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).
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 |
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 |
Address | Telephone Number | Fax Number |
---|---|---|
593 Eddy St, Apc814, Providence, RI 029034923 | 4014448689 |
Street Address |
800 E CARPENTER ST # 62 |
City | SPRINGFIELD |
State | IL |
Zip Code | 62769-1000 |
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 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 |
---|---|---|---|---|
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 |
City | SPRINGFIELD |
Zip Code | 62769 |
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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.