SHANTHI GOPAL (NPI# 1740290584) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740290584 |
| Entity Type | Individual |
| Full Name | SHANTHI GOPAL |
| Credential | M.D |
| Practice Address |
1901 S 1st St Temple TX 76504-7451 |
| Mailing Address |
513 Cherokee Dr Temple TX 76504-3629 |
| Practice Telephone | 2547430789 |
| Practice Fax Number | 2547430004 |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
A71661 | CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205989753 | Shanthi Gopal | Family Medicine | Henry Ford Health System, 2799 West Grand Boulevard, Detroit, MI 48202 | 2007-01-19 |
| Street Address |
1901 S 1ST ST |
| City | TEMPLE |
| State | TX |
| Zip Code | 76504-7451 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194332858 | Lindsey Theda | Dentist | 1901 S 1st St, Temple, TX 76504-7451 | 2020-09-28 |
| 1003441890 | Ethan Suh | Dentist | 1901 S 1st St, Temple, TX 76504-7451 | 2020-03-11 |
| 1598309759 | Kayla A Bunn | Registered Nurse | 1901 S 1st St, Temple, TX 76504-7451 | 2019-10-31 |
| 1720630478 | Samrat Shrestha | Pharmacist | 1901 S 1st St, Temple, TX 76504-7451 | 2019-07-12 |
| 1396203725 | Latasha T Merkerson-miller | Counselor | 1901 S 1st St, Temple, TX 76504-7451 | 2019-03-05 |
| 1205305075 | Paul Lanciault | Orthotist | 1901 S 1st St, Temple, TX 76504-7451 | 2018-11-21 |
| 1790278497 | Shaylise Ellis | Nurse Practitioner | 1901 S 1st St, Temple, TX 76504-7451 | 2018-06-07 |
| 1558874131 | Kellyn Marie Czajkowski | Dietitian, Registered | 1901 S 1st St, Temple, TX 76504-7451 | 2017-11-06 |
| 1124553805 | Stephanie Carter | Nurse Practitioner | 1901 S 1st St, Temple, TX 76504-7451 | 2017-05-01 |
| 1578013835 | Steven Braun | Pharmacist | 1901 S 1st St, Temple, TX 76504-7451 | 2016-10-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194243717 | Courtenay A Eddins | Occupational Therapy Assistant | 2010 Sw H K Dodgen Loop #201, Temple, TX 76504 | 2017-09-04 |
| 1891213500 | Melody Woods | Physical Therapy Assistant | 2010 Sw Hk Dodgen Loop, Suite 201, Temple, TX 76504 | 2017-09-01 |
| 1194255992 | Elizabeth Ford | Radiology | 202 Woodbridge Blvd 247, Temple, TX 76504 | 2017-06-14 |
| 1790223055 | Dinella Quinones | Specialist/Technologist | 2010 Sw Hkdodgen Loop, Suite 201, Temple, TX 76504 | 2017-02-07 |
| 1194277400 | Trina Morton | Specialist | 5297 S 31st Suite117a, Temple, TX 76504 | 2016-11-03 |
| 1134570922 | Plains Er Management Temple Ltd | Clinic/Center | 1551 W. Central Ave, Temple, TX 76504 | 2016-06-23 |
| 1962853770 | Express Er Temple, P.a. | Emergency Medicine | 1551 W. Central Avenue, Temple, TX 76504 | 2016-06-23 |
| 1306262548 | Nancy Lynne Sykes | Counselor | 2027 S 61st St Ste 121, Temple, TX 76504 | 2014-03-12 |
| 1972930683 | Taneka L Patrick | Social Worker | 2820 W Avenue O Ste B, Temple, TX 76504 | 2013-09-27 |
| 1255645990 | Mary Jane Ireland | Nurse Practitioner | 1901 Veterans Memorial Blvd, Temple, TX 76504 | 2010-08-05 |
| Find all providers in zip 76504 | ||||
| Taxonomy Code | 207ZP0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology & Clinical Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831501469 | Clare Mccormick-baw | Pathology | 4916 Sarahs Way, Temple, TX 76502-3385 | 2014-06-02 |
| 1043508468 | Eduardo Castro-echeverry | Pathology | Scott & White Hospital 2401 South 31 St St, Pathology Dept. Suite 261b, Temple, TX 76508-0001 | 2011-07-19 |
| 1649709379 | Li Chen | Pathology | 2401 S 31st St, Temple, TX 76508-9413 | 2017-06-06 |
| 1679000616 | Piyush Soni | Pathology | 2401 S 31st St, Temple, TX 76508-0001 | 2017-05-22 |
| 1043667082 | Parsa Hodjat | Pathology | 2401 S 31st St, Ms-01-266, Temple, TX 76508-0001 | 2016-05-19 |
| 1871972406 | Sean Trevathan | Pathology | 2401 S 31st St, Temple, TX 76508-0001 | 2015-05-28 |
| 1235517301 | Ashley Kristan Windham | Pathology | 2401 S 31st St, Temple, TX 76508-0001 | 2015-05-11 |
| 1275929721 | Said Mohamad Albahra | Pathology | 2401 S 31st St, Dept of Pathology, Temple, TX 76508 | 2015-04-11 |
| 1427464411 | Amelia Blaine Sybenga | Pathology | 2401 S 31st St, Department of Pathology, Rm 261b, Temple, TX 76508-0001 | 2014-07-10 |
| 1578978748 | Jagbir Khangura | Pathology | 2401 S 31st St, Temple, TX 76508-0001 | 2014-06-26 |
| Find all providers in TEMPLE | ||||
Please comment or provide details below to improve the information on SHANTHI GOPAL.
| 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.