TIMOTHY E SHIBEN (NPI# 1780652347) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780652347 |
| Entity Type | Individual |
| Full Name | TIMOTHY E SHIBEN |
| Credential | M.D. |
| Practice Address |
2605 Kentucky Ave Suite 202 Paducah KY 42003-3800 |
| Mailing Address |
2605 Kentucky Ave Suite 306 Paducah KY 42003-3800 |
| Practice Telephone | 2704154690 |
| Practice Fax Number | 2704154691 |
| Mailing Telephone | 2704154690 |
| Mailing Fax Number | 2704154691 |
| Enumeration Date | 2006-03-09 |
| Last Update Date | 2015-11-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
036-102314 | IL | Allopathic & Osteopathic Physicians |
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
33237 | KY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 64332372 | 05 |
| Street Address |
2605 KENTUCKY AVE SUITE 202 |
| City | PADUCAH |
| State | KY |
| Zip Code | 42003-3800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437152279 | Michael A Sexton | Audiologist | 2605 Kentucky Ave, Dob 3, Suite 601, Paducah, KY 42003-3800 | 2005-05-24 |
| 1841739612 | Baptist Health Medical Group Obgyn | Specialist/Technologist, Other | 2605 Kentucky Ave, Suite 301, Paducah, KY 42003-3800 | 2017-02-14 |
| 1508314212 | Felicia Cooper | Nurse Practitioner | 2605 Kentucky Ave, Suite 601, Paducah, KY 42003-3800 | 2016-09-12 |
| 1013388784 | Alexa T Payne | Nurse Practitioner | 2605 Kentucky Ave, Suite 601, Paducah, KY 42003-3800 | 2015-10-07 |
| 1679941579 | Valerie Marie Clark | Nurse Practitioner | 2605 Kentucky Ave, Suite 304, Paducah, KY 42003-3800 | 2015-09-09 |
| 1922401611 | Baptist Health Medical Group Inc | Psychologist | 2605 Kentucky Ave, Suite 306, Paducah, KY 42003-3800 | 2014-10-08 |
| 1992117402 | Adrian Leigh Holmes | Nurse Practitioner | 2605 Kentucky Ave, Suite 202, Paducah, KY 42003-3800 | 2014-06-02 |
| 1336563543 | Advanced Internal Medicine Pllc | Internal Medicine | 2605 Kentucky Ave, Suite 402, Paducah, KY 42003-3800 | 2014-02-07 |
| 1215278734 | Shelby Nicole Snow | Nurse Practitioner | 2605 Kentucky Ave, Suite 501, Paducah, KY 42003-3800 | 2013-03-07 |
| 1174882658 | Robert James Learch | Internal Medicine | 2605 Kentucky Ave, Suite 602, Paducah, KY 42003-3800 | 2012-05-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033757638 | Wilson Medical Staffing Pllc | Nurse Practitioner | 3130 Lone Oak Rd, Paducah, KY 42003 | 2019-12-13 |
| 1417415993 | Lauren Deanne Mcclain | Nurse Practitioner | 225 Medical Center Dr Ste 205, Paducah, KY 42003 | 2019-03-04 |
| 1871057042 | Brame Psychological Assessment Center | Psychologist | Ray and Kay Eckstein Outreach Center, 435 Berger Rd, Paducah, KY 42003 | 2019-01-22 |
| 1831611219 | Elizabeth Anne Wright | Social Worker | 425 Broadway Street, Paducah, KY 42003 | 2017-07-07 |
| 1558804724 | Kayla Reshea Franklin | Behavior Technician | 2075 Husband Road, Paducah, KY 42003 | 2016-11-21 |
| 1699189308 | Sunrise Children's Services, Inc. | Foster Care Agency | 3565 Lone Oak Rd Ste 2, Paducah, KY 42003 | 2014-06-20 |
| 1326488891 | Alice Ann Higdon Wilham | Surgery | 1532 Lone Oak Rd Ste 235, Paducah, KY 42003 | 2013-06-28 |
| 1881924611 | Meghan Ashley Lee | Nurse Practitioner | 1532 Lone Oak Rd Ste 245, Paducah, KY 42003 | 2009-12-29 |
| 1174771018 | Sleep Source Kentucky, LLC | Clinic/Center | 3125 Parisa Drive, Paducah, KY 42003 | 2008-09-04 |
| 1851547426 | Zandra Bristol Farley | Registered Nurse | 1532 Lone Oak Road Suite 445, Lourdes Marshall Nemer Pavillion, Paducah, KY 42003 | 2008-08-14 |
| Find all providers in zip 42003 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972580991 | Rick J Mccombs | Internal Medicine | 2605 Kentucky Ave Ste 202, Paducah, KY 42003-3801 | 2005-12-30 |
| 1407852080 | Stephen W Hiltz | Internal Medicine | 1528 Lone Oak Rd, Paducah, KY 42003-7901 | 2005-06-28 |
| 1568601672 | Paducah Gastroenterology Associates, Psc | Internal Medicine | 2605 Kentucky Ave, Suite 306, Paducah, KY 42003-3800 | 2009-02-12 |
| 1639356769 | Western Baptist Medical Ventures, Inc. | Internal Medicine | 2605 Kentucky Ave, Suite 202, Paducah, KY 42003-3800 | 2008-01-31 |
| 1770643561 | Bluegrass Gastroenterology, Psc | Internal Medicine | 225 Medical Center Dr, Suite 307, Paducah, KY 42003-7914 | 2006-12-11 |
| 1013934710 | Lingaiah Chandrashekar | Internal Medicine | 225 Medical Center Dr Ste 308, Paducah, KY 42003 | 2006-07-17 |
| 1912976085 | Russell W Carter | Internal Medicine | 2605 Kentucky Ave, Suite 202, Paducah, KY 42003-3800 | 2006-03-14 |
| 1356310429 | Pamela A Reed | Internal Medicine | 2605 Kentucky Ave Ste 202, Paducah, KY 42003-3801 | 2006-03-14 |
| 1568449510 | John W. Kraus | Internal Medicine | 2605 Kentucky Ave, Ste 202, Paducah, KY 42003-3800 | 2005-12-29 |
| 1033196084 | Gary Bodnarchuk | Internal Medicine | 1532 Lone Oak Rd, Suite 310, Paducah, KY 42003-7913 | 2005-12-29 |
| Find all providers in PADUCAH | ||||
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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.