IN 47403 | 2019-01-07 |
| 1598251175 | Jacob Edward Lundorf | Nurse Practitioner | 2100 S Liberty Dr Ste B, Bloomington, IN 47403 | 2018-07-06 |
| 1568973717 | Gregory Thomas Dougan | Physician Assistant | 418 South Landmark Avenue, Bloomington, IN 47403 | 2017-10-16 |
| 1295276160 | Indiana Center for Recovery, LLC | Substance Abuse Rehabilitation Facility | 1004 W 1st Street, Bloomington, IN 47403 | 2017-03-13 |
| 1144694217 | Kayla Dewolf | Specialist/Technologist | 1471 W Allen St, Bloomington, IN 47403 | 2015-11-30 |
| 1164806444 | Monroe Hosoital | General Acute Care Hospital | 4011 Monroe Medical Park, Bloomington, IN 47403 | 2015-07-16 |
| 1821411588 | Jennifer Turner | Occupational Therapy Assistant | 1023 West Main St, Swiss Villa, Vevay, IN 47403 | 2014-01-30 |
| 1104170232 | Kendall Basore | Social Worker | 445 S. Landmark Ave., Bloomington, IN 47403 | 2012-10-26 |
| 1568715886 | Indiana Hearing LLC | Hearing Aid Equipment | 2019 S Liberty Dr, Bloomington, IN 47403 | 2012-10-24 |
| 1679870232 | Accurate Hearing Services | Clinic/Center | 1355 W Second St, #3, Bloomington, IN 47403 | 2011-02-17 |
| Find all providers in zip 47403 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740367895 | William V Novak | Internal Medicine | 1505 Eastland Dr., Bloomington, IL 61701 | 2006-11-01 |
| 1477523645 | Scott E. Mattson | Internal Medicine | 1312 W Arch Haven Ave Ste A, Bloomington, IN 47403-2088 | 2006-01-23 |
| 1104821974 | Jennifer Petersen-goldspiel | Internal Medicine | 1312 W. Arch Haven Avenue, Bloomington, IN 47403 | 2005-06-16 |
| 1336142017 | Yogesh K Agarwal | Internal Medicine | 1505 Eastland Dr, Ste 330, Bloomington, IL 61701-3534 | 2005-05-24 |
| 1184980880 | Saki Miwa | Internal Medicine | 1312 W Arch Haven Ave Ste A, Bloomington, IN 47403-2088 | 2012-04-06 |
| 1124221684 | Kevin F Sumption | Internal Medicine | 1312 W Arch Haven Ave Ste A, Bloomington, IN 47403-2088 | 2007-06-11 |
| 1558423806 | Bloomington Cardiology PC | Internal Medicine | 822 W 1st St, Suite 7, Bloomington, IN 47403 | 2006-12-14 |
| 1780796417 | Andrew Dundee Ferguson | Internal Medicine | 1312 W. Arch Haven Avenue, Suite A, Bloomington, IN 47403 | 2006-08-31 |
| 1831110352 | Louis J Calli Jr. | Internal Medicine | 550 S Landmark Ave, Bloomington, IN 47403-3239 | 2006-07-21 |
| 1962450734 | Illinois Cardiovascular & Thoracic Surgery, Ltd | Internal Medicine | 1505 Eastland Dr, Suite 210, Bloomington, IL 61701-7906 | 2006-05-04 |
| Find all providers in BLOOMINGTON | ||||
| City | BLOOMINGTON |
| Zip Code | 47403 |
Please comment or provide details below to improve the information on MOHAN SHENOY.
| 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.