DR. GEORGE W SHAHADE (NPI# 1588777825) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588777825 |
| Entity Type | Individual |
| Full Name | DR. GEORGE W SHAHADE |
| Credential | D.O. |
| Practice Address |
1711 27th St Braunlin Building, Suite 401 Portsmouth OH 45662-2654 |
| Mailing Address |
1735 27th St Waller Building, Suite B06 Portsmouth OH 45662-2677 |
| Practice Telephone | 7403566836 |
| Practice Fax Number | 7403566806 |
| Mailing Telephone | 7403568008 |
| Mailing Fax Number | 7403537900 |
| Enumeration Date | 2006-08-17 |
| Last Update Date | 2013-01-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | 34003981 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | DEA | AS3296957 | 01 |
| OH | 0599160 | 05 | |
| OH | OH LIC # | OH 34-003981 | 01 |
| Street Address |
1711 27TH ST BRAUNLIN BUILDING, SUITE 401 |
| City | PORTSMOUTH |
| State | OH |
| Zip Code | 45662-2654 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306838719 | Thomas L Khoury | Surgery | 1711 27th St, Braunlin Bldg, Suite 306, Portsmouth, OH 45662-2638 | 2005-08-22 |
| 1295399509 | Chrisitne Williams | Nurse Practitioner | 1711 27th St, Portsmouth, OH 45662-2654 | 2019-04-23 |
| 1437520673 | Lora Stone | Nurse Practitioner | 1711 27th St, Braunlin Building Suite 306, Portsmouth, OH 45662-2654 | 2015-10-14 |
| 1790177665 | Ashley Wolfram | Physician Assistant | 1711 27th St, Braunlin Building Suite 306, Portsmouth, OH 45662-2654 | 2015-03-02 |
| 1518364546 | Jason Lee Swords | Nurse Practitioner | 1711 27th St, Braunlin Building, Suite 403, Portsmouth, OH 45662-2654 | 2014-11-19 |
| 1023436292 | Lynsey Arey | Nurse Practitioner | 1711 27th St, Braunlin Building Suite 306, Portsmouth, OH 45662-2654 | 2014-04-03 |
| 1245665090 | Paul David Rase | Nurse Practitioner | 1711 27th St, Braunlin Building, Suite 206, Portsmouth, OH 45662-2654 | 2013-09-12 |
| 1225461643 | Amy L Kilburn | Nurse Practitioner | 1711 27th St, Braunlin Building, Suite 401, Portsmouth, OH 45662-2654 | 2013-08-21 |
| 1629316435 | Ricardo E Orozco | Specialist/Technologist, Other | 1711 27th St, Braunlin Bldg, Suite 206, Portsmouth, OH 45662-2654 | 2013-01-29 |
| 1649518424 | Jonathan David Crist | Specialist/Technologist, Other | 1711 27th St, Braunlin Building, Suite 206, Portsmouth, OH 45662-2654 | 2013-01-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528613346 | Stacia N Boyer | Nurse Practitioner | 1611 27th Street, Fulton Bldg Suite 101, Portsmouth, OH 45662 | 2019-08-08 |
| 1487210167 | Rose Speier | Registered Nurse | 920 Gallia Street, Portsmouth, OH 45662 | 2019-05-17 |
| 1083123491 | Megan Rhea | Case Manager/Care Coordinator | 901 Wahington St, Portsmouth, OH 45662 | 2017-09-28 |
| 1376061903 | Alanna Lee Reisinger | Physical Therapist | 522 Glenwood Ave., New Boston, OH 45662 | 2017-09-04 |
| 1871010967 | Nicole Lynne Johnson | Counselor | 800 Gallia Street Suite 600, Portsmouth, OH 45662 | 2017-08-29 |
| 1629595822 | William Zachary Nance | Counselor | 800 Gallia Street, Suite 600, Portsmouth, OH 45662 | 2017-08-28 |
| 1962929703 | Melissa Rodbell | Speech-Language Pathologist | 514 Union St., Portsmouth, OH 45662 | 2017-08-23 |
| 1346604626 | Todd Davis | Counselor | 2954 Walnut St., Portsmouth, OH 45662 | 2016-04-12 |
| 1083078406 | Gordon Sanders | Counselor | 2954 Walnut Street, Portsmouth, OH 45662 | 2016-04-12 |
| 1033573910 | Michael L Purdy | Nurse Practitioner | 1735 27th Street Waller Bldg Suite 302, Portsmouth, OH 45662 | 2016-04-07 |
| Find all providers in zip 45662 | ||||
| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063473395 | Timothy Patrick O'malley II | Otolaryngology | 27 Effingham St, Nmcp Otolaryngology Dept, Portsmouth, VA 23708 | 2006-03-28 |
| 1437156577 | William Paul Magdycz Jr. | Otolaryngology | Naval Medical Center Portsmouth, 620 John Paul Jones Circle, Portsmouth, VA 23708-2197 | 2005-07-05 |
| 1124448881 | Jeffrey Martin Schafer | Otolaryngology | 620 John Paul Jones Circle, Nmcp Ent Otolaryngology, Portsmouth, VA 23708 | 2014-04-21 |
| 1558637975 | Craig Robert Folsom | Otolaryngology | 620 John Paul Jones Cir, Portsmouth, VA 23708 | 2012-03-29 |
| 1699060293 | Dinchen Anna Jardine | Otolaryngology | Naval Medical Center Portsmouth, 620 John Paul Jones Circle, Portsmouth, VA 23708 | 2011-06-13 |
| 1073806378 | Jeffrey Paul Radabaugh | Otolaryngology | 620 John Paul Jones Cir, Portsmouth, VA 23708-2111 | 2011-05-18 |
| 1881841971 | Angel Javier Perez | Otolaryngology | 620 John Paul Jones Cir, Portsmouth, VA 23708-2111 | 2008-08-20 |
| 1720208820 | Ear Nose & Throat Medicine & Surgery of Portsmouth Pa | Otolaryngology | 330 Borthwick Ave, Suite 304, Portsmouth, NH 03801-7109 | 2007-04-30 |
| 1194886549 | Caroline M Schlocker | Otolaryngology | 620 John Paul Jones Cir, Portsmouth, VA 23708 | 2006-12-12 |
| 1467551861 | David Christopher Roska | Otolaryngology | 620 John Paul Jones Cir, Naval Medical Center Portsmouth, Portsmouth, VA 23708-2111 | 2006-09-22 |
| Find all providers in PORTSMOUTH | ||||
| City | PORTSMOUTH |
| Zip Code | 45662 |
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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.