TRUDY M. SHADY MD – NPI #1417940354
Internal Medicine
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
TRUDY SHADY is a physician located in BELLEVILLE, IL. NPPES has assigned the NPI number 1417940354 to TRUDY SHADY on August 25, 2005. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207RP1001X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Pulmonary Disease
The NPI profile was previously updated about 6 years ago on Sep 02, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for TRUDY SHADY below.
NPI Profile for
TRUDY M. SHADY
(about 21 years ago)
BELLEVILLE, IL 62226-5363 Phone: (618) 233-2220 Fax: (618) 233-2555
1 Other location(s):
Suite 25
Granite City, IL 62040
Phone: (618) 798-8600
Fax: (618) 798-8605
BELLEVILLE, IL 62226-5360 Phone: (618) 257-4644 Fax: (618) 257-6946
Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.
A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 207RP1001X - Internal Medicine / Pulmonary Disease (Primary) |
MO | R3L47 |
| 207R00000X - Internal Medicine |
IL | 036-089376 |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.
Additional Information
- Refer to Part B
- Order Durable Medical Equipment
- Refer to Home Health Agency
- Order Power Mobility Devices
TRUDY SHADY is affiliated with the following medical group(s):
- HOSPITAL
- SANFORD MEDICAL CENTER FARGO801 BROADWAY NORTH
FARGO, ND 58122
- SANFORD MEDICAL CENTER FARGO801 BROADWAY NORTH
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