DR. KEVIN P SHORT (NPI# 1962620807) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962620807 |
| Entity Type | Individual |
| Full Name | DR. KEVIN P SHORT |
| Credential | MD |
| Practice Address |
1817 I Ave New Castle IN 47362-2611 |
| Mailing Address |
7601 W York Prairie Way Muncie IN 47304-9215 |
| Practice Telephone | 7655211885 |
| Mailing Telephone | 7657594738 |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2083P0500X |
Preventive Medicine Specialization: Preventive Medicine/Occupational Environmental Medicine |
01039279 | IN | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093132698 | Kevin Short | Social Worker | 5023 E 56th St, 110, Indianapolis, IN 46226-1474 | 2014-03-21 |
| 1053673897 | Kevin Short | Podiatrist | 2414 Walbert Ave, Allentown, PA 18104-1326 | 2012-06-07 |
| 1306930607 | Kevin Sean Short | Dentist | 1200 Bald Ridge Marina Rd, Suite 200, Cumming, GA 30041-8494 | 2006-10-03 |
| 1881655843 | Kevin A Short | Radiology | 800 E Dawson St, Tyler, TX 75701-2036 | 2006-03-30 |
| Street Address |
1817 I AVE |
| City | NEW CASTLE |
| State | IN |
| Zip Code | 47362-2611 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851898183 | Anthony S Catron | Registered Nurse | 1229 Saint James Dr, New Castle, IN 47362 | 2018-04-12 |
| 1336499599 | Gregg Scott Shepherd | Long Term Care Hospital | 1075 W Cr 300 North, New Castle, IN 47362 | 2012-09-14 |
| 1457600876 | Linda I Sweigart | Registered Nurse | 4235 S Main St, New Castle, IN 47362 | 2012-08-30 |
| 1063797355 | Occazio, Inc | Counselor | 339 South Highway 3, New Castle, IN 47362 | 2011-10-18 |
| 1790099166 | Bethany Cares Inc. | Home Health | 2020 S. Memorial Dr., Suite I, New Castle, IN 47362 | 2010-07-28 |
| 1164733945 | Jamie Sue Cate | Hearing Instrument Specialist | 1722 S. Memorial Dr., Suite C, New Castle, IN 47362 | 2010-06-28 |
| 1649400987 | Amy Wright | Dietitian, Registered | 615 State Road 38 W, New Castle, IN 47362 | 2009-07-21 |
| 1447449285 | Amber J Harless | Marriage & Family Therapist | 3337 S State Road 3, New Castle, IN 47362 | 2007-10-17 |
| 1710172309 | Assisted Living Concepts Inc | Assisted Living Facility | 2244 Q Avenue, New Castle, IN 47362 | 2007-09-07 |
| 1760688451 | Lorenzo Eli | Legal Medicine | 1000 Van Nuys Road, New Castle, IN 47362 | 2007-06-21 |
| Find all providers in zip 47362 | ||||
| Taxonomy Code | 2083P0500X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Preventive Medicine |
| Specialization | Preventive Medicine/Occupational Environmental Medicine |
| A preventive medicine physician who specializes in preventive medicine/occupational-environmental medicine, which is focused on protecting the population from occupational and environmental conditions. |
| 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 Preventive Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659597656 | Richard Liedke | Preventive Medicine | 104 Reynolds, New Castle, PA 16105 | 2007-04-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326671819 | Healthstat Onsite Clinic Indiana Auto | Preventive Medicine | 1300 Anderson Blvd Ste B, Greenfield, IN 46140-7934 | 2020-02-13 |
| 1104280064 | Healthstat Onsite Clinic Keihin Muncie | Preventive Medicine | 2101 W Godman Ave, Muncie, IN 47303-4746 | 2016-04-07 |
| 1225494081 | Healthstat Onsite Clinic-keihin Greenfield | Preventive Medicine | 2098 Fields Blvd, Greenfield, IN 46140-3009 | 2016-01-11 |
| 1659707925 | Healthstat On-site Clinic/vsg | Preventive Medicine | 2700 Lanier Dr, Madison, IN 47250-1753 | 2013-09-18 |
| 1881935070 | Healthstat On-site Clinic/amc | Preventive Medicine | 21600 Monroeville Rd, Monroeville, IN 46773-9623 | 2013-03-13 |
| 1083860563 | Martial Raymond Knieser | Preventive Medicine | 16267 Oakford Trl, Fishers, IN 46037-7391 | 2008-08-15 |
| 1861693277 | David Hazra | Preventive Medicine | 340 S. White River Parkway, Indianapolis, IN 46222 | 2007-05-31 |
| 1730213604 | John William Timothy Jr. | Preventive Medicine | 4747 E 71st St, Indianapolis, IN 46220-3875 | 2007-03-15 |
| 1851434005 | Steven Richard Smith | Preventive Medicine | 12315 Hancock St, Suite - 26, Carmel, IN 46032-5884 | 2007-02-15 |
| 1902946817 | John Douglas Twenty | Preventive Medicine | Dc2111 Lilly Corporate Ctr, Indianapolis, IN 46285-0001 | 2007-02-08 |
| Find all providers with the same taxonomy | ||||
| City | NEW CASTLE |
| Zip Code | 47362 |
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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.