Taysir Shash, MD

Primary specialty

Neonatal-Perinatal Medicine PhysicianTaxonomy code 2080N0001X

License

04-34325 Issued in KS

Practice address

3600 E Harry St
Wichita, KS 67218-3713

Phone

(316) 689-5475

Fax

(316) 691-6772

NPI assigned

May 1, 2006

Last updated

Jul 10, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Intermountain Medical Group Grand Junction, LLC

  • Orthopaedic Surgery Physician
  • Grand Junction, CO
  • NPI 1356765556
  Medicare reassignment NPD
• St Mary's Hospital and Medical Center, Inc

  • Hematology & Oncology Physician
  • Grand Junction, CO
  • NPI 1275714081
  Medicare reassignment NPD
• Intermountain Medical Group Grand Junction, LLC

  dba SCL Health Medical Group - Patterson

  • Family Medicine Physician
  • Grand Junction, CO
  • NPI 1538708854
  NPD
• Intermountain Medical Group Grand Junction, LLC

  dba DME - Wellington Neurosurgery Clinic

  • Durable Medical Equipment & Medical Supplies
  • Grand Junction, CO
  • NPI 1609737618
  NPD
• St Mary's Hospital and Medical Center, Inc

  dba St Mary's Anticoagulation Clinic

  • General Acute Care Hospital
  • Grand Junction, CO
  • NPI 1619742806
  NPD
• St Mary's Hospital and Medical Center, Inc

  dba St Mary's Regional Hospital Hyperbaric Medical Services

  • Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
  • Grand Junction, CO
  • NPI 1699399238
  NPD
• Ascension Via Christi Hospitals Wichita Inc.

  dba Ascension Via Christi Weight Management

  • Endocrinology, Diabetes & Metabolism Physician
  • Wichita, KS
  • NPI 1831185065
  NPD (past)
• St. Mary's Hospital and Medical Center, Inc.

  dba Intermountain Health St Mary's Regional Hospital

  • General Acute Care Hospital
  • Grand Junction, CO
  • NPI 1699716027
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1146441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341878400000",
    "number": "1750349734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1897",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672011897",
            "telephone_number": "316-268-8131",
            "fax_number": "316-291-4788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 E HARRY ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672183713",
            "telephone_number": "316-689-5475",
            "fax_number": "316-691-6772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHASH",
        "first_name": "TAYSIR",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-01",
        "last_updated": "2012-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "KS",
            "license": "04-34325",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200656100A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kelly Sharp
• Laura Sharp, PTA
• Tracie Sharp, LMSW
• Kamilah Sharpe, LPC
• Yulia M Sharshel, CRNA
• Anthony Russell Shaver, APRN
• Drea Lanae Shaver, DNP, APRN, FNP-C
• Erica Shaver
• Mark Shaver, PH.D., CCC-A
• Timothy S Shaver, MD

• Neonatal-Perinatal Medicine Physician in Wichita, KS
• Providers in Wichita, KS by specialty
• Neonatal-Perinatal Medicine Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.