MARK W SHABLA (NPI# 1659340008) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659340008 |
| Entity Type | Individual |
| Full Name | MARK W SHABLA |
| Credential | MD |
| Practice Address |
635 1st St N Winter Haven FL 33881-4129 |
| Practice Telephone | 8632940670 |
| Practice Fax Number | 8632983200 |
| Mailing Telephone | 8632940670 |
| Mailing Fax Number | 8632983200 |
| Enumeration Date | 2006-03-17 |
| Last Update Date | 2008-05-20 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
ME28695 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | MEDICARE ID/ RRM PIN | 110007133 | 01 |
| FL | 039522600 | 05 |
| Street Address |
635 1ST ST N |
| City | WINTER HAVEN |
| State | FL |
| Zip Code | 33881-4129 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104819853 | Mary R De Sena | Family Medicine | 635 1st St N, Winter Haven, FL 33881-4129 | 2005-08-29 |
| 1467916551 | Dorothea Annette Thompson | Nurse Practitioner | 635 1st St N, Winter Haven, FL 33881-4191 | 2019-01-23 |
| 1790261964 | Tiffney M Martin | Nurse Practitioner | 635 1st St N, Winter Haven, FL 33881-4191 | 2018-07-11 |
| 1669966719 | Ashley Nicole Penaloza | Nurse Practitioner | 635 1st St N, Winter Haven, FL 33881 | 2018-06-20 |
| 1285128082 | Julie Kregl Earp | Family Medicine | 635 1st St N, Winter Haven, FL 33881-4191 | 2018-06-15 |
| 1558854075 | Molly Leigh Fox | Nurse Practitioner | 635 1st St N, Winter Haven, FL 33881-4129 | 2018-06-09 |
| 1891204608 | Roxanna Ford | Nurse Practitioner | 635 1st St N, Winter Haven, FL 33881-4191 | 2017-09-25 |
| 1922543966 | Cecilia Mcdonald | Nurse Practitioner | 635 1st St N, Winter Haven, FL 33881-4129 | 2016-12-29 |
| 1629434808 | Crystal Elizabeth Ingle | Nurse Practitioner | 635 1st St N, Winter Haven, FL 33881-4129 | 2016-01-04 |
| 1821453044 | Michele Murphy | Nurse Practitioner | 635 1st St N, Winter Haven, FL 33881-4129 | 2015-12-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114534476 | Ctc's Heart of Caring, Inc | In Home Supportive Care | 2995 Eagle Nest View Drive, Winter Haven, FL 33881 | 2020-09-29 |
| 1356813869 | Michael Thomas Wiernicki | Dentist | 1074 Spring Lake Plaza, Winter Haven, FL 33881 | 2018-12-21 |
| 1659862423 | Patricia Pelt | Social Worker | 3073 Buckeye Point Dr, Winter Haven, FL 33881 | 2018-05-28 |
| 1952891244 | Ansley Health LLC | Home Health | 1502 6th Ct Ne, Winter Haven, FL 33881 | 2018-05-14 |
| 1346699261 | Yovanka Zapata | Specialist/Technologist, Other | 5856 Windrigde Dr., Winter Haven, FL 33881 | 2016-06-10 |
| 1720415599 | Villa Pharmacy LLC | Pharmacy | 105 Avenue R Nw, Winter Haven, FL 33881 | 2013-10-10 |
| 1992149397 | Nic 5 Spring Haven Leasing LLC | Assisted Living Facility | 1225 Nw Havendale Boulevard, Winter Haven, FL 33881 | 2013-04-29 |
| 1780938225 | Penelope Sturdevant | Nurse Practitioner | 2791 Lake Alfred Rd., Winter Haven, FL 33881 | 2012-11-06 |
| 1649548165 | Tim R Acree | Non-emergency Medical Transport (VAN) | 2 Eagles Nest, Winter Haven, FL 33881 | 2011-12-12 |
| 1285899419 | Adjustment and Awareness Counseling | Community/Behavioral Health | 243 3rd St Nw, Winter Haven, FL 33881 | 2008-07-28 |
| Find all providers in zip 33881 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396952420 | David B Simmons Md Pa | Internal Medicine | David B Simmons Md Pa, 320 1st Street, N, Winter Haven, FL 33881 | 2007-05-17 |
| 1255315818 | David B Simmons | Internal Medicine | 320 1st St N, Winter Haven, FL 33881-4113 | 2005-12-06 |
| 1043218399 | Dabir A Siddiqui | Internal Medicine | 500 E Central Ave, Winter Haven, FL 33880-3053 | 2005-07-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093321382 | Charlotte Harbor Gastroenterology LLC | Internal Medicine | 2811 Tamiami Trl Ste I, Port Charlotte, FL 33952-5135 | 2020-09-22 |
| 1750907614 | Michael G. Valladares D.o. P.a. | Internal Medicine | 10302 Sw 116th St, Miami, FL 33176-4049 | 2020-06-17 |
| 1578100996 | Alex Aziz Al Khoury | Internal Medicine | 1120 Nw 14th St. Suite 1112, Miami, FL 33136 | 2019-12-04 |
| 1750922399 | Gastroenterology Care Specialists, LLC | Internal Medicine | 550 Redstone Ave W Ste 430, Crestview, FL 32536-6457 | 2019-10-04 |
| 1194375378 | Digestive and Liver Disease Institute of Florida, LLC | Internal Medicine | 505 W Oak St Ste 202, Kissimmee, FL 34741-4986 | 2019-09-18 |
| 1659833002 | Steven L Diamond | Internal Medicine | 5606 Vintage Oaks Terrace, Delray Beach, FL 33484 | 2019-04-04 |
| 1225507601 | Linmec Corp | Internal Medicine | 4531 Deleon St Ste 215, Fort Myers, FL 33907-1279 | 2018-11-15 |
| 1912474156 | Eileen E Kim | Internal Medicine | 5117 Fiorella Ln, Sanford, FL 32771-5449 | 2018-10-25 |
| 1790251197 | Gabriel Benitez | Internal Medicine | 2330 Wilton Dr, Wilton Manors, FL 33305-1249 | 2018-10-23 |
| 1043786833 | Union Medical Group | Internal Medicine | 6300 Corporate Ct Ste 105, Fort Myers, FL 33919-3513 | 2018-10-18 |
| Find all providers with the same taxonomy | ||||
| City | WINTER HAVEN |
| Zip Code | 33881 |
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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.