DR. SHELLY CHRISTIANSEN SHAND (NPI# 1558507848) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558507848 |
| Entity Type | Individual |
| Full Name | DR. SHELLY CHRISTIANSEN SHAND |
| Credential | M.D. |
| Practice Address |
2085 Henry Tecklenburg Dr Fl 2 Charleston SC 29414 |
| Mailing Address |
2085 Henry Tecklenburg Dr Fl 2 Charleston SC 29414-7710 |
| Practice Telephone | 2024443632 |
| Practice Fax Number | 2024448829 |
| Mailing Telephone | 8435776957 |
| Enumeration Date | 2008-12-17 |
| Last Update Date | 2018-08-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
8791157-1205 | UT | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
2085 HENRY TECKLENBURG DR FL 2 |
| City | CHARLESTON |
| State | SC |
| Zip Code | 29414 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609379288 | Stephanie Jo Carson | Nurse Practitioner | 2085 Henry Tecklenburg Dr Fl 2, Charleston, SC 29414-7710 | 2018-03-09 |
| 1407232978 | Kelly Christina Burtch | Internal Medicine | 2085 Henry Tecklenburg Dr Fl 2, Charleston, SC 29414-7710 | 2015-08-06 |
| 1619217791 | Corin E Jaynes | Physician Assistant | 2085 Henry Tecklenburg Dr Fl 2, Charleston, SC 29414-7710 | 2013-02-26 |
| 1225375090 | Susan Frickman | Nurse Practitioner | 2085 Henry Tecklenburg Dr Fl 2, Charleston Hematology Oncology Associates, Charleston, SC 29414-7710 | 2013-01-13 |
| 1366739385 | Ashley Archibald Mackintosh | Physician Assistant | 2085 Henry Tecklenburg Dr Fl 2, Charleston, SC 29414-7710 | 2011-06-29 |
| 1851621056 | Erin Desnoyer Lott | Physician Assistant | 2085 Henry Tecklenburg Dr Fl 2, Charleston, SC 29414-7710 | 2010-01-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902444508 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 3865 West Ashley Circle, Charleston, SC 29414 | 2019-12-13 |
| 1215440169 | Christine Michelle Delcioppo | Nurse Practitioner | 2085 Henry Tecklenburg Dr Fl 2or2, Charleston, SC 29414 | 2017-11-14 |
| 1871013508 | Carolyn Sorenson | Assistant Behavior Analyst | 2218 Hunter Creek Dr, Charleston, SC 29414 | 2017-06-23 |
| 1205387354 | Rachel Klatt | Physical Therapist | 2230 Ashley Crossing Dr., Charleston, SC 29414 | 2016-10-24 |
| 1295286912 | Mary M Butler | Physical Therapy Assistant | 2230 Ashley Crossing Drive, Charleston, SC 29414 | 2016-10-18 |
| 1295104982 | Charlene Barbot | Registered Nurse | 3741 Clover St, Charleston, SC 29414 | 2015-09-23 |
| 1720467525 | Sasha M. Perez | Family Medicine | 3030 Ashley Town Center Dr Ste 102a, Charleston, SC 29414 | 2015-05-26 |
| 1104226240 | Angela Mcinvale | Counselor | 3030 Ashley Town Center Dr., Bldg. B-203, Charleston, SC 29414 | 2014-08-26 |
| 1659790087 | Catherine Jefferson Vanderwerker | Physical Therapist | 3019 Saintsbury Cove Dr, Charleston, SC 29414 | 2014-04-14 |
| 1104266741 | Elizabeth A Burguieres | Psychiatry & Neurology | Scdmh- Charleston Telepsychiatry Office, 706 Orleans Rd, Charleston, SC 29414 | 2013-06-27 |
| Find all providers in zip 29414 | ||||
| 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 |
|---|---|---|---|---|
| 1689080129 | Gregory Michael Haidemenos | Internal Medicine | 169 Ashley Ave # Msc322, Charleston, SC 29425-8908 | 2014-07-04 |
| 1073529616 | Integrated Health Care Providers, Inc. | Internal Medicine | 3100 Maccorkle Ave Se Ste 101, Charleston, WV 25304-1215 | 2006-08-01 |
| 1033147186 | Michael Brian Lilly | Internal Medicine | 39 Sabin Street, 725 Walton Bldg, Charleston, SC 29425 | 2006-06-29 |
| 1093773657 | George Frederick Geils Jr. | Internal Medicine | 2085 Henry Tecklenburg Dr, Second Floor, Charleston, SC 29414-7710 | 2006-05-03 |
| 1487611505 | George Paul Keogh | Internal Medicine | 125 Doughty Street, Suite 500, Charleston, SC 29403 | 2006-05-01 |
| 1790765212 | Robert M Silgals | Internal Medicine | 9295 -c Medical Plaza Dr, Charleston, SC 29406-9137 | 2006-01-19 |
| 1942285093 | Julia Margarita Cruz | Internal Medicine | 3110 Maccorkle Ave Se, Charleston, WV 25304-1210 | 2005-12-13 |
| 1619979416 | Daniel York Reuben | Internal Medicine | 173 Ashley Ave Ste 104, Msc 635, Charleston, SC 29425-8908 | 2005-08-11 |
| 1366446759 | Robert M. Silgals | Internal Medicine | 9295 - C Medical Plaza Dr, Charleston, SC 29406-9137 | 2005-06-13 |
| 1407232978 | Kelly Christina Burtch | Internal Medicine | 2085 Henry Tecklenburg Dr Fl 2, Charleston, SC 29414-7710 | 2015-08-06 |
| Find all providers in CHARLESTON | ||||
| City | CHARLESTON |
| Zip Code | 29414 |
Please comment or provide details below to improve the information on DR. SHELLY CHRISTIANSEN SHAND.
| 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.