DR. SHANDAL S EMANUEL (NPI# 1699777524) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699777524 |
| Entity Type | Individual |
| Full Name | DR. SHANDAL S EMANUEL |
| Credential | MD |
| Practice Address |
155 Nashville Commons Dr Nashville NC 27856-1823 |
| Mailing Address |
Po Box 7867 Rocky Mount NC 27804-0867 |
| Practice Telephone | 2524597769 |
| Practice Fax Number | 2524596539 |
| Mailing Telephone | 2524597769 |
| Mailing Fax Number | 2524596539 |
| Enumeration Date | 2005-08-11 |
| Last Update Date | 2014-04-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 200500405 | NC | Allopathic & Osteopathic Physicians |
| Y | 208000000X | Pediatrics | 200500405 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | WELLPATH ID | 313413 | 01 |
| NC | 5901038 | 05 | |
| NC | AETNA ID | 7740703 | 01 |
| NC | FIRST HEALTH ID | 5607350 | 01 |
| NC | CIGNA ID | 6114784 | 01 |
| NC | BC/BS ID | 14015 | 01 |
| NC | MEDCOST ID | E3288 | 01 |
| Street Address |
155 NASHVILLE COMMONS DR |
| City | NASHVILLE |
| State | NC |
| Zip Code | 27856-1823 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235130477 | Ervin L Phipps | Family Medicine | 155 Nashville Commons Dr, Nashville, NC 27856-1823 | 2005-08-10 |
| 1689193104 | Catherine Margaret Melin | Nurse Practitioner | 155 Nashville Commons Dr, Nashville, NC 27856-1823 | 2017-09-15 |
| 1134325210 | Family Care Partners of North Carolina, Pllc | Physician Assistant | 155 Nashville Commons Dr, Nashville, NC 27856-1823 | 2007-06-25 |
| 1003919804 | William B. Pittman | Internal Medicine | 155 Nashville Commons Dr, Nashville, NC 27856-1823 | 2006-09-07 |
| 1336133214 | Lynn M Joyner | Nurse Practitioner | 155 Nashville Commons Dr, Nashville, NC 27856-1823 | 2005-09-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154962751 | John Eaton | Technician | 762 Harare Lane, Nashville, NC 27856 | 2019-10-04 |
| 1073037735 | Ashley Hicks | Licensed Practical Nurse | 5972 Haywood Dr, Rocky Mount, NC 27856 | 2017-08-03 |
| 1538263173 | Progressive Rehab, Inc. | Clinic/Center | 143 Nashville Commons Drive, Nashville, NC 27856 | 2006-09-12 |
| 1174543730 | Jaclyn S Qualter | Nurse Practitioner | 120 W Washington Street, Nashville, NC 27856 | 2006-07-19 |
| 1699219311 | Sheryl Umstead | Counselor | 884 Robbins Lane, Nashville, NC 27856-0603 | 2016-12-14 |
| 1013043751 | Nash County Health Department | Clinical Medical Laboratory | 214 S Barnes St, Box 849, Nashville, NC 27856-0849 | 2007-02-26 |
| 1689954901 | By Faith Home Care Services, Inc | Home Health | 501 Western Ave, Nashville, NC 27856-1123 | 2011-08-17 |
| 1497880033 | County of Nash | Clinic/Center | 214 S Barnes St, Nashville, NC 27856-1204 | 2007-02-23 |
| 1013218395 | Rebecca I Wilkins | Dietitian, Registered | 214 S Barnes St, Nashville, NC 27856-1204 | 2010-11-03 |
| 1043423544 | Lori B. Taylor | Registered Nurse | 214 S Barnes St, Nashville, NC 27856-1204 | 2007-05-08 |
| Find all providers in zip 27856 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366040131 | Mebe Tennessee | Pediatrics | 6339 Charlotte Pike # 1035, Nashville, TN 37209-2926 | 2020-10-14 |
| 1568817658 | Elizabeth Shawn Keiner | Pediatrics | 2200 Childrens Way # B319, Nashville, TN 37232-9760 | 2016-04-26 |
| 1669834784 | Sara Beth Bluestein | Pediatrics | Vasap, 2611 West End Ave, Nashville, TN 37203 | 2016-03-28 |
| 1881056646 | Katherine Black | Pediatrics | 10233 Doctors Office Tower 2200 Children's Way, Nashville, TN 37232 | 2016-03-22 |
| 1144649542 | Allysa Kehring | Pediatrics | 2200 Children's Way Rm, Doctor's Office Tower 11108b, Nashville, TN 37232-9000 | 2014-04-14 |
| 1073944351 | Deidre Earlene Lanier | Pediatrics | 404 Dr. D.b. Todd Blvd Jr., Nashville, TN 37203 | 2013-12-11 |
| 1013278043 | Paige Dudley | Pediatrics | 11101 Doctor's Office Tower 2200 Children's Way, Nashville, TN 37232-9544 | 2012-06-06 |
| 1184915662 | Vita June Cooper Lamberson | Pediatrics | Pediatric Residency Program 2200 Childrens Way, 8161 Dot, Nashville, TN 37232-0001 | 2011-05-02 |
| 1548551104 | Michael Dole | Pediatrics | 2200 Childrens Way Fl Way10, Nashville, TN 37232 | 2011-04-29 |
| 1902195845 | Frank Joseph Raucci | Pediatrics | 2200 Childrens Way Ste 5230, Nashville, TN 37232-0005 | 2011-03-31 |
| Find all providers in NASHVILLE | ||||
Please comment or provide details below to improve the information on DR. SHANDAL S EMANUEL.
| 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.