MOHAMED SHANSHAL (NPI# 1538440649) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538440649 |
| Entity Type | Individual |
| Full Name | MOHAMED SHANSHAL |
| Credential | M.D. |
| Practice Address |
80 Hospital Dr Ste 2 Barbourville KY 40906-7363 |
| Mailing Address |
7120 N Sheridan Rd Apt 205 Chicago IL 60626-2902 |
| Practice Telephone | 6065454460 |
| Practice Fax Number | 6065454469 |
| Mailing Telephone | 3127351995 |
| Enumeration Date | 2011-09-01 |
| Last Update Date | 2018-10-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 50475 | KY | Allopathic & Osteopathic Physicians |
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
50475 | KY | Allopathic & Osteopathic Physicians |
| Street Address |
80 HOSPITAL DR STE 2 |
| City | BARBOURVILLE |
| State | KY |
| Zip Code | 40906-7363 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457367898 | Raju N Vora | Internal Medicine | 80 Hospital Dr Ste 2, Barbourville, KY 40906-7363 | 2006-07-31 |
| 1770029126 | Arh Mary Breckinridge Health Services, Inc. | Clinic/Center | 80 Hospital Dr Ste 2, Barbourville, KY 40906-7363 | 2017-01-10 |
| 1134679806 | Jamie Nicole Wilder | Nurse Practitioner | 80 Hospital Dr Ste 2, Barbourville, KY 40906-7363 | 2016-10-06 |
| 1972822757 | Elizabeth Kathleen Lewgood Douglas | Family Medicine | 80 Hospital Dr Ste 2, Barbourville, KY 40906 | 2010-05-19 |
| 1578756821 | Melanie Lind Dykes | Nurse Practitioner | 80 Hospital Dr Ste 2, Barbourville, KY 40906-7363 | 2007-08-21 |
| 1235211616 | Thomas James Moore | Internal Medicine | 80 Hospital Dr Ste 2, Barbourville, KY 40906 | 2006-10-19 |
| 1467464446 | Jerry L Woolum | Surgery | 80 Hospital Dr Ste 2, Barbourville, KY 40906-7363 | 2006-08-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477187334 | Barbourville Prescription Center, LLC | Pharmacy | 1881 South U.S. Highway 25e, Barbourville, KY 40906 | 2020-02-28 |
| 1992368617 | Carolyn Disney Byble | Counselor | 1909 Hwy. 3439, Barbourville, KY 40906 | 2019-04-18 |
| 1386139111 | Amy Lynn Mills | Adult Companion | 12 Knox Plaza, Barbourville, KY 40906 | 2018-06-25 |
| 1457858250 | Angela Turner | Nurse Practitioner | 1927 Us S Hwy 25e, Barbourville, KY 40906 | 2018-04-09 |
| 1376049437 | Kalee Elizabeth Howard | Case Manager/Care Coordinator | 415 Highway 225, Barbourville, KY 40906 | 2018-04-05 |
| 1063949303 | Robin Renee Carr | Counselor | 415 Ky Hwy 225, Barbourville, KY 40906 | 2017-05-17 |
| 1770940736 | Jennifer Nicole James | Case Manager/Care Coordinator | 415 Ky 225, Barbourville, KY 40906 | 2016-01-21 |
| 1891116455 | Glenna Bargo | Nurse Practitioner | 728 S Us Highway 25e Loop Number 2, Loop Number 2, Barbourville, KY 40906 | 2013-12-30 |
| 1275883050 | Brian Keith Abner | Physician Assistant | 215 North Allison Avenue, Barbourville, KY 40906 | 2012-09-19 |
| 1558660944 | Sleep Diagnostics of Kentucky, Inc | Clinic/Center | 606a Knox Street, Barbourville, KY 40906 | 2011-03-24 |
| Find all providers in zip 40906 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225576523 | Rafiq U Rahman Md Psc | Internal Medicine | 101 Financial Pl Ste B103, Elizabethtown, KY 42701-8450 | 2017-02-07 |
| 1659823573 | Covenant Oncology & Hematology LLC | Internal Medicine | 93 C. Michael Davenport Blvd, Suite 2, Frankfort, KY 40601-9702 | 2016-10-26 |
| 1184018285 | James Mobley | Internal Medicine | 800 Rose St Ste Cc-402, Lexington, KY 40536-0293 | 2015-03-26 |
| 1770837270 | Chaitanya Iragavarapu | Internal Medicine | Uk Hematology/ Bmt Clinic, 800 Rose St Roach Cancer Ctr 1st Fl, Lexington, KY 40536-0293 | 2012-11-05 |
| 1285999284 | Surabhi Pathak | Internal Medicine | 613 23rd St Ste 19, Ashland, KY 41101-2878 | 2012-07-06 |
| 1427316900 | Ryan Woods | Internal Medicine | University of Kentucky Gme, 800 Rose St. Room Hq-101, Lexington, KY 40536-0293 | 2012-05-02 |
| 1730447814 | Natalie W. Harper | Internal Medicine | 521 Robinbrooke Blvd, Elizabethtown, KY 42701-5904 | 2012-04-26 |
| 1083938542 | Metro Hematology Oncology, Pllc | Internal Medicine | 3620 Wynbrooke Cir, Louisville, KY 40241 | 2010-03-26 |
| 1477743938 | Suzanne Jeannette Brown | Internal Medicine | 102 Physicians Blvd, Glasgow, KY 42141-1299 | 2007-07-30 |
| 1417082470 | Jamie Bunch Jarboe | Internal Medicine | 1100 Brookhaven Rd Ste 103, Franklin, KY 42134-2746 | 2007-02-22 |
| Find all providers with the same taxonomy | ||||
| City | BARBOURVILLE |
| Zip Code | 40906 |
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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.