B ADAM SHANES (NPI# 1679551816) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679551816 |
| Entity Type | Individual |
| Full Name | B ADAM SHANES |
| Credential | MD |
| Practice Address |
3430 Worthington Blvd Frederick MD 21704-7017 |
| Mailing Address |
Po Box 37086 Baltimore MD 21297-3086 |
| Practice Telephone | 2408742530 |
| Mailing Telephone | 2404398812 |
| Enumeration Date | 2006-01-06 |
| Last Update Date | 2020-08-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | D88618 | MD | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | M2093 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 175702302 | 05 | |
| TX | RR MEDICARE | P00466540 | 01 |
| TX | 1757023-01 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4327 Barnett Rd, Wichita Falls, TX 763102303 | 9407645200 | 9407645201 |
| Street Address |
3430 WORTHINGTON BLVD |
| City | FREDERICK |
| State | MD |
| Zip Code | 21704-7017 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073511440 | Yvonne Townsley Anderson | Physical Therapist | 3430 Worthington Blvd, Suite 102, Frederick, MD 21704-7017 | 2005-07-11 |
| 1750748919 | Frederick Health Hospital Inc | Physical Therapist | 3430 Worthington Blvd, Frederick, MD 21704-7017 | 2016-01-19 |
| 1124496161 | Frederick Health Hospital Inc | Clinical Medical Laboratory | 3430 Worthington Blvd, Frederick, Frederick, MD 21704-7017 | 2015-09-08 |
| 1700268356 | Aneeqa Idrees | Family Medicine | 3430 Worthington Blvd, Frederick, MD 21704 | 2015-06-19 |
| 1780092916 | Frederick Health Medical Group LLC | Clinic/Center | 3430 Worthington Blvd, Frederick, MD 21704-7017 | 2014-07-31 |
| 1376830182 | Zoe L Ajebon | Family Medicine | 3430 Worthington Blvd, Suite 103, Frederick, MD 21704-7017 | 2011-06-30 |
| 1295915981 | Rest Assured Sleep Centers, LLC | Durable Medical Equipment & Medical Supplies | 3430 Worthington Blvd, Suite 205, Frederick, MD 21704-7017 | 2007-11-09 |
| 1801814116 | Heather S Hall | Physician Assistant | 3430 Worthington Blvd, Suite 103, Frederick, MD 21704-7017 | 2006-07-17 |
| 1568436426 | Bonnie Fitleberg | Family Medicine | 3430 Worthington Blvd, Suite 103, Frederick, MD 21704-7017 | 2006-02-15 |
| 1932190485 | Diana Juliano | Family Medicine | 3430 Worthington Blvd, Suite 103, Frederick, MD 21704-7017 | 2005-11-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144747148 | Danah Jack | Physical Therapist | 4070 Atterbury Place, Frederick, MD 21704 | 2017-08-29 |
| 1568986891 | Amy Benjamin Slp | Speech-Language Pathologist | 8905 Amelung St, Frederick, MD 21704 | 2017-07-28 |
| 1104352368 | Mentor-maryland | Community/Behavioral Health | 5970 Frederick Crossing Lane, #202, Frederick, MD 21704 | 2017-05-10 |
| 1699193284 | Jiang Tan | Acupuncturist | 3520 Worthington Blvd #101, Frederick, MD 21704 | 2014-04-01 |
| 1326460817 | Jessica Lacayo | Nurse Practitioner | 3350 Worthington Boulevard, Urbana, MD 21704 | 2014-01-17 |
| 1588098818 | Kimberly Kaye Dipietro | Registered Nurse | 9006 Harris Street, Frederick, MD 21704 | 2013-08-22 |
| 1831432525 | Yuqing Meng | Pharmacist | 9317 Elgin Lane, Frederick, MD 21704 | 2013-04-01 |
| 1831446285 | Diane Marie Foland | Behavioral Analyst | 4235 Lafayette Street, Frederick, MD 21704 | 2012-08-03 |
| 1982932695 | Contemporary Therapeutic Services Inc | Community/Behavioral Health | 22 N Potomac Street, Ste 102, Hagerstown, MD 21704 | 2009-11-19 |
| 1942461181 | Hoa T K Lam | Dentist | 7360 Guilford Drive, Suite #102, Frederick, MD 21704 | 2008-06-20 |
| Find all providers in zip 21704 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073142147 | Lakeside Med, LLC | Family Medicine | 7820b Wormans Mill Rd # 276, Frederick, MD 21701-3034 | 2020-04-02 |
| 1033754221 | Linda A Cann | Family Medicine | 1738 Wheyfield Dr, Frederick, MD 21701-9337 | 2019-11-12 |
| 1730633785 | Skyline Physicians of Md LLC | Family Medicine | 2110 Walnut Ridge Ct # 1l, Frederick, MD 21702-5921 | 2016-08-08 |
| 1538372826 | Jaller Family Medicine, PC | Family Medicine | 184 Thomas Johnson Dr Ste 200, Frederick, MD 21702-4561 | 2007-05-07 |
| 1083718308 | Naaz A Hussain | Family Medicine | 195 Thomas Johnson Drive, Frederick, MD 21702 | 2006-09-08 |
| 1972606481 | Guoping Xu | Family Medicine | 45 Thomas Johnson Dr Ste 109, Frederick, MD 21702 | 2006-09-07 |
| 1427075324 | Comanche County Healthcare | Family Medicine | 319 E Josephine, Frederick, OK 73542 | 2006-07-16 |
| 1073575015 | Praveen K Bolarum | Family Medicine | 196 Thomas Johnson Dr Ste 135, Frederick, MD 21702 | 2006-04-05 |
| 1447221460 | David Elijah Jaller | Family Medicine | 184 Thomas Johnson Dr, Suite 200, Frederick, MD 21702 | 2006-01-28 |
| 1164492401 | Julio J Menocal | Family Medicine | 110 Baughmans Ln, Suite 140, Frederick, MD 21702-4059 | 2006-01-26 |
| Find all providers in FREDERICK | ||||
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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.