SHAUKAT A THANAWALLA (NPI# 1457393134) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457393134 |
| Entity Type | Individual |
| Full Name | SHAUKAT A THANAWALLA |
| Credential | M.D. |
| Practice Address |
97 Saint Andrews Dr Union MO 63084-4546 |
| Mailing Address |
901 Patients First Dr Washington MO 63090-4700 |
| Practice Telephone | 6365832946 |
| Practice Fax Number | 6365836131 |
| Mailing Telephone | 6362397500 |
| Mailing Fax Number | 6362392836 |
| Enumeration Date | 2006-06-10 |
| Last Update Date | 2012-01-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 105435 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 208846949 | 05 |
| Street Address |
97 SAINT ANDREWS DR |
| City | UNION |
| State | MO |
| Zip Code | 63084-4546 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336335470 | Patients First Health Care LLC | Pediatrics | 97 Saint Andrews Dr, Union, MO 63084-4946 | 2007-09-21 |
| 1720283450 | Gretchen Elizabeth Kluesner | Internal Medicine | 97 Saint Andrews Dr, Union, MO 63084-4946 | 2007-06-21 |
| 1184750770 | Jamie Marie Borgmann | Family Medicine | 97 Saint Andrews Dr, Union, MO 63084-4946 | 2007-02-26 |
| 1073540886 | Elizabeth P Hammer | Pediatrics | 97 Saint Andrews Dr, Union, MO 63084-4546 | 2006-06-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407490915 | Megan N Pruett | Counselor | 107 Chesire Lane, Union, MO 63084 | 2019-10-29 |
| 1093297152 | Community Care Center of Union Inc | Skilled Nursing Facility | 1080 Marie Lane, Union, MO 63084 | 2018-09-05 |
| 1437697844 | Sally Lavigne | Behavioral Analyst | 1281 Hwy 47, Union, MO 63084 | 2017-02-06 |
| 1275912107 | Ralph B Smith | Social Worker | 1780 Old Highway 50 E Ste 113, Union, MO 63084 | 2015-05-26 |
| 1659771707 | Whitney Paige Scanlon | Speech-Language Pathologist | 770 Independence Drive, Union, MO 63084 | 2014-08-26 |
| 1487066775 | Helen Overstreet | Massage Therapist | 302 Us Highway 50 West, Suite B, Union, MO 63084 | 2014-05-21 |
| 1093152332 | Katie Henry | Counselor | 1 Par Court, Union, MO 63084 | 2013-05-28 |
| 1437402336 | Rainbow Abilities Center, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 306 W Hwy 50, Union, MO 63084 | 2012-10-17 |
| 1962761866 | George Howard Bergevin | Chiropractor | 405 Us Hwy 50, Ste. 200, Union, MO 63084 | 2012-05-11 |
| 1336478866 | Kristine Marie Posinski | Physical Therapist | 770 Independence Dr, Union, MO 63084 | 2009-12-11 |
| Find all providers in zip 63084 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://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 |
|---|---|---|---|---|
| 1588049662 | Spartanburg Medical Center | Internal Medicine | 408 North Duncan By Pass, Suite L, Union, SC 29379 | 2015-07-30 |
| 1861887812 | Caren A Chapinski | Internal Medicine | 1050 Galloping Hill Rd Ste 202, Union, NJ 07083-7980 | 2015-04-06 |
| 1972845246 | Michael Christian Divita | Internal Medicine | 541 Clubhouse Ct, Unit 1, Union, NJ 07083-2703 | 2013-03-25 |
| 1134369200 | Morris Avenue Medical Center PC | Internal Medicine | 2052 Morris Ave, Union, NJ 07083-6028 | 2009-03-02 |
| 1336388735 | Union Hospital District | Internal Medicine | 408 N Duncan By Pass, Suite L, Union, SC 29379 | 2009-02-10 |
| 1457508665 | Joi C Irving | Internal Medicine | 1935 Prairie Dell Rd Ste 400, Union, MO 63084-4327 | 2008-08-19 |
| 1598962722 | Olasunkanmi Kolawole Oyetunde | Internal Medicine | 2274 Fern Ter, Union, NJ 07083-5124 | 2007-06-29 |
| 1194928879 | Nehaben Ketankumar Shah | Internal Medicine | 2300 Vauxhall Rd, Suite C, Union, NJ 07083 | 2007-06-08 |
| 1689890394 | Aspire Internal Medicine, L.L.C. | Internal Medicine | 302 Us Highway 50 W, Suite A, Union, MO 63084-1970 | 2007-04-18 |
| 1487877809 | Union Medical Group, LLC | Internal Medicine | 2333 Morris Ave Ste A109, Union, NJ 07083-5715 | 2007-04-11 |
| Find all providers in UNION | ||||
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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.