DR. ANDREW TIM SHEN (NPI# 1538423231) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538423231 |
| Entity Type | Individual |
| Full Name | DR. ANDREW TIM SHEN |
| Credential | M.D. |
| Practice Address |
3421 W 9th St Waterloo IA 50702-5401 |
| Practice Telephone | 3192725000 |
| Practice Fax Number | 3192725264 |
| Mailing Telephone | 3192725000 |
| Enumeration Date | 2012-06-27 |
| Last Update Date | 2019-12-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207L00000X | Anesthesiology | D0081900 | MD | Allopathic & Osteopathic Physicians |
| Y | 207L00000X | Anesthesiology | MD-46291 | IA | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | MT-201576 | PA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 230 N Broad St, Philadelphia, PA 191021121 | 2157622624 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851469209 | Andrew Shen | Emergency Medicine | 100 S Raymond Ave, Alhambra, CA 91801 | 2006-12-02 |
| 1063517910 | Andrew H Shen | Emergency Medicine | 3330 Lomita Blvd, Torrance, CA 90505-5002 | 2006-09-14 |
| Street Address |
3421 W 9TH ST |
| City | WATERLOO |
| State | IA |
| Zip Code | 50702-5401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740287614 | Nicholas J Goetsch | Family Medicine | 3421 W 9th St, Waterloo, IA 50702-5401 | 2005-07-06 |
| 1770101263 | Aaron Russell Haubrich | Podiatrist | 3421 W 9th St, Waterloo, IA 50702-5401 | 2020-07-10 |
| 1629694682 | Nadia Nikoueiha | Podiatrist | 3421 W 9th St, Waterloo, IA 50702-5401 | 2020-06-24 |
| 1386278117 | Kirre Hannan | Pharmacist | 3421 W 9th St, Waterloo, IA 50702-5401 | 2020-03-02 |
| 1265094239 | Samuel Bernard | Podiatrist | 3421 W 9th St, Waterloo, IA 50702-5401 | 2019-07-01 |
| 1306408125 | Trent Boyer | Podiatrist | 3421 W 9th St, Waterloo, IA 50702-5401 | 2019-07-01 |
| 1467017921 | John Jacob Zion Kelly | Nurse Practitioner | 3421 W 9th St, Waterloo, IA 50702-5401 | 2019-05-09 |
| 1003381963 | Tyler James Goebel | Pharmacist | 3421 W 9th St, Waterloo, IA 50702-5401 | 2018-10-08 |
| 1164907465 | Samantha Wheeler | Pharmacist | 3421 W 9th St, Waterloo, IA 50702-5401 | 2018-10-02 |
| 1063992857 | Kevin J Dirksen | Nurse Practitioner | 3421 W 9th St, Waterloo, IA 50702-5401 | 2018-08-21 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629684709 | Peoples Community Health Clinic, Inc | Clinic/Center | 425 1/2 East Ridgeway Ave., Waterloo, IA 50702 | 2020-09-23 |
| 1346867439 | Kinza Ali | Family Medicine | 2055 Kimball Avenue, Suite 101, Waterloo, IA 50702 | 2020-07-06 |
| 1073176533 | Sandeep Badyal | Family Medicine | Ne Ia Family Medicine Residency Program, 2055 Kimball Ave. Ste. 101, Waterloo, IA 50702 | 2019-04-19 |
| 1619530763 | Sophia Tariq Qureshi | Family Medicine | Ne Ia Medical Education Foundation, 2055 Kimball Ave. Ste. 101, Waterloo, IA 50702 | 2019-04-15 |
| 1659869915 | Alicia M Johnson | Advanced Practice Midwife | 439 King Street, Waterloo, IA 50702 | 2018-04-23 |
| 1427591411 | Alexandra E. Becker | Specialist/Technologist | 4157 Mourning Dove Drive, Waterloo, IA 50702 | 2016-11-23 |
| 1255793196 | Eastern Iowa Therapeutics PC | Physical Therapist | 1655 E San Marnan Dr, Ste A, Waterloo, IA 50702 | 2016-03-21 |
| 1972859288 | Noble Cedar Psychological Institute | Psychologist | 1425 W. 5th Street, Suite 1, Waterloo, IA 50702 | 2012-07-24 |
| 1417223363 | Rita Marie Menart | Counselor | 2101 Kimball Ave., Suite 138, Waterloo, IA 50702 | 2012-03-26 |
| 1336411685 | Jagpal Singh Suman | Hospitalist | 3421 West 9th Street, Waterloo, IA 50702 | 2012-02-02 |
| Find all providers in zip 50702 | ||||
| Taxonomy Code | 207L00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery. |
| 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 Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245541663 | Anna Wahlig | Anesthesiology | 703 Lakeview Dr, Waterloo, IL 62298-1847 | 2010-06-30 |
| 1245661560 | Resolute Anesthesia Illinois Sc | Anesthesiology | 501 Hamacher St, Waterloo, IL 62298-1568 | 2013-12-12 |
| 1275970352 | Joshua Priebe | Anesthesiology | 1825 Logan Ave, Waterloo, IA 50703-1916 | 2013-05-29 |
| 1093159642 | Rachelle Alexandra Makinde | Anesthesiology | 3421 W 9th St, Waterloo, IA 50702-5401 | 2013-04-25 |
| 1417238759 | Liang Zhang | Anesthesiology | 3421 W 9th St, Covenant Medical Center, Wheaton Franciscan Healthcare, Waterloo, IA 50702-5401 | 2011-08-31 |
| 1285929653 | Shamas Chungez Kiani | Anesthesiology | 1825 Logan Ave, Waterloo, IA 50703 | 2011-06-14 |
| 1083852248 | Vijayasimha Reddy Pothula | Anesthesiology | 1825 Logan Ave, Waterloo, IA 50703-1916 | 2009-01-27 |
| 1417168667 | Albert Jerome Jackson Jr. | Anesthesiology | 2710 Saint Francis Dr, Ste 410, Waterloo, IA 50702-5619 | 2007-05-26 |
| 1982813739 | Matthew J Grady | Anesthesiology | 1825 Logan Ave, Waterloo, IA 50703-1916 | 2007-05-21 |
| 1720129133 | Steven Gustave Punke | Anesthesiology | 1825 Logan Ave, Waterloo, IA 50703-1916 | 2007-02-09 |
| Find all providers in WATERLOO | ||||
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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.