SHENANDOAH MEDICAL CENTER (NPI# 1184033300) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184033300 |
| Entity Type | Organization |
| Organization Name | SHENANDOAH MEDICAL CENTER |
| Practice Address |
1 Jack Foster Dr Shenandoah IA 51601-4586 |
| Mailing Address |
300 Pershing Ave Shenandoah IA 51601-2355 |
| Practice Telephone | 7122467400 |
| Practice Fax Number | 7122467357 |
| Mailing Telephone | 7122461230 |
| Mailing Fax Number | 7122467357 |
| Enumeration Date | 2014-08-13 |
| Last Update Date | 2014-08-13 |
| Authorized Official Name | KAREN S COLE (CEO) |
| Authorized Official Telephone | 7122461230 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467841726 | Shenandoah Medical Center | Internal Medicine | 101 E Reed St, Red Oak, IA 51566 | 2015-01-09 |
| 1558766956 | Shenandoah Medical Center | Clinic/Center | 527 Iowa Ave, Essex, IA 51638-8076 | 2014-10-28 |
| 1790840239 | Shenandoah Medical Center | Home Health | 300 Park Avenue, Shenandoah, IA 51601-2355 | 2006-12-26 |
| 1700941648 | Shenandoah Medical Center | Clinic/Center | 802 Illinois St, Sidney, IA 51652-0217 | 2006-12-22 |
| 1609862887 | Shenandoah Medical Center | Nursing Facility/Intermediate Care Facility | 1203 S Elm St, Shenandoah, IA 51601-2221 | 2005-09-23 |
| 1184621096 | Shenandoah Medical Center | General Acute Care Hospital | 300 Pershing Ave, Shenandoah, IA 51601-2355 | 2005-07-07 |
| 1508487547 | Shenandoah Medical Center | Clinic/Center | 713 Main St, Tabor, IA 51653-2031 | 2020-04-30 |
| 1174908362 | Shenandoah Medical Center | Internal Medicine | 300 Pershing Ave, Shenandoah, IA 51601-2355 | 2015-07-29 |
| 1184021602 | Shenandoah Medical Center | Hospitalist | 300 Pershing Ave, Shenandoah, IA 51601-2355 | 2014-11-26 |
| 1497150825 | Shenandoah Medical Center | Clinic/Center | 802 Illinois St, Sidney, IA 51652-8028 | 2014-10-28 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | SHENANDOAH MEDICAL CENTER | 300 Pershing Ave, Shenandoah, IA 51601-2355 |
| Iowa Business Entities | SHENANDOAH MEDICAL CENTER | 300 Pershing Ave., Shenandoah, IA 51601 |
| Iowa Business Entities | SHENANDOAH MEDICAL CENTER FOUNDATION | 300 Pershing Ave, Shenandoah, IA 51601 |
| Street Address |
1 JACK FOSTER DR |
| City | SHENANDOAH |
| State | IA |
| Zip Code | 51601-4586 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730172040 | Paul Andrew Rozeboom | Pediatrics | 1 Jack Foster Dr, Shenandoah, IA 51601-4586 | 2005-08-23 |
| 1376037770 | Stephanie Robinette | Nurse Practitioner | 1 Jack Foster Dr, Shenandoah, IA 51601-4586 | 2018-06-19 |
| 1336567825 | Timothy Joseph Smith | Internal Medicine | 1 Jack Foster Dr, Shenandoah, IA 51601-4586 | 2014-04-01 |
| 1427300201 | Shenandoah Medical Center | Family Medicine | 1 Jack Foster Dr, Shenandoah, IA 51601-4586 | 2012-10-04 |
| 1770718660 | Michael Theodore Salwitz | Family Medicine | 1 Jack Foster Dr, Shenandoah, IA 51601-4586 | 2009-05-20 |
| 1003027939 | Todd Mikael Isaacson | Family Medicine | 1 Jack Foster Dr, Shenandoah, IA 51601-4586 | 2007-05-24 |
| 1518055847 | Donald L Bumgarner | Family Medicine | 1 Jack Foster Dr, Shenandoah, IA 51601-4586 | 2006-10-11 |
| 1174537567 | Satya S Thippareddi | Family Medicine | 1 Jack Foster Dr, Shenandoah, IA 51601-4586 | 2006-07-28 |
| 1700818408 | Floyd A Jones | Family Medicine | 1 Jack Foster Dr, Shenandoah, IA 51601-4586 | 2006-07-06 |
| 1710917026 | Heather Lee Babe | Family Medicine | 1 Jack Foster Dr, Shenandoah, IA 51601-4586 | 2006-07-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336589969 | Jenifer Ann Deziel | Nurse Practitioner | Shenandoah Medical Center, 300 Pershing Avenue, Shenandoah, IA 51601 | 2013-06-27 |
| 1154621282 | Md West One, PC | Neurological Surgery | 1 Jack Foster Drive, Shenandoah, IA 51601 | 2010-10-22 |
| 1912119124 | Swfac Plc | Podiatrist | 813 Church St., Shenandoah, IA 51601 | 2007-05-03 |
| 1134246895 | David Carroll Dickson | Pedorthist | 612 W. Sheridan Avenue, Shenandoah, IA 51601 | 2007-03-26 |
| 1558433037 | Joseph Patrick Emge | Dentist | 301 Maple St, Suite 3, Shenandoah, IA 51601 | 2006-11-14 |
| 1487766309 | Scott Richard King | Obstetrics & Gynecology | 300 Pershing Avenue, Shenandoah, IA 51601 | 2006-08-31 |
| 1801904933 | Marvin E Belknap | Dentist | 617 West Thomas, Shenandoah, IA 51601 | 2006-08-28 |
| 1083687636 | Charles J Peterson Dc PC | Chiropractor | 1203 W Sheridan Ave, Shenandoah, IA 51601 | 2006-02-13 |
| 1467692152 | Carol A Stehlik | Nutritionist | 300 Pershing Avenue, Shenandoah, IA 51601-0382 | 2009-02-20 |
| 1265526248 | Nishna Productions, Inc. | Community/Behavioral Health | 902 Day St, Shenandoah, IA 51601-1106 | 2006-10-03 |
| Find all providers in zip 51601 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336589969 | Jenifer Ann Deziel | Nurse Practitioner | Shenandoah Medical Center, 300 Pershing Avenue, Shenandoah, IA 51601 | 2013-06-27 |
| 1548605975 | Andrea N Scace | Nurse Practitioner | 19675 I 45 S, Suite 100, Shenandoah, TX 77385-8761 | 2013-04-29 |
| 1114044294 | April Christine Donovan | Nurse Practitioner | 129 Vision Park Blvd Ste 307, Shenandoah, TX 77384-3024 | 2007-03-23 |
| 1912532078 | Megan Fournier | Nurse Practitioner | 9200 Pinecroft Dr Ste 280, Shenandoah, TX 77380-3281 | 2020-03-10 |
| 1245887447 | Kimberly Lynn Diel | Nurse Practitioner | 129 Vision Park Blvd Ste 307, Shenandoah, TX 77384-3024 | 2019-08-22 |
| 1336615806 | Winfred Gichimu | Nurse Practitioner | 123 Vision Park Blvd, Shenandoah, TX 77384-3001 | 2018-10-22 |
| 1891224424 | Kristi A Justice | Nurse Practitioner | 9191 Pinecroft Dr Ste 225, Shenandoah, TX 77380-2807 | 2017-06-07 |
| 1437552924 | Tamikiia A Brown | Nurse Practitioner | 106 Vision Park Blvd, Shenandoah, TX 77384-3000 | 2014-09-29 |
| 1154745750 | Christi Ann Swierenga | Nurse Practitioner | 9200 Pinecroft Dr, Shenandoah, TX 77380-3279 | 2014-02-18 |
| 1770766537 | Ancuta Abigail Striblea | Nurse Practitioner | 106 Vision Park Blvd, Shenandoah, TX 77384-3000 | 2007-12-14 |
| Find all providers in SHENANDOAH | ||||
| City | SHENANDOAH |
| Zip Code | 51601 |
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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.