SHALAMAR D SIBLEY (NPI# 1154403103) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154403103 |
| Entity Type | Individual |
| Full Name | SHALAMAR D SIBLEY |
| Credential | MD |
| Practice Address |
516 Delaware St Se Pwb Sixth Floor, Clinic 6a Minneapolis MN 55455-0356 |
| Mailing Address |
420 Delaware St Se Mmc 101 Minneapolis MN 55455-0341 |
| Practice Telephone | 6126258690 |
| Mailing Telephone | 6126245150 |
| Mailing Fax Number | 6126263133 |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2016-09-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 43242 | MN | Allopathic & Osteopathic Physicians |
| Y | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
43242 | MN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | BLUE CROSS BLUE SHIELD | 93R17SI | 01 |
| Street Address |
516 DELAWARE ST SE PWB SIXTH FLOOR, CLINIC 6A |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55455-0356 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912990060 | Anthony J Santiago | Psychiatry & Neurology | 516 Delaware St Se, Clinic 1a, Minneapolis, MN 55455-0356 | 2005-08-24 |
| 1225592249 | Thomas Bukowski | Registered Nurse | 516 Delaware St Se, Minneapolis, MN 55455-0356 | 2019-01-23 |
| 1407344278 | Hooi Pin Chew | Dentist | 516 Delaware St Se, 7th Floor Pwb, Minneapolis, MN 55455-0356 | 2018-04-27 |
| 1093223786 | Mai E Lor | Technician/Technologist | 516 Delaware St Se, Minneapolis, MN 55455-0356 | 2018-01-16 |
| 1063866820 | Kelsey Noah | Occupational Therapist | 516 Delaware St Se, Mmc106, Minneapolis, MN 55455-0356 | 2016-04-19 |
| 1467811125 | Kristin Schneller | Occupational Therapist | 516 Delaware St Se, Mmc106, Minneapolis, MN 55455-0356 | 2016-02-23 |
| 1013382472 | Brooke Kaney | Social Worker | 516 Delaware St Se, Clinic 1c, Minneapolis, MN 55455-0356 | 2015-12-09 |
| 1447632682 | Christian Larson | Optometrist | 516 Delaware St Se, Minneapolis, MN 55455-0356 | 2015-06-24 |
| 1770970485 | Sarah Maki | Internal Medicine | 516 Delaware St Se, Minneapolis, MN 55455 | 2015-04-20 |
| 1235525627 | Shanon Renee Harper | Nurse Practitioner | 516 Delaware St Se, Minneapolis, MN 55455-0356 | 2015-04-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932715679 | Kara Biscobing | Nurse Anesthetist, Certified Registered | M Health Fairview Ummc East Bank 3-307, 500 Harvard Street, Minneapolis, MN 55455 | 2020-09-18 |
| 1982213237 | Yue Hu | Dentist | 515 Delaware St. Se Malcolm Moos Health Sciences Tower, Room 7-174, Minneapolis, MN 55455 | 2020-07-23 |
| 1952922148 | Jacob Laurence Tigner | Student in an Organized Health Care Education/Training Program | 420 Delaware Street Se, Mmc 284, Minneapolis, MN 55455 | 2020-04-29 |
| 1710507538 | Rachael Grundman | Student in an Organized Health Care Education/Training Program | 420 Delaware St, Mmc 395, Minneapolis, MN 55455 | 2020-04-22 |
| 1497375240 | Sanjay Dhawan | Student in an Organized Health Care Education/Training Program | 420 Delaware St. Se, Mmc 195, Minneapolis, MN 55455 | 2020-04-22 |
| 1508486549 | Dariel Andres Diaz | Student in an Organized Health Care Education/Training Program | 420 Se Delaware Street, Mmc 195, Minneapolis, MN 55455 | 2020-04-20 |
| 1275186280 | Kerem Ozturk | Radiology | B-226 Mayo Memorial Building, Mmc 292 420 Delaware Street S.e., Minneapolis, MN 55455 | 2019-07-18 |
| 1275194631 | Andres Jose Gonzalez Coba | Student in an Organized Health Care Education/Training Program | 420 Delaware Street Se Mmc 284, Minneapolis, MN 55455 | 2019-06-26 |
| 1841850278 | Brendan Andrew Schleyer | Dentist | 515 Delaware St Se, Div of Periodontology, Moos Tower, 7-368, Minneapolis, MN 55455 | 2019-06-18 |
| 1932767399 | Claire-audrey Y Bayan | Student in an Organized Health Care Education/Training Program | 420 Delaware Street, Mmc 98, Minneapolis, MN 55455 | 2019-05-31 |
| Find all providers in zip 55455 | ||||
| Taxonomy Code | 207RE0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Endocrinology, Diabetes & Metabolism |
| An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://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 |
|---|---|---|---|---|
| 1861547382 | Lawrence D Schuster | Internal Medicine | 4999 France Ave S Ste 255, Minneapolis, MN 55410-1734 | 2007-01-24 |
| 1235225160 | Charles John Billington | Internal Medicine | Minneapolis Vamc, Metabolic Section (111g), One Veterans Drive, Minneapolis, MN 55417 | 2006-10-05 |
| 1376651786 | Nacide Ercan-fang | Internal Medicine | Mpls Va Medical Center One Veterans Drive, 111g Endocrine/metabolic, Minneapolis, MN 55417 | 2006-08-26 |
| 1538692835 | Irfaan Ahmed Abid | Internal Medicine | 701 Park Ave, Minneapolis, MN 55415-1623 | 2017-04-04 |
| 1366672701 | Ameer Ali Khowaja | Internal Medicine | 701 Park Ave, Minneapolis, MN 55415-1623 | 2009-07-20 |
| 1477795441 | Anne Elizabeth Bantle | Internal Medicine | 420 Delaware St Se, Mmc 101, Minneapolis, MN 55455-0341 | 2009-04-06 |
| 1689834392 | Takako Araki | Internal Medicine | 909 Fulton St Se, Minneapolis, MN 55455-4800 | 2008-06-16 |
| 1952593451 | Chhavi Chadha | Internal Medicine | 2220 Riverside Ave - Mail Stop 31700a, Healthpartners Riverside Clinic, Minneapolis, MN 55454-1321 | 2007-08-17 |
| 1689866626 | Angela Ionela Radulescu | Internal Medicine | 516 Delaware St Se, Minneapolis, MN 55455-0356 | 2007-08-14 |
| 1528277100 | Tasma Harindhanavudhi | Internal Medicine | 420 Delaware St Se, Minneapolis, MN 55455-0341 | 2007-05-21 |
| Find all providers in MINNEAPOLIS | ||||
| City | MINNEAPOLIS |
| Zip Code | 55455 |
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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.