Shane Timothy Desimone in Greensburg - Diagnostic Radiology

Shane Timothy Desimone - NPI 1285736462

Shane Timothy Desimone is a Diagnostic Radiology in Greensburg, Kentucky. Shane Timothy Desimone practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for Shane Timothy Desimone is 1285736462. The last update date is 2011-12-20.

Shane Timothy Desimone's current location address is Po Box 220, Greensburg, Kentucky. You can contact this provider via phone number 2709324211 and fax number 2702992041. The mailing address for Shane Timothy Desimone is Po Box 220, Greensburg, Kentucky. To know further, please read the information below!

Provider Profile Detail

Provider Name Shane Timothy Desimone
Address Po Box 220, Greensburg, Kentucky
Phone Number 2709324211
Fax Number 2702992041
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1285736462
Provider Enumeration Date 2006-09-01
Last Updated Date 2011-12-20

Provider Mailing Address Detail

Address Po Box 220
City Greensburg
State Kentucky (KY)
Post Code 427430220
Phone Number 2709324211
Fax Number 2702992041

Provider's Primary Taxonomy Detail

Speciality Diagnostic Radiology
Taxonomy 2085R0202X
Licence No T2005018779
Definition:
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
7100126300 KY --

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FAQs about Shane Timothy Desimone

What is the unique 10-digit identification code issued to Shane Timothy Desimone by the Centers for Medicare & Medicaid Services?

The Shane Timothy Desimone has been assigned the NPI (National Provider Identifier) 1285736462 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you provide the complete address where Shane Timothy Desimone is physically located?

The Shane Timothy Desimone is situated at the following address: Po Box 220, Greensburg, KY 427430220.

What is the Shane Timothy Desimone's area of specialization and corresponding taxonomy classification?

The Shane Timothy Desimone's specialty field is Diagnostic Radiology, and it falls under the taxonomy code 2085R0202X, which categorizes healthcare providers based on their specialties.

On what date did the Shane Timothy Desimone receive the assignment of its 1285736462 from the Centers for Medicare & Medicaid Services?

The Shane Timothy Desimone was issued its 1285736462 by the Centers for Medicare & Medicaid Services on 2006-09-01.

As of what date were the Shane Timothy Desimone's details last updated?

The information pertaining to the Shane Timothy Desimone, including its address, specialty, and other details, was most recently updated on 2011-12-20.

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