DR. SHADY HENIEN


Address: 800 E Carpenter St # 62, Springfield, IL 62769-1000
Phone: 2174929115

DR. SHADY HENIEN (NPI# 1760820930) 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) 1760820930
Entity Type Individual
Full Name DR. SHADY HENIEN
Credential M.D.
Practice Address 800 E Carpenter St # 62
Springfield
IL 62769-1000
Practice Telephone 2174929115
Practice Fax Number 2175221206
Mailing Telephone 2174929115
Mailing Fax Number 2175221206
Enumeration Date 2013-06-11
Last Update Date 2020-06-18
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207RC0000X Internal Medicine
Specialization: Cardiovascular Disease
MD15478 RI Allopathic & Osteopathic Physicians
Y 207RI0011X Internal Medicine
Specialization: Interventional Cardiology
036151656 IL Allopathic & Osteopathic Physicians

Provider Secondary Practice Location

Address Telephone Number Fax Number
593 Eddy St, Apc814, Providence, RI 029034923 4014448689

Office Location

Street Address 800 E CARPENTER ST # 62
City SPRINGFIELD
State IL
Zip Code 62769-1000

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1871041244 Ejaz Shah Hospitalist 800 E Carpenter St, Springfield, IL 62769 2016-09-14
1023564176 Muhammad Sohail Yousuf Hospitalist 800 E Carpenter St, Springfield, IL 62769 2016-08-29
1194191544 Muhammad Nauman Javed Tarar Internal Medicine 800 E Carpenter St, Springfield, IL 62769 2015-08-19
1144606583 Amit Bhandari Internal Medicine 800 E Carpenter St, Springfield, IL 62769 2015-08-08
1255727673 Parth Patel Internal Medicine 800 E Carpenter St, Springfield, IL 62769 2015-04-13
1316353428 Debdoot Saha Internal Medicine 800 E Carpenter St, Springfield, IL 62769 2014-07-09
1689009243 Lucy Sams Physical Therapist 800 E Carpenter St, Springfield, IL 62769 2013-09-13
1326315383 Qing Yang Anesthesiology 800 E Carpenter St, Springfield, IL 62769 2011-11-18
1215259056 Kimberly K Sauerwein Nurse Anesthetist, Certified Registered 800 E Carpenter St, Springfield, IL 62769 2010-02-22
1003045097 Elijah Kim Surgery 800 E Carpenter St, Springfield, IL 62769 2009-07-10
Find all providers in zip 62769

Taxonomy Information

Taxonomy Code 207RI0011X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Interventional Cardiology

Taxonomy Definition

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)

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1740728039 Jenna Schrage Internal Medicine 317 N 5th St, Springfield, IL 62701-1003 2017-02-07
1770523532 Patrick Francis Adrian Magee Internal Medicine 5514 Alma Ln, Suite 200, Springfield, VA 22151-4000 2006-06-08
1669004966 Effingham Hospital, Inc. Internal Medicine 459 Highway 119 S Ste A, Springfield, GA 31329-3021 2020-02-05
1023520475 Michael Robert West Internal Medicine 417 Baltimore Pike, Springfield, PA 19064-3810 2017-10-25
1588187397 Andrea Nicole Bloodworth Internal Medicine 619 E Mason St Ste 4p57, Springfield, IL 62701 2017-07-24
1508225616 Margaret Jordan Internal Medicine 619 E Mason St, Suite 4p57, Springfield, IL 62701-1034 2016-02-17
1215333604 Meredith Fleming Internal Medicine 619 E Mason St, Suite 4p57, Springfield, IL 62701-1034 2014-11-12
1326486515 Maryna J Popp Internal Medicine 800 N 1st St, Springfield, IL 62702-3719 2013-06-10
1730425893 Nileshkumar J Patel Internal Medicine 800 N 1st St, Springfield, IL 62702 2012-12-18
1760770101 Bhuvnesh Aggarwal Internal Medicine 800 N 1st St, Springfield, IL 62702 2011-07-19
Find all providers in SPRINGFIELD

Competitor

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City SPRINGFIELD
Zip Code 62769

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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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