SHENANDOAH UNIVERSITY (NPI# 1689231912) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689231912 |
| Entity Type | Organization |
| Organization Name | SHENANDOAH UNIVERSITY |
| Other Organization Name | SHENANDOAH SPORTS MEDICINE |
| Practice Address |
1460 University Dr Winchester VA 22601-5100 |
| Mailing Address |
5050 Spring Valley Rd Dallas TX 75244-3995 |
| Practice Telephone | 5406654566 |
| Enumeration Date | 2019-05-22 |
| Last Update Date | 2019-05-22 |
| Authorized Official Name | MOUZON BASS III (ADMINISTRATOR/AGENT) |
| Authorized Official Telephone | 9723674845 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Shenandoah Sports Medicine | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | SHENANDOAH UNIVERSITY | 1460 University Dr, Winchester, VA 22601-5100 |
| Virginia Business Entities | Shenandoah University | 1460 University Drive, Winchester, Virginia 22601 |
| Street Address |
1460 UNIVERSITY DR |
| City | WINCHESTER |
| State | VA |
| Zip Code | 22601-5100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528138120 | Rosemary A Schmieg | Specialist | 1460 University Dr, Winchester, VA 22601-5195 | 2006-11-09 |
| 1467001305 | Michele Lynett Pye | Specialist/Technologist | 1460 University Dr, Hls Building Rm 350, Winchester, VA 22601-5159 | 2019-09-04 |
| 1386201648 | Kelli Anne Plemmons | Specialist/Technologist | 1460 University Dr, Winchester, VA 22601-5195 | 2019-05-22 |
| 1154885408 | April Michelle Reed | Specialist/Technologist | 1460 University Dr, Winchester, VA 22601-5100 | 2019-01-30 |
| 1275005399 | Robert James Brennan | Specialist/Technologist | 1460 University Dr, Winchester, VA 22601-5195 | 2018-12-31 |
| 1710455019 | Megan Ashley Vanderburgh | Student in an Organized Health Care Education/Training Program | 1460 University Dr, Winchester, VA 22601-5100 | 2018-11-05 |
| 1619428612 | Marah Jones | Specialist/Technologist | 1460 University Dr, Winchester, VA 22601-5100 | 2016-10-14 |
| 1306260617 | Meghan Ashley Gore | Physical Medicine & Rehabilitation | 1460 University Dr, Winchester, VA 22601 | 2014-02-06 |
| 1215177142 | Kimberly Anne Pritchard | Specialist/Technologist | 1460 University Dr, Division of Athletic Training, Winchester, VA 22601-5100 | 2009-03-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184288961 | Michael Frederick Ellis | Social Worker | 2913 Pleasant Valley Avenue, Suite 125, Winchester, VA 22601 | 2019-04-26 |
| 1437713542 | Ann Marie Aldrich | Nurse Practitioner | 172 Linden Dr, Winchester, Suite #100, Wincehster, VA 22601 | 2019-04-24 |
| 1023570678 | Ultimate Hearing Solutions Vi, LLC | Durable Medical Equipment & Medical Supplies | 3111 Valley Ave., Unit 112c, Creekside Station, Winchester, VA 22601 | 2019-04-03 |
| 1992203574 | Deborah K. Inaba | Clinical Exercise Physiologist | 1410 S Braddock St, Winchester, VA 22601 | 2018-01-29 |
| 1043728272 | Emily Anne Griffin | Registered Nurse | 440 W Jubal Early Dr Ste 240, Winchester, VA 22601 | 2018-01-23 |
| 1114431467 | Alicia Moreno Billy | Social Worker | 817 Cedar Creek Grade, Suite 202, Winchester, VA 22601 | 2017-11-24 |
| 1558800391 | Heather Leach | Counselor | 116 Piccadilly Street, Suite 12, Winchester, VA 22601 | 2017-02-13 |
| 1649718396 | Hunt Country Health Services | Home Health | 31 S Braddock St Ste 106, Winchester, VA 22601 | 2017-02-02 |
| 1568830958 | Megan Mcintyre | Physical Therapist | 3052 Valley Ave Ste 101, Winchester, VA 22601 | 2015-09-02 |
| 1093195299 | Sara Elizabeth Archetti | Speech-Language Pathologist | Frederick County Public Schools, 1415 Amherst Street, Winchester, VA 22601 | 2015-06-02 |
| Find all providers in zip 22601 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| 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 Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659402592 | James M Gibbons | Orthopaedic Surgery | 7 Wainwright Rd, Unit #106, Winchester, MA 01890-2300 | 2007-03-09 |
| 1265509285 | James Warren Rice | Orthopaedic Surgery | 400 Shoppers Dr, Winchester, KY 40391 | 2006-11-29 |
| 1861436313 | Dennis Watkins Wise | Orthopaedic Surgery | 128 Medical Cir, Winchester, VA 22601-3322 | 2006-06-15 |
| 1770539009 | Lloyd Keith Brown | Orthopaedic Surgery | 144 Hospital Rd, Winchester, TN 37398-2402 | 2006-05-26 |
| 1710948898 | Richard J Patterson II | Orthopaedic Surgery | 152 Linden Dr, Winchester, VA 22601-2818 | 2006-03-29 |
| 1255392486 | Bernard M Swope | Orthopaedic Surgery | 190 Campus Blvd Ste 310, Winchester, VA 22601-2872 | 2006-03-29 |
| 1962840082 | Steven I Pancio II | Orthopaedic Surgery | 152 Linden Dr, Winchester, VA 22601-2818 | 2013-06-11 |
| 1861838476 | Amg - Southern Tennessee, LLC | Orthopaedic Surgery | 183 Hospital Rd, Suite B, Winchester, TN 37398-2470 | 2013-05-22 |
| 1528312592 | Jennifer Faith Williams | Orthopaedic Surgery | 190 Campus Blvd, Suite 310, Winchester, VA 22601-2872 | 2012-10-30 |
| 1811257561 | David Anthony Hamilton Jr. | Orthopaedic Surgery | 404 Shoppers Dr, Winchester, KY 40391 | 2012-05-29 |
| Find all providers in WINCHESTER | ||||
| City | WINCHESTER |
| Zip Code | 22601 |
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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.