SHAWN MICHAEL ACINO


Address: 30 Medpark Square Dr, Ste 1, Somerset, KY 42503-1709
Phone: 6066778360

SHAWN MICHAEL ACINO (NPI# 1942319850) 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) 1942319850
Entity Type Individual
Full Name SHAWN MICHAEL ACINO
Credential MD FACS
Practice Address 30 Medpark Square Dr
Ste 1
Somerset
KY 42503-1709
Mailing Address 30 Medpark Square Dr
Suite 1
Somerset
KY 42503-1709
Practice Telephone 6066778360
Practice Fax Number 6066778399
Mailing Telephone 6066778360
Mailing Fax Number 6066778399
Enumeration Date 2006-08-30
Last Update Date 2017-04-18
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208800000X Urology 49477 KY Allopathic & Osteopathic Physicians
N 208800000X Urology 01074322A IN Allopathic & Osteopathic Physicians
N 208800000X Urology 22723 IL Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
KY UNITED HEALTHCARE 1942319850 01
KY CAQH 12063358 01
KY PASSPORT 50115464 01
KY 7100436510 05
KY CENTER CARE PPO 1942319850 01
KY ANTHEM BCBS KY 000001036081 01
KY HUMANA 1942319850 01
KY TRICARE 1942319850 01
KY HERITAGE SUMMIT HEALTHCARE 1942319850 01

Office Location

Street Address 30 MEDPARK SQUARE DR
STE 1
City SOMERSET
State KY
Zip Code 42503-1709

Providers in the same location

NPI Name Taxonomy Address Enumeration
1821529694 Lifeline Private Duty Services of Kentucky, LLC Nursing Care 30 Medpark Square Dr, Suite 2, Somerset, KY 42503-1709 2017-03-23

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1023669652 Carehere LLC Family Medicine Carehere Clinic- Toyotetsu Somerset Ky, 80 Pin Oak, Somerset, KY 42503 2019-09-25
1841859766 Armina Jo Hoeck Behavior Technician Kid Spot Center, 200 Tower Circle, Somerset, KY 42503 2019-06-13
1548723042 Lisa Hunter Counselor 225 Ky 2227, Somerset, KY 42503 2019-04-11
1982171237 Bluegrass Hearing Clinic, LLC Audiologist 25 Medpark West, Suite 2, Somerset, KY 42503 2018-10-25
1780109116 Kentucky Diagnostic Ultrasound, LLC Portable X-ray and/or Other Portable Diagnostic Imaging Supplier 324 Water Cliff Dr., Somerset, KY 42503 2017-08-07
1689115172 Lake Cumberland Physician Practices LLC Internal Medicine 154 Bogle Office Park Dr Ste B, Somerset, KY 42503 2017-03-16
1811356892 Lake Cumberland Physician Practices, LLC Nurse Practitioner 27 Imaging Dr, Suite B, Somerset, KY 42503 2016-02-18
1730586447 Amy Molen Counselor 259 Parkers Mill Road, Somerset, KY 42503 2014-11-24
1841630654 Eastern Pulaski Rural Health Clinic,pllc Clinic/Center 31 Mark Shopville Rd, Somerset, KY 42503 2013-06-26
1881978807 Nathan S Fisher Counselor 600 Clifty St Ste 2, Somerset, KY 42503 2011-10-10
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Taxonomy Information

Taxonomy Code 208800000X
Grouping Allopathic & Osteopathic Physicians
Classification Urology

Taxonomy Definition

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1386090025 Somerset Health Services, Inc. Urology 223 S Pleasant Ave Ste 402, Somerset, PA 15501-2188 2016-05-12
1023349107 Ronald David Coulombe Urology 501 Riverside Ave, Somerset, MA 02725-2843 2010-01-29
1093788101 Mohammad Azeem Bhatti Urology 1205 Easton Ave, Suite 201, Somerset, NJ 08873-1672 2006-02-09
1861491508 Cyril George Kohrman Urology 401 Bogle St, Suite 103, Somerset, KY 42503-2850 2005-07-15
1467622324 Crescent Urological Care LLC Urology 1205 Easton Ave, Suite 201, Somerset, NJ 08873-1672 2008-03-06
1225122294 Commonwealth Urology Somerset Urology 100 Hardin Ln, Somerset, KY 42503-3812 2006-10-03
1063419133 Kenneth Eric Ruby Urology 30 Medpark Square, Suite 1, Somerset, KY 42503-3812 2005-07-05

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1952874463 Zeus Urological Services Southeast Kentucky Urology Urology 123 N 19th St Ste 203, Middlesboro, KY 40965-2865 2019-01-07
1124559190 Nadia Gabriela Romero Urology 800 Rose St Rm Mn-283, Lexington, KY 40536 2017-03-22
1700297728 Ahmed Haddad Urology 401 East Chestnut Street, #480, Louisville, KY 40202-9110 2014-05-13
1831533843 Andrew Todd Urology 793 Eastern Byp Ste 101, Richmond, KY 40475-2425 2013-04-20
1053656991 Baptist Health Richmond, Inc. Urology 1013 Center Drive, #5, Richmond, KY 40475-2407 2012-12-04
1962757187 Daniel James Warburton Urology 1301 Pleasant Valley Rd Ste 302, Owensboro, KY 42303-9774 2012-07-14
1184915373 Kellen Bo Yung Choi Urology 401 E Chestnut St Unit 480, Louisville, KY 40202-5704 2011-04-22
1922397033 Alison Marie Rasper Urology Uk Urology 740 S Limestone Ste B200, Lexington, KY 40536-1522 2011-03-30
1699084731 Lexington Unique Care Inc Urology 2628 Wilhite Dr, Lexington, KY 40503 2010-10-06
1659691053 Ali Mahmoud Ziada Urology Urology Univ of Ky Med Ctr 800 Rose St, Room Ms 237, Lexington, KY 40536-0298 2010-06-08
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Competitor

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City SOMERSET
Zip Code 42503

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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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