MATTHEW E SHAMBAUGH


Address: 7920 W Jefferson Blvd Ste 200, Fort Wayne, IN 46804-4166
Phone: 2604907111

MATTHEW E SHAMBAUGH (NPI# 1700888617) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1700888617
Entity Type Individual
Full Name MATTHEW E SHAMBAUGH
Credential MD
Practice Address 7920 W Jefferson Blvd Ste 200
Fort Wayne
IN 46804-4166
Practice Telephone 2604907111
Practice Fax Number 2604902286
Mailing Telephone 2604907111
Mailing Fax Number 2604902286
Enumeration Date 2005-08-10
Last Update Date 2017-04-18
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208200000X Plastic Surgery 01038077A IN Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
IN MEDICARE RAILROAD 240007527 01
IN 100372030 05
MI 104366811 05
OH 0852733 05

Office Location

Street Address 7920 W JEFFERSON BLVD STE 200
City FORT WAYNE
State IN
Zip Code 46804-4166

Providers in the same location

NPI Name Taxonomy Address Enumeration
1013201995 Reid Robert Pflueger Plastic Surgery 7920 W Jefferson Blvd Ste 200, Fort Wayne, IN 46804 2011-06-08
1194701664 Summit Plastic Surgery, PC Plastic Surgery 7920 W Jefferson Blvd Ste 200, Fort Wayne, IN 46804-4166 2005-12-16

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1396350344 Derek Mumaw Physical Therapist 8420 Illinois Rd, Fort Wayne, IN 46804 2020-09-15
1942840228 Erin M Mason Behavior Technician 5601 Coventry Ln, Fort Wayne, IN 46804 2020-01-14
1346880879 Emily A Abdalla Behavior Technician 5601 Coventry Ln., Fort Wayne, IN 46804 2020-01-13
1083265433 Fort Wayne Endodontics Dentist 9407 Illinois Rd, Fort Wayne, IN 46804 2019-09-26
1689140949 Harrison Dental Group II, LLC Dentist 1333 Getz Rd, Fort Wayne, IN 46804 2018-10-15
1346731908 Erin Nicole Zimmerman Nurse Practitioner 10170 Illinois Rd # 14, Fort Wayne, IN 46804 2018-05-19
1417446022 Mary Harrington Physical Therapist 3320 Copper Hill Run, Fort Wayne, IN 46804 2018-05-09
1942701214 Joshawa Todd Torres Marriage & Family Therapist 5651 Coventry Ln # 116, Fort Wayne, IN 46804 2018-02-22
1194235408 Mitchell Kory Meyer Specialist/Technologist 9125 Yellow Tree Ct, Fort Wayne, IN 46804 2017-10-02
1902324916 Emily Rene Sagstetter Specialist/Technologist 6034 Liberty Glade Ct, Fort Wayne, IN 46804 2017-08-30
Find all providers in zip 46804

Taxonomy Information

Taxonomy Code 208200000X
Grouping Allopathic & Osteopathic Physicians
Classification Plastic Surgery

Taxonomy Definition

A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Plastic Surgery, 2007. http://www.abplsurg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Plastic Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1730277583 Fort Wayne Dermatology Cons. Inc. Plastic Surgery 7881 Carnegie Blvd, Fort Wayne, IN 46804-5792 2006-10-10
1508867656 Brian J Lee Plastic Surgery 7910 W Jefferson Blvd Ste 212, Fort Wayne, IN 46804-4159 2005-08-10
1124029079 Guy Gerald Crevecoeur Plastic Surgery 11141 Parkview Plaza Dr Ste 300, Fort Wayne, IN 46845-1715 2005-08-02
1881968279 Aspire Plastic Surgery LLC Plastic Surgery 7910 W Jefferson Blvd Ste 212, Fort Wayne, IN 46804-4159 2012-03-02
1013201995 Reid Robert Pflueger Plastic Surgery 7920 W Jefferson Blvd Ste 200, Fort Wayne, IN 46804 2011-06-08
1477622934 Michael Robert Davis Plastic Surgery 7900 W Jefferson Blvd Ste 306, Fort Wayne, IN 46804-4128 2006-11-07
1275624686 Plastic Surgery Innovations, P.C. Plastic Surgery 10215 Auburn Park Dr, Suite B, Fort Wayne, IN 46825-2387 2006-09-28
1033120969 Robert Nicholas Severinac Plastic Surgery 10020 Dupont Circle Ct, Suite 100, Fort Wayne, IN 46825-1620 2006-08-09
1407888589 James R. Miller Plastic Surgery 11141 Parkview Plaza Dr, Suite 305, Fort Wayne, IN 46845-1713 2006-07-07
1194701664 Summit Plastic Surgery, PC Plastic Surgery 7920 W Jefferson Blvd Ste 200, Fort Wayne, IN 46804-4166 2005-12-16
Find all providers in FORT WAYNE

Competitor

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City FORT WAYNE
Zip Code 46804

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Dataset Information

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.

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