WALLACE SHELLENBERGER (NPI# 1578769766) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578769766 |
| Entity Type | Individual |
| Full Name | WALLACE SHELLENBERGER |
| Credential | M.D. |
| Practice Address |
488 W Hospital Rd Paoli IN 47454-8807 |
| Mailing Address |
2845 N. County Rd. W. Paoli IN 47454 |
| Practice Telephone | 8127234301 |
| Practice Fax Number | 8127234306 |
| Enumeration Date | 2007-06-25 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
01020515 | IN | Allopathic & Osteopathic Physicians |
| Street Address |
488 W HOSPITAL RD |
| City | PAOLI |
| State | IN |
| Zip Code | 47454-8807 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508856485 | Michael Keith Coots | Psychologist | 488 W Hospital Rd, Paoli, IN 47454-8807 | 2005-10-24 |
| 1043819915 | Tammi R Nicholson | Counselor | 488 W Hospital Rd, Paoli, IN 47454-8807 | 2020-10-22 |
| 1841763430 | Ashley Wilson | Social Worker | 488 W Hospital Rd, Paoli, IN 47454-8807 | 2019-01-07 |
| 1821565920 | Lifespring, Inc | Clinic/Center | 488 W Hospital Rd, Paoli, IN 47454-8807 | 2018-10-26 |
| 1720475965 | Southern Indiana Eye Care, LLC | Optometrist | 488 W Hospital Rd, Paoli, IN 47454-8807 | 2015-04-24 |
| 1760800320 | Jayme Albin | Social Worker | 488 W Hospital Rd, Paoli, IN 47454-8807 | 2014-04-01 |
| 1003150582 | Cara L Williams | Social Worker | 488 W Hospital Rd, Paoli, IN 47454-8807 | 2012-11-21 |
| 1548504020 | Anna L Mcclintic | Social Worker | 488 W Hospital Rd, Paoli, IN 47454-8807 | 2012-11-21 |
| 1992081236 | Barbara Jane Conner | Social Worker | 488 W Hospital Rd, Paoli, IN 47454-8807 | 2011-11-01 |
| 1407142441 | Robert David Cole Jr. | Optometrist | 488 W Hospital Rd, Suite 1, Paoli, IN 47454-8807 | 2011-06-28 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144657883 | Jasmita Ranchod | Psychologist | 488 W Hospital Road, Paoli, IN 47454 | 2013-09-26 |
| 1588928014 | Sarah Jones Whiteman | Nurse Practitioner | 560 W Longest Street, Paoli, IN 47454 | 2012-06-29 |
| 1538457809 | Total Renal Care Inc | Clinic/Center | 555 W Longest St, Paoli, IN 47454 | 2011-07-20 |
| 1487983391 | Southeast Township (orange County) Volunteer Fire Company In | Non-emergency Medical Transport (VAN) | 2723 East County Road 725south., Paoli, IN 47454 | 2009-12-24 |
| 1033341300 | Heather L. Terwiske | Social Worker | 488 W. Hospital Rd., Paoli, IN 47454 | 2009-08-19 |
| 1295957736 | Linda Carol Wells-freiberger | Nurse Practitioner | 202 Cherry Street, Paoli, IN 47454 | 2007-05-03 |
| 1215150222 | Roger W Dillman Dds PC | Dentist | 138 S Court Street, Paoli, IN 47454 | 2007-04-10 |
| 1043394133 | Herbert Ray Stevens | Dentist | 1326 W Leonard Circle, Paoli, IN 47454 | 2006-10-25 |
| 1083706162 | Glenn Jay Pedersen | Chiropractor | 421 Sw 1st St, Paoli, IN 47454 | 2006-09-28 |
| 1790795490 | Melissa Price | Social Worker | 946 S Ridgecrest Ln, Paoli, IN 47454 | 2006-08-08 |
| Find all providers in zip 47454 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063979029 | Elizabeth Petrikin Miller | Psychiatry & Neurology | 1514 Greenlawn Rd, Paoli, PA 19301-2045 | 2019-02-26 |
| 1922172253 | Hanache and Lasota Md Assoc | Psychiatry & Neurology | 11 Horseshoe Lane, Paoli, PA 19301-0909 | 2006-11-20 |
| 1013087170 | Edwin Camiel | Psychiatry & Neurology | 1440 Russell Rd, Paoli, PA 19301-1236 | 2006-11-08 |
| 1326139411 | William Greenfield | Psychiatry & Neurology | 1440 Russell Rd, Paoli, PA 19301-1236 | 2006-09-27 |
| 1114027646 | Jean Swihart | Psychiatry & Neurology | 1440 Russell Rd, Paoli, PA 19301-1236 | 2006-09-24 |
| 1245337450 | Dr Roel Demesa Compendio PC | Psychiatry & Neurology | 15 Industrial Blvd, Suite 203, Paoli, PA 19301-1608 | 2006-09-20 |
| 1053418277 | Dr George Abraham PC | Psychiatry & Neurology | 15 Industrial Blvd, Suite 203, Paoli, PA 19301-1608 | 2006-09-20 |
| 1275639395 | Edward Mcgonigle | Psychiatry & Neurology | 1440 Russell Rd, Paoli, PA 19301-1236 | 2006-09-16 |
| 1477655280 | Misook Soh | Psychiatry & Neurology | 1440 Russell Rd, Paoli, PA 19301-1236 | 2006-09-02 |
| 1134230774 | Haeng Ko | Psychiatry & Neurology | 1440 Russell Rd, Paoli, PA 19301-1236 | 2006-08-31 |
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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.