MITHUN MOHANA SHENOI


Address: 11104 Parkview Circle Drive Suite 320, Fort Wayne, IN 46845
Phone: 2602665300

MITHUN MOHANA SHENOI (NPI# 1336482496) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1336482496
Entity Type Individual
Full Name MITHUN MOHANA SHENOI
Other Name MITHUN MOHANA SHENOI
Credential MD
Practice Address 11104 Parkview Circle Drive Suite 320
Fort Wayne
IN 46845
Mailing Address 3702 New Vision Dr Bldg B
Fort Wayne
IN 46845-1703
Practice Telephone 2602665300
Practice Fax Number 2602665314
Enumeration Date 2013-03-27
Last Update Date 2019-08-01
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208C00000X Colon & Rectal Surgery 01079692A IN Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
IN 300015291 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
1215 Hadley Rd Ste 201, Mooresville, IN 461582907 3178342020 3178319292
2301 Erwin Rd, Durham, NC 27710 9196848111

Office Location

Street Address 11104 PARKVIEW CIRCLE DRIVE SUITE 320
City FORT WAYNE
State IN
Zip Code 46845

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1881154110 Nancy Jean Ehmke Clinical Nurse Specialist 11151 Parkview Plaza Dr, Fort Wayne, IN 46845 2019-03-22
1043703903 Kara Stackhouse Nurse Practitioner 11050 Parkview Plaza Drive, Fort Wayne, IN 46845 2018-06-14
1871082412 Tara K Jellison Pharmacist 11109 Parkview Plaza Drive -- Attn Pharmacy, Fort Wayne, IN 46845 2018-05-09
1578097572 Forefront Dermatology, S.c. Dermatology 4020 New Vision Drive, Fort Wayne, IN 46845 2017-04-17
1811437999 Jessica Ann Lefever Behavioral Analyst 3898 New Vision Dr Ste D, Fort Wayne, IN 46845 2017-03-08
1033668041 Bhi Home Care, Inc. In Home Supportive Care 820 Mill Lake Road, Fort Wayne, IN 46845 2016-10-03
1467814939 Austin Wyss Specialist/Technologist 11130 Parkview Circle Drive, Ft. Wayne, IN 46845 2016-03-24
1154713584 Ashley Whitcraft Specialist/Technologist 11130 Parkview Plaza Drive #4, Fort Wayne, IN 46845 2015-02-23
1275975682 Lakshmi Mohan Viji Das Internal Medicine 11143 Parkview Plaza Dr Ste 311, Fort Wayne, IN 46845 2013-07-26
1962744979 Daniel Jerome Physical Therapist 11104 Parkview Circle Drive., Fort Wayne, IN 46845 2013-03-18
Find all providers in zip 46845

Taxonomy Information

Taxonomy Code 208C00000X
Grouping Allopathic & Osteopathic Physicians
Classification Colon & Rectal Surgery

Taxonomy Definition

A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Colon and Rectal Surgery, 2007. http://www.abcrs.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Colon and Rectal Surgery. Colon and rectal surgeons have the expertise to diagnose and often manage anorectal conditions such as hemorrhoids, fissures (painful tears in the anal lining), abscesses and fistulae (infections located around the anus and rectum) in the office setting. They also treat problems of the intestine and colon, and perform endoscopic procedures to evaluate and treat problems such as cancer, polyps (precancerous growths) and inflammatory conditions.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1568795409 Center for Colon and Rectal Care LLC Colon & Rectal Surgery 12012 Wood Glen Dr, Fort Wayne, IN 46814-4515 2009-09-10
1740689207 Associated Surgeons & Physicians, LLC Colon & Rectal Surgery 7910 W Jefferson Blvd, Suite 305, Fort Wayne, IN 46804-4159 2014-08-20
1639451578 Vemuru Sunil Kumar Reddy Colon & Rectal Surgery 11104 Parkview Circle Dr Ste 320, Fort Wayne, IN 46845-1672 2011-09-16
1104026657 Colon-rectal Surgeons of Fort Wayne, PC Colon & Rectal Surgery 7900 W Jefferson Blvd, Suite 302, Fort Wayne, IN 46804-4128 2007-07-23
1598961393 Joshua Michael Wallet Colon & Rectal Surgery 7988 W Jefferson Blvd, Fort Wayne, IN 46804-4140 2007-06-27
1265636138 Charles Lamont Morrison Colon & Rectal Surgery 7988 W Jefferson Blvd, Fort Wayne, IN 46804-4140 2007-06-13
1477676658 Hisham S Elhassan Colon & Rectal Surgery 11141 Parkview Plaza Dr, Suite 310, Fort Wayne, IN 46845-1701 2007-04-10
1346336575 Glenn L Goldstein Colon & Rectal Surgery 7900 W Jefferson Blvd, Suite 302, Fort Wayne, IN 46804-4128 2006-10-05
1821184052 Nadine L Floyd Colon & Rectal Surgery 7988 W Jefferson Blvd, Fort Wayne, IN 46804-4140 2006-10-05
1912998014 Northeast Indiana Colon Rectal Surgeons PC Colon & Rectal Surgery 11141 Parkview Plaza Dr, Suite 310, Fort Wayne, IN 46845-1701 2005-10-31
Find all providers in FORT WAYNE

Competitor

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City FORT WAYNE
Zip Code 46845

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Dataset Information

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.

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