KEYONA SHINE


Address: 2101 Silver Maple Way, Lorain, OH 44053-2380
Phone: 4408303400

KEYONA SHINE (NPI# 1790382752) 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) 1790382752
Entity Type Individual
Full Name KEYONA SHINE
Credential RN
Practice Address 2101 Silver Maple Way
Lorain
OH 44053-2380
Practice Telephone 4408303400
Practice Fax Number 4408303417
Mailing Telephone 4408303400
Mailing Fax Number 4408303417
Enumeration Date 2020-10-02
Last Update Date 2020-10-02
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RA0401X Internal Medicine
Specialization: Addiction Medicine
RN436004 OH Allopathic & Osteopathic Physicians

Office Location

Street Address 2101 SILVER MAPLE WAY
City LORAIN
State OH
Zip Code 44053-2380

Providers in the same location

NPI Name Taxonomy Address Enumeration
1336599877 Kyle Higgins Counselor 2101 Silver Maple Way, Lorain, OH 44053-2380 2016-06-15
1902413677 Stacey Whitesel Internal Medicine 2101 Silver Maple Way, Lorain, OH 44053-2380 2020-09-28

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1386242196 Yokita Maria Thomas Homemaker 4818 Ashland Ave, Lordin, OH 44053 2020-10-14
1497353445 Matthew George Simkovich Homemaker 4366 Jenee Dr, Lorain, OH 44053 2020-10-13
1881229979 Christine Wilson Physical Therapist 5940 Oak Point Rd., Lorain, Lorain, OH 44053 2020-03-09
1912538760 Barry Delaney Masin Student in an Organized Health Care Education/Training Program 2704 West Erie Avenue, Lorain, OH 44053 2020-01-30
1275171399 Martina Beato Social Worker The Nord Center 6140 S. Broadway, Lorain, OH 44053 2019-12-19
1285279802 Tivan LLC Non-emergency Medical Transport (VAN) 5821 Williamsburg Dr., Lorain, OH 44053 2019-11-07
1023650843 Candace Taber Case Manager/Care Coordinator 6140 South Broadway, Lorain, OH 44053 2019-10-14
1265956098 Phillip H Emerson Social Worker 1740 Cooper Foster Park Road East, Lorain, OH 44053 2017-08-02
1447796750 Kafilat Idowu Kelani Nurse Practitioner 3700 Kolbe Rd, Lorain, Lorain, OH 44053 2017-01-10
1083075808 Mark B Applegate Counselor 2115 West Park Drive, Lorain, OH 44053 2016-03-08
Find all providers in zip 44053

Taxonomy Information

Taxonomy Code 207RA0401X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Addiction Medicine

Taxonomy Definition

An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine.
Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: added definition, added source; 7/1/2011: modified source]
- Additional Resources: http://www.osteopathic.org/certification

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1902413677 Stacey Whitesel Internal Medicine 2101 Silver Maple Way, Lorain, OH 44053-2380 2020-09-28

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1861916330 First Horizon Solutions, LLC Internal Medicine 3730 Tabs Dr Ste 102, Uniontown, OH 44685-9562 2017-07-27
1558800193 Cleanslate Medical Group of Ohio LLC Internal Medicine 4488 W Broad St Ste 3, Columbus, OH 43228-5610 2017-02-15
1841238094 Christopher T. Meyer Internal Medicine 75 Hospital Dr Ste 350, Athens, OH 45701-2867 2006-06-02
1417933490 James Frederick Guenther Internal Medicine 1319 E Main St, Lancaster, OH 43130-4005 2005-12-21
1528051661 Cynthia L Brown Internal Medicine 2351 E 22nd St, St Vincent Charity Hospital Attn: Gma Consultants, Cleveland, OH 44115-3111 2005-08-24
1639170509 Patrick Bruno Internal Medicine 3535 Lee Rd, Shaker Heights, OH 44120-5122 2005-08-02
1649279373 Anthony Dean Agra Internal Medicine 547 E 11th Ave, Columbus, OH 43211-2603 2005-07-15
1245233345 Parag J Patel Internal Medicine 446 Morgan St, Cincinnati, OH 45206-2348 2005-05-23
1184158743 Hope Recovery Center LLC Internal Medicine 387 County Line Rd W, Westerville, OH 43082-6080 2017-04-20
1558807610 R Health Matters LLC Internal Medicine 18 Grace Dr, Powell, OH 43065-8466 2017-01-13
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Competitor

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City LORAIN
Zip Code 44053

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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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