JEAN SHIMANEK (NPI# 1891734547) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891734547 |
| Entity Type | Individual |
| Full Name | JEAN SHIMANEK |
| Credential | MD |
| Practice Address |
101 Hospital Lp Ne Ste 214 Albuq NM 87109-2128 |
| Practice Telephone | 5058836600 |
| Practice Fax Number | 5058830023 |
| Mailing Telephone | 5058836600 |
| Mailing Fax Number | 5058830023 |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2008-05-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0122X |
Surgery Specialization: Plastic and Reconstructive Surgery |
91307 | NM | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | E2086 | 05 | |
| NM | 2086S0122X | 05 | |
| NM | TRIWEST | 741440546305 | 01 |
| Street Address |
101 HOSPITAL LP NE STE 214 |
| City | ALBUQ |
| State | NM |
| Zip Code | 87109-2128 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386286367 | Mikaela Epaloose | Behavior Technician | 100 Sun Avenue N.e., Suite 650, Albuquerque, NM 87109 | 2019-10-11 |
| 1245872464 | Marsha Director | Behavior Technician | 100 Sun Avenue Ne, Ste 650, Albuquerque, NM 87109 | 2019-10-09 |
| 1720637499 | Nancy Gail Vice | Technician | 7319 Laguna Niguel Drive Ne, Albuquerque, NM 87109 | 2019-09-05 |
| 1598314411 | Chau Vu | Behavior Technician | Attn: Behavioral Health Works 100 Sun Avenue N.e., Suite 650, Albuquerque, NM 87109 | 2019-09-04 |
| 1932753498 | Noelle Nielsen | Behavior Technician | 6401 Academy Rd. Ne Apt. 189, Albuquerque, NM 87109 | 2019-08-01 |
| 1952967952 | Caridad Merkel | Obstetrics & Gynecology | 6100 Pan American Fwy Ne Suite 450, Albuquerque, NM 87109 | 2019-05-15 |
| 1043795149 | Margaret Mcconville | Physical Therapist | Lovelace Women's Hospital Outpatient Rehabilitation, 4600 Montgomery Blvd Ne, Albuquerque, NM 87109 | 2018-09-25 |
| 1922586262 | Clark Endodontics LLC | Dentist | 7520 Montgomery Blvd Ne Bldg E1, Albuquerque, NM 87109 | 2018-07-30 |
| 1447736202 | Melissa Christine Scott | Registered Nurse | Lovelace Women's Hospital, 4701 Montgomery Blvd Ne, Albuquerque, NM 87109 | 2018-07-16 |
| 1508351990 | Gianna Nicole Casarez-quintana | Dentist | 7520 Montgomery Blvd Ne Bldg E10, Albuquerque, NM 87109 | 2018-06-27 |
| Find all providers in zip 87109 | ||||
| Taxonomy Code | 2086S0122X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Plastic and Reconstructive Surgery |
| A surgeon who specializes in plastic and reconstructive surgery. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417209792 | Adams Plastic Surgery, PC | Surgery | 2300 E 30th St Ste 103, Farmington, NM 87401-8990 | 2012-10-10 |
| 1669686903 | Steven Mark Garren | Surgery | 105 Avenida Frijoles, Santa Fe, NM 87507-3539 | 2007-05-09 |
| 1124110283 | Todd E Williams | Surgery | 2300 E 30th St Bldg B, Ste 103, Farmington, NM 87401-8991 | 2006-09-28 |
| 1649289158 | Chester Y Sakura Jr. | Surgery | 1020 Tijeras Ne, Ste 235, Albuquerque, NM 87106 | 2006-08-05 |
| 1609218452 | St. Vincent Hospital | Surgery | 465 Saint Michaels Dr, Suite 204, Santa Fe, NM 87505 | 2013-07-22 |
| 1275859670 | Lorant Divald | Surgery | 1 University of New Mexico, Albuquerque, NM 87131-0001 | 2010-04-12 |
| 1629214838 | New Mexico Plastic Surgeons, PC | Surgery | 1020 Tijeras Ave Ne, Ste. 16, Albuquerque, NM 87106-4749 | 2008-12-18 |
| 1467668723 | The Plastic Surgery Center, P.C. | Surgery | 2207 San Pedro Dr Ne, Albuquerque, NM 87110-4175 | 2007-05-15 |
| 1669595559 | Roger Miller | Surgery | 465 Saint Michaels Dr, Santa Fe, NM 87505-7670 | 2007-04-08 |
| 1457445827 | John M Finley | Surgery | 8300 Constitution Pl Ne, Pmg Kaseman Dermatology/plastic Surgery, Albuquerque, NM 87110-7637 | 2006-10-03 |
| Find all providers with the same taxonomy | ||||
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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.