JOHN W SHUCK (NPI# 1689641086) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689641086 |
| Entity Type | Individual |
| Full Name | JOHN W SHUCK |
| Credential | M.D. |
| Practice Address |
540 S Governors Ave Ste 201 Dover DE 19904-3530 |
| Mailing Address |
640 S State St Mail Code 3055 Dover DE 19901-3530 |
| Practice Telephone | 3026724600 |
| Practice Fax Number | 3026724606 |
| Mailing Telephone | 3024801688 |
| Mailing Fax Number | 3024809807 |
| Enumeration Date | 2006-03-03 |
| Last Update Date | 2019-02-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
C10006635 | DE | Allopathic & Osteopathic Physicians |
| Y | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
C10006635 | DE | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DE | 1689641086 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154610442 | John William Shuck | Surgery | 13300 Hargrave Rd Ste 450, Houston, TX 77070 | 2011-04-07 |
| Street Address |
540 S GOVERNORS AVE STE 201 |
| City | DOVER |
| State | DE |
| Zip Code | 19904-3530 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205802188 | Raymond E Miller | Internal Medicine | 540 S Governors Ave Ste 201, Dover, DE 19904-3530 | 2006-02-28 |
| 1205122595 | Manjeet Singh | Internal Medicine | 540 S Governors Ave Ste 201, Dover, DE 19904 | 2011-06-24 |
| 1134302235 | Tricia L Delnay | Nurse Practitioner | 540 S Governors Ave Ste 201, Dover, DE 19904-3530 | 2007-12-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215534318 | Stanford Community Development Corporation, Inc | Community Health Worker | 111 South West Street, Suite 5, Dover, DE 19904 | 2020-10-02 |
| 1770145120 | Cara May O'reilly | Nurse Practitioner | 540 S. Governors Ave, Ste 101a, Dover, DE 19904 | 2019-07-07 |
| 1639631716 | Victoria Louise Sisson | Physical Therapy Assistant | 301 South Banning Street, Dover, DE 19904 | 2019-04-05 |
| 1336603091 | Ashley Santana | Counselor | 32 West Lookerman Street, Suite #103, Dover, DE 19904 | 2019-01-28 |
| 1679059869 | Vicdania Home Services | Technician | 1019 South Govenors Avenue, Dover, DE 19904 | 2018-07-11 |
| 1295221372 | Pam Squared At Dover LLC | Rehabilitation Hospital | 1240 Mckee Road, Dover, DE 19904 | 2018-07-02 |
| 1871000869 | Ronald Allen Beard | Counselor | 44 Carver Road, Dover, DE 19904 | 2017-12-29 |
| 1508376518 | First State Orthopaedics, Pa | Orthopaedic Surgery | 285 Beiser Blvd, Ste 201, Dover, DE 19904 | 2017-10-04 |
| 1700325057 | Center At Eden Hill LLC | Skilled Nursing Facility | 300 Banning Street, Dover, DE 19904 | 2017-02-20 |
| 1811352826 | West Dover Dental, LLC | Dentist | 2 Greentree Drive, Dover, DE 19904 | 2015-12-17 |
| Find all providers in zip 19904 | ||||
| Taxonomy Code | 207RI0011X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Interventional Cardiology |
| An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/ Board Certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. ACGME Accredited Residency Program Requirements: 1 year of training plus a prerequisite of 3 years Internal Medicine, 3 years Cardiovascular Disease for a total of 7 years. ABMS Approved Subspecialty Certificate (Internal Medicine) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164495230 | Lazaro Andres Diaz | Internal Medicine | 19 Old Rollinsford Rd, Building B, Dover, NH 03820 | 2006-02-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962636696 | Mark Anthony Troiano | Internal Medicine | 252 Chapman Rd Ste 150, Newark, DE 19702 | 2009-05-09 |
| 1750784849 | St. Francis Hospital Inc. | Internal Medicine | 701 N. Clayton Street, Msb Suite 601, Wilmington, DE 19805-3165 | 2014-10-02 |
| 1689607665 | Henlopen Cardiology Pa | Internal Medicine | 123 Pennsylvania Ave, Seaford, DE 19973-3829 | 2006-07-10 |
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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.