SHAWNEE HEART CENTER INC (NPI# 1548399637) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548399637 |
| Entity Type | Organization |
| Organization Name | SHAWNEE HEART CENTER INC |
| Practice Address |
3208 Medical Park Drive Shawnee OK 74804 |
| Practice Telephone | 4052730406 |
| Practice Fax Number | 4052731799 |
| Mailing Telephone | 4052730406 |
| Mailing Fax Number | 4052731799 |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2010-12-15 |
| Authorized Official Name | DR. SUDHIR K. GUPTA (OWNER) |
| Authorized Official Telephone | 4052730406 |
| Authorized Official Credential | M.D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 15887 | OK | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 100257730A | 05 |
| Street Address |
3208 MEDICAL PARK DRIVE |
| City | SHAWNEE |
| State | OK |
| Zip Code | 74804 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437119286 | Sudhir K Gupta | Internal Medicine | 3208 Medical Park Drive, Shawnee, OK 74804-1707 | 2006-03-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164063699 | Isaac Benjamin Gray | Student in an Organized Health Care Education/Training Program | 4010 Blaine Road, Shawnee, OK 74804 | 2019-10-06 |
| 1750863775 | Dillon Gibson | Specialist/Technologist | Oklahoma Baptist University, 500 W. University, Shawnee, OK 74804 | 2018-09-06 |
| 1912368242 | Peggy Baker | Occupational Therapist | 7602 N. Kickapoo, Shawnee, OK 74804 | 2016-03-15 |
| 1861731093 | Shariff Mohammed El-assi | Behavioral Analyst | 45 Crown Point, Shawnee, OK 74804 | 2013-02-07 |
| 1902103112 | Action Physical Therapy & Rehabilitation, Pllc | Physical Therapist | 2506 N Harrison, Shawnee, OK 74804 | 2011-02-24 |
| 1639493315 | Oklahoma Em - 1 Medical Services,p.c. | Emergency Medicine | 1102 W.macarthur, Shawnee, OK 74804 | 2010-03-24 |
| 1790989473 | Eastern Oklahoma Radiation Associates, LLC | Radiology | 3700 N Kickapoo Ave Ste 108, Shawnee, OK 74804 | 2007-06-14 |
| 1821210444 | Mickey Sehorn D.d.s., P.C. | Dentist | 1601 Airport Drive, Shawnee, OK 74804 | 2007-05-03 |
| 1760525711 | Leanna Rae Olsen | Registered Nurse | 1500 N. Kickapoo, Suite #4, Shawnee, OK 74804 | 2007-02-15 |
| 1467517920 | Mahmoud Abdel-fattah Khalifa | Pathology | Unity Health Center, 1102 West Macarthur, Shawnee, OK 74804 | 2006-12-26 |
| Find all providers in zip 74804 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538609037 | Melissa Lanier | Specialist | 801 N. Louisa, Shawnee, OK 74801 | 2017-03-02 |
| 1932648623 | Jessica Smith | Specialist | 2202 W Benedict St, Shawnee, OK 74801-2138 | 2017-02-15 |
| 1811447048 | Kansas University Physicians, Inc. | Specialist | 7420 Switzer St, Shawnee, KS 66203-4550 | 2016-10-12 |
| 1003934415 | Donna Jean Burchfield | Specialist | 6733 Haskins St, Shawnee, KS 66216-2422 | 2007-03-26 |
| 1407857980 | Kirk A. Hance | Specialist | 7420 Switzer, Shawnee, KS 66203-4550 | 2005-08-09 |
| 1801152269 | Alecia Leanne Smith | Specialist | 7405 Renner Rd, Pod C, Shawnee, KS 66217-9414 | 2012-04-10 |
| 1053435024 | Pura Vida Therapy, LLC | Specialist | 12480 W 62nd Ter Ste 100, Shawnee, KS 66216-1871 | 2007-03-16 |
| 1194812545 | Vascular Surgery Associates, P.a. | Specialist | 7420 Switzer, Shawnee, KS 66203-4550 | 2006-10-06 |
| 1790707529 | Marilyn R Richardson | Specialist | 12616 W 62nd Ter, Shawnee, KS 66216-1814 | 2006-07-24 |
| 1558363580 | Richard C. Arnspiger | Specialist | 7420 Switzer, Shawnee, KS 66203-4550 | 2005-08-10 |
| Find all providers in SHAWNEE | ||||
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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.