ALBEN B. SHOCKLEY (NPI# 1205816014) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205816014 |
| Entity Type | Individual |
| Full Name | ALBEN B. SHOCKLEY |
| Credential | M.D. |
| Practice Address |
2211 Mayfair Dr Suite 101 Owensboro KY 42301-4568 |
| Practice Telephone | 2706881352 |
| Practice Fax Number | 2706834313 |
| Mailing Telephone | 2706881352 |
| Mailing Fax Number | 2706834313 |
| Enumeration Date | 2006-01-18 |
| Last Update Date | 2019-05-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 26126 | KY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | BCBS PIN # | 000000049664 | 01 |
| KY | 6426126600 | 05 | |
| IN | 100224950 | 05 |
| Street Address |
2211 MAYFAIR DR SUITE 101 |
| City | OWENSBORO |
| State | KY |
| Zip Code | 42301-4568 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770589970 | Elizabeth Hawkins Ottman | Obstetrics & Gynecology | 2211 Mayfair Dr, Ste 301, Owensboro, KY 42301-4569 | 2005-06-22 |
| 1518326990 | Owensboro Health Medical Group, Inc. | Nurse Practitioner | 2211 Mayfair Dr, Suite 305, Owensboro, KY 42301-4568 | 2016-02-15 |
| 1669863585 | Whitney Dawn Peay | Counselor | 2211 Mayfair Dr, Suite 409, Owensboro, KY 42301-4568 | 2015-02-13 |
| 1558779009 | Owensboro Health Medical Group, Inc | Plastic Surgery | 2211 Mayfair Dr, Suite 305, Owensboro, KY 42301-4568 | 2014-07-29 |
| 1932530029 | Stephanie M Decker | Social Worker | 2211 Mayfair Dr, Ste 409, Owensboro, KY 42301-4570 | 2013-11-27 |
| 1639517451 | Snehamala Veeravalli | Psychiatry & Neurology | 2211 Mayfair Dr, Suite 409, Owensboro, KY 42301-4568 | 2013-06-14 |
| 1013353101 | Owensboro Health Medical Group, Inc | Counselor | 2211 Mayfair Dr, Suite 409, Owensboro, KY 42301 | 2013-05-15 |
| 1669739777 | Jin S. Amon | Psychiatry & Neurology | 2211 Mayfair Dr, Suite 409, Owensboro, KY 42301-4568 | 2012-04-13 |
| 1699067074 | Associated Owensboro Urology | Urology | 2211 Mayfair Dr, Suite 401, Owensboro, KY 42301-4568 | 2011-05-04 |
| 1518258177 | Ohio County Hospital Corp Inc | Urology | 2211 Mayfair Dr, Suite 410, Owensboro, KY 42301-4568 | 2011-04-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124558002 | To The Max Behavior Therapy, LLC | Behavioral Analyst | 905 Griffith Avenue, Owensboro, KY 42301 | 2017-06-14 |
| 1558747014 | Kendall L Tapp | Counselor | 1925 Frederica St, Owensboro, KY 42301 | 2015-08-07 |
| 1104168210 | Behavior Associates, LLC | Psychologist | 3445 Wathens Xing Ste 104, Owensboro, KY 42301 | 2013-03-27 |
| 1285990259 | Jaime E Ford | Preventive Medicine | 1723 Windsor Ave., Owensboro, KY 42301 | 2012-04-04 |
| 1457637043 | Bliss United Dental Services Dba Owensboro Family Dentistry | Dentist | 4921 Goetz Dr., Owensboro, KY 42301 | 2011-10-26 |
| 1932483138 | Dennis Craig Hodges | Pharmacist | 2318 Frederica Street, Owensboro, KY 42301 | 2011-10-06 |
| 1225317381 | Donna Kay Ewing | Social Worker | 1925 Frederica St Ste 200, Owensboro, KY 42301 | 2011-08-08 |
| 1639489230 | Easycare Inc | Durable Medical Equipment & Medical Supplies | 5010 Back Square Drive, Owensboro, KY 42301 | 2010-10-15 |
| 1962727529 | Amy Martin | Physical Therapy Assistant | 2420 West Thrid Street, Owensboro, KY 42301 | 2010-04-07 |
| 1215163837 | Green River District Health Department | Public Health or Welfare | 5390 Hwy 56, Owensboro, KY 42301 | 2009-06-10 |
| Find all providers in zip 42301 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972140911 | E.d. Mills, Pllc | Family Medicine | 722 W Byers Ave, Owensboro, KY 42303-6330 | 2019-12-10 |
| 1194360578 | Alex Jolly | Family Medicine | 425 E 20th St, Owensboro, KY 42303-3804 | 2019-11-09 |
| 1457843815 | Deaconess Clinic Inc | Family Medicine | 2710 Heartland Crossing Blvd, Owensboro, KY 42303 | 2018-06-01 |
| 1275077786 | Physicians Affiliated Care, Psc | Family Medicine | 2710 Heartland Crossings, Suite B, Owensboro, KY 42303 | 2016-12-19 |
| 1942690250 | Owensboro Health Medical Group, Inc | Family Medicine | 2315 Mayfair Dr Ste 14, Owensboro, KY 42301-4557 | 2015-01-26 |
| 1023415601 | Jones Medical Corp Dba Bridgewater Medical Center | Family Medicine | 750 Salem Drive, Owensboro, KY 42303 | 2014-11-26 |
| 1801152434 | Steven Roby | Family Medicine | 2200 E Parrish Ave Bldg A, Owensboro, KY 42303-1453 | 2012-04-09 |
| 1861631947 | John A Walker II | Family Medicine | 1000 Breckenridge St Ste 401, Owensboro, KY 42303-0878 | 2009-02-12 |
| 1033276225 | Fred Thomas Tuttle | Family Medicine | 4106 Mason Woods Ln, Owensboro, KY 42303-7552 | 2007-01-03 |
| 1386739464 | Tamberly L Mccoy | Family Medicine | 2816 Veach Rd Ste 308, Owensboro, KY 42303-6297 | 2006-10-04 |
| Find all providers in OWENSBORO | ||||
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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.