DR. SHONDA MICHELLE ASAAD (NPI# 1831122035) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1831122035 |
Entity Type | Individual |
Full Name | DR. SHONDA MICHELLE ASAAD |
Credential | M.D. |
Practice Address |
239 Station St Jacksonville NC 28546-6304 |
Mailing Address |
239 Station Street Jacksonville NC 28546 |
Practice Telephone | (910) 353-0819 |
Practice Fax Number | 9103530828 |
Mailing Telephone | (910) 353-0819 |
Mailing Fax Number | 9103530828 |
Enumeration Date | 2006-07-09 |
Last Update Date | 2018-03-17 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
2010-00129 | NC | Allopathic & Osteopathic Physicians |
N | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
26720 | SC | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
SC | 267204 | 05 | |
NC | CIGNA | 7040266 | 01 |
NC | AETNA | 7090521 | 01 |
NC | RR MEDICARE | P01121033 | 01 |
Address | Telephone Number | Fax Number |
---|---|---|
20 Medical Park Dr, Asheville, NC 288032493 | 8282548232 | 8282534470 |
Street Address |
239 STATION ST |
City | JACKSONVILLE |
State | NC |
Zip Code | 28546-6304 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174086557 | Andreana K. Rhodes | Nurse Practitioner | 239 Station St, Jacksonville, NC 28546-6304 | 2019-04-11 |
1639696032 | Lauren Nicole Canada-smith | Physician Assistant | 239 Station St, Jacksonville, NC 28546-6304 | 2017-08-25 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316578388 | Judylyn Hobson | Registered Nurse | Pride In North Carolina, LLC, 3886 Henderson Dr, Jacksonville, NC 28546 | 2020-01-29 |
1427694637 | Aaron Patrick Bettcher | Military Health Care Provider | 3rd Mrb Loop Rd, Camp Lejeune, NC 28546 | 2019-11-22 |
1962044289 | Levi Scott Marshall | Military Health Care Provider | Everett Creek Road, Building 612, Camp Lejeune, NC 28546 | 2019-10-09 |
1649826652 | Nicholas Otazo | Military Health Care Provider | 3rd Mrb 20073, Camp Lejeune, NC 28546 | 2019-08-15 |
1417519570 | Publix North Carolina, Lp | Durable Medical Equipment & Medical Supplies | 2001 Marlin Drive Unit 100, Jacksonville, NC 28546 | 2019-06-28 |
1023500212 | Josip Ninrodriguez | Military Health Care Provider | 3d Marine Raider Battaliom, Camp Lejeune, NC 28546 | 2018-06-04 |
1639661192 | Kenneth Lee Russell | Military Health Care Provider | 3d Marine Raider Battalion, Camp Lejeune, NC 28546 | 2018-05-31 |
1346730173 | Coastal Foot Center, LLC | Clinic/Center | 29 Office Park Dr Ste B, Jacksonville, NC 28546 | 2018-05-17 |
1578080271 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 380 Western Blvd, Jacksonville, NC 28546 | 2017-08-24 |
1144757493 | Darin Lee Peterson | Specialist/Technologist | G644 Camp Geiger, School of Infantry-east, Jacksonville, NC 28546 | 2017-05-17 |
Find all providers in zip 28546 |
Taxonomy Code | 207RH0003X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Hematology & Oncology |
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760818959 | Talha Badar | Internal Medicine | 4500 San Pablo Rd S # X, Jacksonville, FL 32224-1865 | 2013-09-19 |
1952621237 | Harvey B Sher | Internal Medicine | 2742 Beauclerc Rd, Jacksonville, FL 32257-5602 | 2010-06-09 |
1548426703 | Ewa M Wysokinska | Internal Medicine | 4500 San Pablo Rd S Fl 3222, Jacksonville, FL 32224-1865 | 2008-08-06 |
1750598363 | Sridhar Srinivasan | Internal Medicine | 14546 Old Saint Augustine Rd Ste 100, Jacksonville, FL 32258-5468 | 2007-05-16 |
1891878146 | Miten R Patel | Internal Medicine | 7015 Ac Skinner Parkway, Building 100, Jacksonville, FLORIDA 32256-6932 | 2006-10-23 |
1770535700 | Sahana R Kalmadi | Internal Medicine | 14546 Old Saint Augustine Rd Ste 317, Jacksonville, FL 32258-5472 | 2006-05-17 |
1902889959 | Maria J Valente | Internal Medicine | 7015 A C Skinner Pkwy, Bldg 100, Jacksonville, FL 32256-6932 | 2005-11-23 |
1124017850 | Lawrence Arthur Solberg Jr. | Internal Medicine | 3827 Coopers Lake Rd, Jacksonville, FL 32224-8436 | 2005-10-15 |
1922095884 | Carlos M Castillo | Internal Medicine | 7751 Baymeadows Rd E Ste 205, Jacksonville, FL 32256 | 2005-10-05 |
1932196243 | Integrated Community Oncology Network LLC | Internal Medicine | 9143 Philips Hwy, Ste 560, Jacksonville, FL 32256-1348 | 2005-10-03 |
Find all providers in JACKSONVILLE |
City | JACKSONVILLE |
Zip Code | 28546 |
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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.