PHILIP T SHINER (NPI# 1902807894) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902807894 |
| Entity Type | Individual |
| Full Name | PHILIP T SHINER |
| Credential | M.D. |
| Practice Address |
1615 Franklin Rd Sw Roanoke VA 24016-5208 |
| Practice Telephone | 5409828204 |
| Mailing Telephone | 5409828204 |
| Enumeration Date | 2005-08-02 |
| Last Update Date | 2011-08-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
0101021689 | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | RR MEDICARE GROUP | CI6105 | 01 |
| VA | 6071406 | 05 | |
| VA | 6037542 | 05 |
| Street Address |
1615 FRANKLIN RD SW |
| City | ROANOKE |
| State | VA |
| Zip Code | 24016-5208 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811997984 | William Rutherford | Internal Medicine | 1615 Franklin Rd Sw, Roanoke, VA 24016-5208 | 2005-07-29 |
| 1558729707 | Giovanni Coleongco Du Ay | Physical Therapist | 1615 Franklin Rd Sw, Roanoke, VA 24016-5208 | 2016-02-03 |
| 1083043962 | Rachel Lynne Agee | Nurse Practitioner | 1615 Franklin Rd Sw, Roanoke, VA 24016-5208 | 2013-11-01 |
| 1841289386 | Kimberly D Goad | Internal Medicine | 1615 Franklin Rd Sw, Roanoke, VA 24016-5208 | 2005-10-18 |
| 1073506002 | Carilion Medical Center | Home Health | 1615 Franklin Rd Sw, Suite C, Roanoke, VA 24016-5208 | 2005-08-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134758329 | Davis Andrew Sugar | Student in an Organized Health Care Education/Training Program | 1 Riverside Circle, Suite 401, Roanoke, Va, 24016, Suite 401, Roanoke, VA 24016 | 2020-04-08 |
| 1356810659 | Susanne Tribble | Social Worker | 202 Wells Ave Nw, Roanoke, VA 24016 | 2018-11-15 |
| 1801305818 | Rena Lee Daye | Driver | 10 12th St. Sw, Roanoke, VA 24016 | 2017-09-21 |
| 1053841965 | Christin Elledge Clark | Nurse Practitioner | 1234 Franklin Road, Roanoke, VA 24016 | 2017-06-13 |
| 1235685884 | Helen Franck | Physical Therapist | 650 North Jefferson Street, Roanoke, VA 24016 | 2016-09-01 |
| 1457710238 | Frances Marie Gaeta | Social Worker | 360 Campbell Ave, Roanoke, VA 24016 | 2016-02-22 |
| 1982073292 | Sophie Mench Tranmer | Physical Therapist | 1421 Third St. Sw, Roanoke, VA 24016 | 2015-09-16 |
| 1982008181 | National Counseling Group, Inc | Psychiatry & Neurology | 20 Walnut Avenue, Roanoke, VA 24016 | 2014-10-17 |
| 1366858342 | National Counseling Group, Inc | Psychiatry & Neurology | 16 Walnut Avenue, Roanoke, VA 24016 | 2014-07-10 |
| 1427320878 | Kristen L. Jagger | Physical Medicine & Rehabilitation | 1015 First Street Sw Suite 2, Roanoke, VA 24016 | 2012-02-01 |
| Find all providers in zip 24016 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://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 |
|---|---|---|---|---|
| 1760749501 | Paul Thomasson Frantz | Internal Medicine | 5048 Crossbow Cir, Roanoke, VA 24018-8651 | 2012-04-18 |
| 1356461495 | Associates In Medicine Inc | Internal Medicine | 2129 Rosalind Ave Sw, Roanoke, VA 24014-1717 | 2007-03-30 |
| 1477643864 | Rhonda L Willoughby-nunley | Internal Medicine | 127 Mcclanahan Street, Suite 300, Roanoke, VA 24014 | 2006-10-13 |
| 1871510586 | Tilak Wimal Wikramanayake | Internal Medicine | 5271 Hunting Hills Dr, Roanoke, VA 24018-8722 | 2006-07-17 |
| 1417928581 | Marta Sayers | Internal Medicine | 3142 Brambleton Ave, Roanoke, VA 24018-3727 | 2006-01-27 |
| 1811997984 | William Rutherford | Internal Medicine | 1615 Franklin Rd Sw, Roanoke, VA 24016-5208 | 2005-07-29 |
| 1013916238 | Joseph L. Austin | Internal Medicine | 127 Mcclanahan St Sw, Suite 300, Roanoke, VA 24014-1728 | 2005-07-19 |
| 1689812760 | Ijeoma N Okogbue | Internal Medicine | 1906 Belleview Ave Se, Roanoke, VA 24014-1838 | 2009-01-28 |
| 1982812574 | Ido Heletz | Internal Medicine | 2001 Crystal Spring Ave Sw, Suite 203, Roanoke, VA 24014-2462 | 2007-05-18 |
| 1861609091 | Molly Stewart Rutherford | Internal Medicine | 1234 Franklin Rd Sw, Roanoke, VA 24016-4606 | 2007-05-17 |
| Find all providers in ROANOKE | ||||
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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.