UNKNOWN SHUJA UR REHMAN (NPI# 1265732705) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265732705 |
| Entity Type | Individual |
| Full Name | UNKNOWN SHUJA UR REHMAN |
| Credential | MD |
| Practice Address |
2115 S Fremont Ave Ste 4300 Springfield MO 65804-2232 |
| Practice Telephone | (417) 820-3911 |
| Mailing Telephone | (417) 820-3911 |
| Enumeration Date | 2010-11-01 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 11015368A | IN | Allopathic & Osteopathic Physicians |
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
20170007199 | MO | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1001 W 10th St # M200, Indianapolis, IN 462022859 | 3176564260 |
| Street Address |
2115 S FREMONT AVE STE 4300 |
| City | SPRINGFIELD |
| State | MO |
| Zip Code | 65804-2232 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467541433 | David S. Cochran | Internal Medicine | 2115 S Fremont Ave Ste 4300, Springfield, MO 65804-2232 | 2006-10-11 |
| 1306319157 | Stephanie Marie Franklin | Nurse Practitioner | 2115 S Fremont Ave Ste 4300, Springfield, MO 65804-2232 | 2019-01-04 |
| 1881186781 | Mandy L Rust | Registered Nurse | 2115 S Fremont Ave Ste 4300, Springfield, MO 65804 | 2018-06-06 |
| 1225566144 | Alysia R Gaddie | Registered Nurse | 2115 S Fremont Ave Ste 4300, Springfield, MO 65804 | 2017-05-24 |
| 1609163336 | Prasad Chandran Gunasekaran | Internal Medicine | 2115 S Fremont Ave Ste 4300, Springfield, MO 65804 | 2011-07-01 |
| 1780851840 | Deepa Kabirdas | Internal Medicine | 2115 S Fremont Ave Ste 4300, Springfield, MO 65804 | 2008-05-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790393049 | Kathy Forson | Nurse Practitioner | 1235 E. Cherokee St., Springfield, MO 65804 | 2020-07-22 |
| 1306498779 | Anne B Summers, LLC | Social Worker | 1310 E. Kingsley St., Ste C, Springfield, MO 65804 | 2019-07-15 |
| 1790241800 | Margaret Mary Hart | Social Worker | 1845 S Rogers Ave, Springfield, MO 65804 | 2019-02-13 |
| 1598254666 | Casey Carr | Optometrist | 1229 E Seminole St Ste 110, Springfield, MO 65804 | 2018-05-04 |
| 1124520697 | Shelby D White | Behavioral Analyst | 1300 E. Bradford Parkway, Springfield, MO 65804 | 2018-03-01 |
| 1316448343 | Karl Lynham | Massage Therapist | 1200 E Woodhurst Dr R300, Springfield, MO 65804 | 2018-02-25 |
| 1699273763 | Leah Wilson | Counselor | 1322 E Woodgate, Springfield, MO 65804 | 2018-01-24 |
| 1295242626 | Matthew Crisp | Physical Therapist | 3252 E Independence St, Springfield, MO 65804 | 2018-01-08 |
| 1518491042 | Crystal Spangler | Dietitian, Registered | 1965 S Fremont Ave Ste 220, Springfield, MO 65804 | 2017-04-11 |
| 1588012033 | Jeffrey Williams | Pharmacist | 1235 E. Cherokee, Springfield, MO 65804 | 2016-05-25 |
| Find all providers in zip 65804 | ||||
| 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 |
|---|---|---|---|---|
| 1366905523 | Premier Cardiac and Vascular LLC | Internal Medicine | 5514 Alma Ln Ste 200, Springfield, VA 22151-4014 | 2019-04-12 |
| 1760820930 | Shady Henien | Internal Medicine | 800 E Carpenter St # 62, Springfield, IL 62769-1000 | 2013-06-11 |
| 1962769679 | Hiro Kawata | Internal Medicine | 3311 Rierbend Dr., Springfield, OR 97477 | 2012-04-19 |
| 1669784781 | Clifford Eugene Schott Jr. | Internal Medicine | 531 W Woodland Ave, Springfield, PA 19064-1646 | 2010-07-06 |
| 1730406760 | Joseph James Marmora | Internal Medicine | 211 Mountain Avenue, Associates In Cardiovascular Disease, Springfield, NJ 07081 | 2010-04-30 |
| 1083858310 | Brian Scott Wasserman | Internal Medicine | 3300 Main St Fl 2, Springfield, MA 01107-1112 | 2009-04-30 |
| 1104085505 | Sujata Holman | Internal Medicine | 2 Medical Center Dr Ste 410, Springfield, MA 01107-1273 | 2008-06-02 |
| 1932396157 | Centrum Cardiology, Ltd | Internal Medicine | 319 E Madison St Ste 2d, Springfield, IL 62701-3120 | 2007-10-02 |
| 1386858876 | Allen B. Weisse | Internal Medicine | 164 Hillside Ave, Springfield, NJ 07081-2808 | 2007-05-10 |
| 1467541433 | David S. Cochran | Internal Medicine | 2115 S Fremont Ave Ste 4300, Springfield, MO 65804-2232 | 2006-10-11 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 65804 |
Please comment or provide details below to improve the information on UNKNOWN SHUJA UR REHMAN.
| 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.