SHAWN TAI (NPI# 1306005798) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306005798 |
| Entity Type | Individual |
| Full Name | SHAWN TAI |
| Credential | M.D. |
| Practice Address |
115 Medical Cir Ste 106 Athens TX 75751 |
| Mailing Address |
Po Box 731912 Dallas TX 75373-1912 |
| Practice Telephone | 9036751322 |
| Practice Fax Number | 9036756743 |
| Mailing Telephone | 9038777635 |
| Mailing Fax Number | 9038777754 |
| Enumeration Date | 2008-06-02 |
| Last Update Date | 2019-07-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
R5044 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | 151223 | 05 | |
| AL | 150833 | 05 | |
| AL | BCBS OF AL | 511-38669 | 01 |
| AL | BCBS OF AL | 511-37500 | 01 |
| AL | MEDICARE GROUP PTAN | 102G70337 | 01 |
| Street Address |
115 MEDICAL CIR STE 106 |
| City | ATHENS |
| State | TX |
| Zip Code | 75751 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700414810 | Morghan Jungman | Physical Therapy Assistant | 6444 South Palestine St, Athens, TX 75751 | 2020-04-01 |
| 1497313340 | Rebecca Lynne Moehlenbrock | Physical Therapy Assistant | 711 Lucas Dr., Athens, TX 75751 | 2019-06-04 |
| 1013487669 | Jammie Jae Chaney | Licensed Vocational Nurse | 207 Colonial Circle, Athens, TX 75751 | 2018-11-27 |
| 1215423397 | Valarie M Chambless | Registered Nurse | 1505 Hwy. 19 South, Athens, TX 75751 | 2018-07-02 |
| 1609378181 | Jennifer Lynn Griffith | Occupational Therapist | 907 S Palenstine St., Athens, TX 75751 | 2018-03-01 |
| 1285931832 | Leonard J Barbarisi | Surgery | 6444 S Palestine, Athens, TX 75751 | 2011-02-17 |
| 1801123104 | Paul J Michiels | Family Medicine | 5313 Fm 2494, Athens, TX 75751 | 2009-11-06 |
| 1851527550 | Jordan Risinger | Dentist | 800 S. Palestine St., Athens, TX 75751 | 2009-06-08 |
| 1083730683 | Assisted Living Concepts Inc | Assisted Living Facility | 213 Cayuga Drive, Athens, TX 75751 | 2007-03-22 |
| 1255425039 | Ronald Dwayne Cates | Internal Medicine | 704 S Palestine, Athens, TX 75751 | 2006-10-03 |
| Find all providers in zip 75751 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942588918 | Gustavo Figueiredo Marcondes Westin | Internal Medicine | 3320 Old Jefferson Road, Bldg 700, Athens, GA 30607 | 2011-07-25 |
| 1548410400 | Ali M. Sayed | Internal Medicine | 125 King Ave Ste 200, Athens, GA 30606-6710 | 2008-09-26 |
| 1790854255 | Southeast Cancer Network, Inc | Internal Medicine | 22281 Us Highway 72, Ste B, Athens, AL 35613-2600 | 2006-11-07 |
| 1871587113 | Priya Rudolph | Internal Medicine | 125 King Ave, Suite 200, Athens, GA 30606-6734 | 2005-09-01 |
| 1528451978 | Athens Regional University Cancer Center, LLC | Internal Medicine | 3320 Old Jefferson Rd, Building 700, Athens, GA 30607-1400 | 2015-03-10 |
| 1265640247 | Georgia Cancer Specialists I PC | Internal Medicine | 125 King Ave, Suite 200, Athens, GA 30606-6734 | 2007-05-21 |
| 1235356247 | Frederick Lee Flynt Jr. | Internal Medicine | 3320 Old Jefferson Rd, Bldg 700, Athens, GA 30607-1400 | 2007-04-19 |
| 1750419487 | Ranjana Satyamurthy Bhargava | Internal Medicine | 125 King Ave, Suite 200, Athens, GA 30606-6734 | 2007-03-02 |
| 1891843819 | Tennessee Cancer Specialists Pllc | Internal Medicine | 1114 W Madison Ave, Athens Regional Medical Center, Athens, TN 37303-4150 | 2007-01-08 |
| 1730236688 | Cynthia L Shepherd | Internal Medicine | 3320 Old Jefferson Rd, Bldg 700, Athens, GA 30607 | 2007-01-04 |
| Find all providers in ATHENS | ||||
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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.