SHANE M MEEHAN (NPI# 1477605152) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477605152 |
| Entity Type | Individual |
| Full Name | SHANE M MEEHAN |
| Credential | MD |
| Practice Address |
5841 S Maryland Ave # Mc1099 Chicago IL 60637-1447 |
| Mailing Address |
180 Harvester Dr Ste 110 Burr Ridge IL 60527-6686 |
| Practice Telephone | 7738344064 |
| Mailing Telephone | 7738344064 |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2008-07-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0101X |
Pathology Specialization: Anatomic Pathology |
036093846 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036093846 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487640439 | Shane Meehan | Dermatology | 240 E 38th St, 11th Floor, New York, NY 10016-2708 | 2005-09-26 |
| Street Address |
5841 S MARYLAND AVE # MC1099 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60637-1447 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356400899 | Daniel J Haraf | Radiology | 5841 S Maryland Ave # Mc1099, Chicago, IL 60637-1447 | 2006-12-08 |
| 1356491385 | Ruba Azzam | Pediatrics | 5841 S Maryland Ave # Mc1099, Mc 4065, Chicago, IL 60637-1447 | 2007-01-11 |
| 1952466179 | Stephen D Small | Anesthesiology | 5841 S Maryland Ave # Mc1099, Department of Anesthesia and Critical Care, Chicago, IL 60637-1447 | 2006-12-27 |
| 1700949229 | Philip C Hoffman | Internal Medicine | 5841 S Maryland Ave # Mc1099, Chicago, IL 60637-1447 | 2006-12-18 |
| 1760545289 | Tammy O Utset | Internal Medicine | 5841 S Maryland Ave # Mc1099, Chicago, IL 60637-1447 | 2006-12-18 |
| 1679635122 | John Kress | Internal Medicine | 5841 S Maryland Ave # Mc1099, Chicago, IL 60637-1443 | 2006-12-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386263234 | Pooja Ramnani | Pharmacist | 5841 S Maryland Ace, Chicago, IL 60637 | 2020-04-10 |
| 1780220079 | Tara Coleman | Non-emergency Medical Transport (VAN) | 808 E. 63rd Street, Suite 135, Chicago, IL 60637 | 2019-11-21 |
| 1366003501 | Valerie Silas | Case Management | 6330 S King Drive, Chicago, IL 60637 | 2019-06-27 |
| 1205391620 | Derek Joseph Fiedler | Anesthesiology | University of Chicago, 5841 S Maryland Ave, Chicago, IL 60637 | 2019-02-11 |
| 1821573072 | Ugochinyere Ohaja | Registered Nurse | 5656 South Maryland Avenue, Chicago, IL 60637 | 2018-10-03 |
| 1053899138 | Won Hee Oh | Physician Assistant | 5841 S. Maryland Ave., Mc5040, Chicago, IL 60637 | 2018-08-01 |
| 1558854695 | Rasidat Adeduntan | Internal Medicine | 5841 S. Maryland Avenue, [7082], Chicago, IL 60637 | 2018-06-13 |
| 1194235283 | Melissa Ann Arangoa | Registered Nurse | 5841 S. Maryland Ave, Mc 1083, Chicago, IL 60637 | 2017-10-03 |
| 1558880633 | Marni Harris | Optometrist | 5841 S Maryland Ave # S421, Chicago, IL 60637 | 2017-09-11 |
| 1992235105 | Vidya Mahavadi | Pediatrics | 5841 S. Maryland Avenue, Mail Code 8016, Chicago, IL 60637 | 2017-06-20 |
| Find all providers in zip 60637 | ||||
| Taxonomy Code | 207ZP0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. [7/1/2007: definition added, source added, 7/1/2009: defintion reformatted; 7/1/2011: modified source] - Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/. American Osteopathic Board of Pathology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology (note: this taxonomy code identifies the "anatomic pathology only" route). To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003270588 | Katrina Krogh | Pathology | 251 E Huron St Ste 7-132i, Chicago, IL 60611-2908 | 2016-04-11 |
| 1568858934 | Haoliang Xu | Pathology | 251 E Huron St Ste 7-332, Chicago, IL 60611-2908 | 2015-04-12 |
| 1821403569 | Elisheva Douglas Shanes | Pathology | 710 N Fairbanks Ct Ste 2-461, Chicago, IL 60611 | 2014-06-20 |
| 1295154052 | Jeffery Adam Goldstein | Pathology | 303 East Chicago Ave, Ward 3-140 W127, Chicago, IL 60611 | 2014-04-09 |
| 1912340589 | Guangyuan Li | Pathology | 251 E Huron St Ste 7-220, Chicago, IL 60611 | 2013-04-12 |
| 1164742722 | Jennifer Ann Bennett | Pathology | 5841 S Maryland Ave # Mc6101, Chicago, IL 60637-1443 | 2010-06-07 |
| 1588853733 | Martin Gross | Pathology | 5841 S Maryland, Mc 3083, Chicago, IL 60637 | 2007-10-23 |
| 1457354656 | Frederick G. Behm | Pathology | 840 S Wood St, Department of Pathology, Mc847, Chicago, IL 60612-4325 | 2005-05-23 |
| 1639639073 | Yevgen Chornenkyy | Pathology | 251 E Huron St, Chicago, IL 60611-3055 | 2019-03-21 |
| 1356845010 | Matthew Mccord | Pathology | 240 E Huron St Ste 1-203, Chicago, IL 60611 | 2018-03-19 |
| Find all providers in CHICAGO | ||||
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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.