DR. SHANE JACOB KIBBE (NPI# 1265708168) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265708168 |
| Entity Type | Individual |
| Full Name | DR. SHANE JACOB KIBBE |
| Credential | MD |
| Practice Address |
1220 Spring St Jeffersonville IN 47130-3704 |
| Mailing Address |
330 Seven Springs Way Brentwood TN 37027-5098 |
| Practice Telephone | 8122828494 |
| Practice Fax Number | 8122884481 |
| Mailing Telephone | 6159207000 |
| Mailing Fax Number | 6159208775 |
| Enumeration Date | 2012-03-26 |
| Last Update Date | 2020-05-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RA0401X |
Internal Medicine Specialization: Addiction Medicine |
R2958 | KY | Allopathic & Osteopathic Physicians |
| Y | 207X00000X | Orthopaedic Surgery | R2958 | KY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | LICENSE | 01080524A | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1357 Bardstown Rd, Louisville, KY 402041353 | 5058976443 |
| Street Address |
1220 SPRING ST |
| City | JEFFERSONVILLE |
| State | IN |
| Zip Code | 47130-3704 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902896186 | Patrick David Bauer | Orthopaedic Surgery | 1220 Spring St, Jeffersonville, IN 47130-3704 | 2005-10-27 |
| 1043360894 | Empicare, Inc. | Durable Medical Equipment & Medical Supplies | 1220 Spring St, Suite A, Jeffersonville, IN 47130-3704 | 2007-01-12 |
| 1922178755 | Drs Tomlin & Gossmann Inc | Orthopaedic Surgery | 1220 Spring St, Jeffersonville, IN 47130 | 2006-11-09 |
| 1811987092 | Thomas Eric Sehlinger | Orthopaedic Surgery | 1220 Spring St, Jeffersonville, IN 47130-3704 | 2005-10-27 |
| 1720078900 | Brent Michael Walz | Orthopaedic Surgery | 1220 Spring St, Jeffersonville, IN 47130-3704 | 2005-10-27 |
| 1932199114 | John Eric Lindner | Orthopaedic Surgery | 1220 Spring St, Jeffersonville, IN 47130-3704 | 2005-10-27 |
| 1841280021 | George William Gossmann | Orthopaedic Surgery | 1220 Spring St, Jeffersonville, IN 47130-3704 | 2005-10-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972124717 | Jeffersonville Commons Dental | Dentist | 1019 Jeffersonville Commons Drive, Jeffersonville, IN 47130 | 2020-05-04 |
| 1467099978 | Mercury Ambulance Service Inc | Ambulance | 623 Crestview Court, Jeffersonville, IN 47130 | 2019-12-03 |
| 1427514710 | Conn Hearing Aid Center LLC | Hearing Instrument Specialist | 1516 Spring Street, Jeffersonville, IN 47130 | 2019-02-12 |
| 1619446127 | Wellness for Life | Clinic/Center | 1 Pirate Pl, Charlestown, IN 47130 | 2018-11-14 |
| 1083199939 | Stephanie Allen LLC | Dentist | 434 Patrol Road, Suite 200, Jeffersonville, IN 47130 | 2018-09-26 |
| 1679068332 | Personal Choice Inc | Day Training, Developmentally Disabled Services | 3114 Clear Stream Wat, Jeffersonville, IN 47130 | 2018-06-26 |
| 1417454638 | Jason Allen | Social Worker | 101 Noahs Ln, Jeffersonville, IN 47130 | 2018-04-13 |
| 1508374299 | Kelsey Petty | Social Worker | 101 Noahs Lane, Jeffersonville, IN 47130 | 2018-01-16 |
| 1336658095 | Jenkins Podiatry PC | Podiatrist | 3310 Highway 62 East, Suite 179, Jeffersonville, IN 47130 | 2017-09-26 |
| 1831618602 | Alyssa Marie Elliott | Physical Therapist | 3040 Gottbrath Pkwy, Jeffersonville, IN 47130 | 2017-09-13 |
| Find all providers in zip 47130 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| 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 Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902896186 | Patrick David Bauer | Orthopaedic Surgery | 1220 Spring St, Jeffersonville, IN 47130-3704 | 2005-10-27 |
| 1922178755 | Drs Tomlin & Gossmann Inc | Orthopaedic Surgery | 1220 Spring St, Jeffersonville, IN 47130 | 2006-11-09 |
| 1811987092 | Thomas Eric Sehlinger | Orthopaedic Surgery | 1220 Spring St, Jeffersonville, IN 47130-3704 | 2005-10-27 |
| 1720078900 | Brent Michael Walz | Orthopaedic Surgery | 1220 Spring St, Jeffersonville, IN 47130-3704 | 2005-10-27 |
| 1932199114 | John Eric Lindner | Orthopaedic Surgery | 1220 Spring St, Jeffersonville, IN 47130-3704 | 2005-10-27 |
| 1841280021 | George William Gossmann | Orthopaedic Surgery | 1220 Spring St, Jeffersonville, IN 47130-3704 | 2005-10-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164038618 | Union Associated Physicians Clinic, LLC | Orthopaedic Surgery | 801 S Main St Ste 200, Clinton, IN 47842-2261 | 2020-09-21 |
| 1699317529 | Lakeshore Bone & Joint Institute, PC | Orthopaedic Surgery | 759 45th St Ste 201, Munster, IN 46321-2938 | 2019-10-11 |
| 1609417260 | Orthopaedics-indianapolis, Inc | Orthopaedic Surgery | 1579 Olive Branch Parke Lane, Suite 130, Greenwood, IN 46143 | 2019-10-04 |
| 1104330034 | Hinsdale Orthopaedic Associates, S.c. | Orthopaedic Surgery | 8141 S Calumet Ave, Unit 1, Munster, IN 46321 | 2017-11-30 |
| 1679022925 | Stephen Stein | Orthopaedic Surgery | 13198 N County Road 400 E, Batesville, IN 47006-8881 | 2016-09-28 |
| 1013371277 | Orthopaedics-indianapolis, Inc | Orthopaedic Surgery | 17471 Wheeler Road, Suite 112, Westfield, IN 46074-6901 | 2016-04-13 |
| 1194184671 | Greenwood Orthopedics PC | Orthopaedic Surgery | 965 Emerson Parkway, Suite K, Greenwood, IN 46143-6274 | 2016-02-12 |
| 1467826032 | Franciscan Physician Network | Orthopaedic Surgery | 759 45th Street, Suite 201, Munster, IN 46321 | 2015-11-19 |
| 1285019851 | Community Physicians of Indiana Inc | Orthopaedic Surgery | 2312 S Dixon Road, Suite 200, Kokomo, IN 46902-6423 | 2015-07-24 |
| 1730561291 | Cody Shafer | Orthopaedic Surgery | 1120 W Michigan St Rm 600, Indianapolis, IN 46202-5209 | 2015-06-22 |
| Find all providers with the same taxonomy | ||||
| City | JEFFERSONVILLE |
| Zip Code | 47130 |
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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.