MATTHEW JAMES MCSHANE (NPI# 1508307778) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508307778 |
| Entity Type | Individual |
| Full Name | MATTHEW JAMES MCSHANE |
| Practice Address |
2160 S. First Avenue Loyola University Medical Center Maywood IL 60153-3335 |
| Mailing Address |
126 Calumet St Apt 1 Boston MA 02120-3335 |
| Practice Telephone | 7083273041 |
| Practice Fax Number | 7083273489 |
| Mailing Telephone | 7089476053 |
| Enumeration Date | 2017-03-20 |
| Last Update Date | 2017-03-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518232727 | Matthew Mcshane | Dentist | 163 Van Ashe Loop, Fayetteville, AR 72703 | 2012-03-21 |
| 1316366701 | Matthew Mcshane | Internal Medicine | 800 W Central Rd, Arlington Heights, IL 60005-2349 | 2014-04-14 |
| Street Address |
2160 S. FIRST AVENUE LOYOLA UNIVERSITY MEDICAL CENTER |
| City | MAYWOOD |
| State | IL |
| Zip Code | 60153-3335 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154397495 | Geoffrey Silver | Surgery | 2160 S. First Avenue, Bldg 110, 3rd Floor, Maywood, IL 60153 | 2006-02-27 |
| 1912496704 | Daniel Luc Guay | Student in an Organized Health Care Education/Training Program | 2160 S. First Avenue, Maywood, IL 60153 | 2018-05-07 |
| 1235661331 | Patricia Lee | Student in an Organized Health Care Education/Training Program | 2160 S. First Avenue, Loyola University Medical Center, Maywood, IL 60153 | 2017-03-29 |
| 1407387152 | Swapna Gudipati | Internal Medicine | 2160 S. First Avenue, Loyola University Medical Center, Maywood, IL 60153-3328 | 2017-03-24 |
| 1295266187 | Peter Jeffrey Laub | Student in an Organized Health Care Education/Training Program | 2160 S. First Avenue, Maywood, IL 60153-3328 | 2017-03-23 |
| 1265827422 | Ioannis Angelidis | Surgery | 2160 S. First Avenue, Loyola Medical Center, Ems Bldg 110- Room 3210, Maywood, IL 60153 | 2015-04-03 |
| 1225423114 | Emanuel Eguia | Surgery | 2160 S. First Avenue, Loyola University Medical Cente Ems Bldg 110- Room 3210, Maywood, IL 60153 | 2015-03-30 |
| 1124446117 | Kenneth Kin Kan Chan | Family Medicine | 2160 S. First Avenue, Loyola Outpatient Center, 4300, Maywood, IL 60153 | 2014-04-07 |
| 1952729527 | Thomas Waddell Smith Jr. | Student in an Organized Health Care Education/Training Program | 2160 S. First Avenue, Maywood, IL 60153 | 2014-04-01 |
| 1952728081 | Angeline Fu-hsiuan Pai | Family Medicine | 2160 S. First Avenue, 4300 Loyola Outpatient Center, Maywood, IL 60153 | 2014-03-26 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053933077 | Judie Noemie Hoilat | Internal Medicine | 2160 S 1st Avenue, Maywood, IL 60153 | 2020-05-13 |
| 1457972457 | Yuchen Zheng | Student in an Organized Health Care Education/Training Program | Department of Neurology, Loyola University Medical Cent, 2160 S. First Ave, Maywood, IL 60153 | 2020-04-30 |
| 1437779519 | Amna Amad Siddiqui | Student in an Organized Health Care Education/Training Program | 2160 S. First Avenue, Loyola University Medical Center, Maywood, IL 60153 | 2020-04-20 |
| 1982232211 | Brian Kurtz | Student in an Organized Health Care Education/Training Program | 2160 S First Ave, Bulding 105-suite 2840a, Maywood, IL 60153 | 2020-03-31 |
| 1902434947 | Saadiya Jabbar | Psychiatry & Neurology | Loyola University Medical Center, Building 105, Suite 1940, Maywood, IL 60153 | 2020-03-27 |
| 1558919472 | Linda Sue Moton | Technician | 10 South 15 Apt. 1, Maywood, IL 60153 | 2019-09-04 |
| 1760047518 | Braden Robert Dasovic | Student in an Organized Health Care Education/Training Program | 2160 S. First Avenue Building 105/room 2700, Department, Loyola Medical Center, Maywood, IL 60153 | 2019-05-07 |
| 1134680713 | Madeline Shaoyun Tiee | Orthopaedic Surgery | Loyola University Medical Center, 2160 S 1st Ave, Maywood, IL 60153 | 2019-03-27 |
| 1538629746 | Michael Murphy | Orthopaedic Surgery | 2160 S 1st Ave., Maguire Center, Dept of Ortho Surg, Maywood, IL 60153 | 2019-03-22 |
| 1053871681 | Michael V Padua | Psychiatry & Neurology | 2160 S 1st Ave Bldg, Maywood, IL 60153 | 2019-03-20 |
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| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457972457 | Yuchen Zheng | Student in an Organized Health Care Education/Training Program | Department of Neurology, Loyola University Medical Cent, 2160 S. First Ave, Maywood, IL 60153 | 2020-04-30 |
| 1437779519 | Amna Amad Siddiqui | Student in an Organized Health Care Education/Training Program | 2160 S. First Avenue, Loyola University Medical Center, Maywood, IL 60153 | 2020-04-20 |
| 1982232211 | Brian Kurtz | Student in an Organized Health Care Education/Training Program | 2160 S First Ave, Bulding 105-suite 2840a, Maywood, IL 60153 | 2020-03-31 |
| 1013540244 | Lisa Laurenzana | Student in an Organized Health Care Education/Training Program | 2160 S 1st Ave Bldg Stritch, Maywood, IL 60153-3328 | 2020-02-17 |
| 1972149649 | Jenna Gartz | Student in an Organized Health Care Education/Training Program | 2160 S 1st Ave Rm 4500, Maywood, IL 60153-3328 | 2019-11-18 |
| 1760047518 | Braden Robert Dasovic | Student in an Organized Health Care Education/Training Program | 2160 S. First Avenue Building 105/room 2700, Department, Loyola Medical Center, Maywood, IL 60153 | 2019-05-07 |
| 1538626718 | Tyana Davis | Student in an Organized Health Care Education/Training Program | 624 S 21st Ave, Maywood, IL 60153-1476 | 2019-02-25 |
| 1801391438 | Giacomo Colver Waller | Student in an Organized Health Care Education/Training Program | 2160 S 1st Ave Ste 2840, Maywood, IL 60153-3328 | 2018-03-26 |
| 1194339911 | Victoria Leah Drozd | Student in an Organized Health Care Education/Training Program | 2160 S 1st Ave, Maywood, IL 60153-3328 | 2020-08-31 |
| 1467073668 | Isabel Anne Pennings | Student in an Organized Health Care Education/Training Program | 2160 S 1st Ave, Maywood, IL 60153-3328 | 2020-04-29 |
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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.