DR. MICHAEL SHORT (NPI# 1336695865) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336695865 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL SHORT |
| Credential | PHARM.D., BCPS |
| Practice Address |
Memorial Medical Center Heart Failure Cinic 340 West Miller Springfield IL 62781-0001 |
| Practice Telephone | 2177577491 |
| Practice Fax Number | 2177884835 |
| Mailing Telephone | 2177577491 |
| Mailing Fax Number | 2177884835 |
| Enumeration Date | 2016-08-25 |
| Last Update Date | 2016-08-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P2201X |
Pharmacist Specialization: Ambulatory Care |
051.034733 | IL | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235670126 | Michael G Short | Pedorthist | 10117 Se Sunnyside Rd., Ste. H, Clackamas, OR 97015 | 2017-03-13 |
| 1184046815 | Michael Thomas Short | Military Health Care Provider | 15034 Avenida Montuosa, Apt B, San Diego, CA 92129-1442 | 2014-01-15 |
| 1134354889 | Michael J Short | Specialist | 3340 Kemper St Ste 105, San Diego, CA 92110-4907 | 2009-05-26 |
| 1700948072 | Michael Jonathan Short | Psychiatry & Neurology | 42505 Woodward Ave., Suite 103, Bloomfield Hills, MI 48304-5147 | 2006-12-14 |
| 1659430197 | Michael H Short | Acupuncturist | 72 Langley Rd, Suite 23, Newton Center, MA 02459-1960 | 2006-12-08 |
| 1568613669 | Michael Eric Short | Physical Therapist | 4160 Little York Rd, Suite 10, Dayton, OH 45414-5800 | 2008-10-07 |
| 1588766208 | Michael Carl Short | Counselor | 741 N Grand Ave, Waukesha, WI 53186-4820 | 2006-09-02 |
| 1386692614 | Michael Christopher Short | Family Medicine | 6300 W Parker Rd, Suite 129, Plano, TX 75093-8100 | 2006-05-05 |
| Street Address |
MEMORIAL MEDICAL CENTER HEART FAILURE CINIC 340 WEST MILLER |
| City | SPRINGFIELD |
| State | IL |
| Zip Code | 62781-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104145747 | Justin Neil Henry | Hospitalist | 701 N 1st St Rm B146, Springfield, IL 62781 | 2010-05-21 |
| 1457464208 | Edward J Ryan Poje | Pathology | 701 N First St, Memorial Medical Center, Springfield, IL 62781 | 2006-08-16 |
| 1649285453 | Sanjai Nagendra | Pathology | 701 N First Street, Springfield, IL 62781 | 2006-07-30 |
| 1770518706 | Daniel L Stanton Jr. | Radiology | 701 N. First St, Springfield, IL 62781 | 2006-07-11 |
| 1992187934 | Kelli Levek | Emergency Medicine | 701 N 1st St, Springfield, IL 62781 | 2015-06-26 |
| 1386048502 | Bhadreshkumar R. Mandani | Family Medicine | 701 N 1st St, Springfield, IL 62781 | 2014-10-17 |
| 1801215231 | Robert Matthew Tennill | Emergency Medicine | 701 N 1st St, Springfield, IL 62781 | 2014-04-14 |
| 1851739684 | Mateusz Serafin | Hospitalist | 701 N 1st St, Springfield, IL 62781 | 2013-06-14 |
| 1538506357 | Sapna Siddharth | Internal Medicine | 701 N 1st St, Springfield, IL 62781 | 2013-06-03 |
| 1336586734 | Rakshit Ramanath Shetty | Internal Medicine | 701 N 1st St, Springfield, IL 62781 | 2013-05-28 |
| Find all providers in zip 62781 | ||||
| Taxonomy Code | 1835P2201X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Ambulatory Care |
| A licensed pharmacist who has demonstrated specialized knowledge and skill in the provision of integrated, accessible health care services by pharmacists and is accountable for addressing medication needs, developing sustained partnerships with patients, and practicing in the context of family and community. |
| Notes: Source: Board of Pharmacy Specialties, www.bpsweb.org [7/1/2015: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104273507 | Blessing Ekemezie | Pharmacist | 7814 Attleboro Dr, Springfield, VA 22153-2713 | 2016-05-16 |
| 1871106914 | Viet Quoc Nguyen | Pharmacist | 2280 Marcola Rd, Springfield, OR 97477-2594 | 2020-08-28 |
| 1962021733 | Brian Grace | Pharmacist | 3801 S National Ave, Springfield, MO 65807-5210 | 2020-04-13 |
| 1922652627 | Andrea Elena Prince | Pharmacist | 3801 S National Ave, Springfield, MO 65807-5210 | 2019-07-31 |
| 1316461254 | Ashley Evans | Pharmacist | 3231 S National Ave Ste 300, Springfield, MO 65807-7304 | 2017-08-02 |
| 1619491818 | Brandon James Biggs | Pharmacist | 6501 Loisdale Ct, Springfield, VA 22150-4908 | 2017-07-29 |
| 1194252353 | Pauline Vuong | Pharmacist | 6501 Loisdale Ct, Springfield, VA 22150-1826 | 2017-05-18 |
| 1942747886 | Natalia Ema Puccinelli | Pharmacist | 2073 Olympic St, Springfield, OR 97477-3413 | 2017-01-31 |
| 1437502861 | Kong Kit Wong | Pharmacist | 6501 Loisdale Ct, Springfield, VA 22150-1826 | 2016-07-20 |
| 1922452457 | Stefanie Hawkins | Pharmacist | 3525 S National Ave, Suite 207, Springfield, MO 65807-7310 | 2016-04-21 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 62781 |
Please comment or provide details below to improve the information on DR. MICHAEL SHORT.
| 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.