| Dr Shotaro Sano, DO | |
|
2451 Intelliplex Dr Ste 280, Shelbyville, IN 46176-8580 | |
| (317) 392-0222 | |
| (317) 392-0722 |
| Full Name | Dr Shotaro Sano |
|---|---|
| Gender | Male |
| Speciality | General Surgery |
| Experience | 12 Years |
| Location | 2451 Intelliplex Dr Ste 280, Shelbyville, Indiana |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962806851 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 02005352A (Indiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Major Hospital | Shelbyville, IN | Hospital |
| Rush Memorial Hospital | Rushville, IN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Major Hospital | 0446167415 | 82 |
| Rush Memorial Hospital | 7012802754 | 56 |
| Entity Name | Major Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174555692 PECOS PAC ID: 0446167415 Enrollment ID: O20040108000586 |
| Entity Name | Rush Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497726020 PECOS PAC ID: 7012802754 Enrollment ID: O20040220000164 |
| Entity Name | Major Multispecialty Associates |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437398492 PECOS PAC ID: 6305997842 Enrollment ID: O20090624000134 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Shotaro Sano, DO 2451 Intelliplex Dr, Shelbyville, IN 46176-8580 Ph: (317) 392-0222 | Dr Shotaro Sano, DO 2451 Intelliplex Dr Ste 280, Shelbyville, IN 46176-8580 Ph: (317) 392-0222 |
Carlos Vieira, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 2158 Intelliplex Dr Ste 100, Shelbyville, IN 46176 Phone: 317-421-1980 | |
Mr. Tiong Oen Pouw, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 2451 Intelliplex Dr, Ste 280, Shelbyville, IN 46176 Phone: 317-392-0222 Fax: 317-392-0722 | |
Dr. George Mathenge Wairiuko, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 2451 Intelliplex Dr, Suite 260, Shelbyville, IN 46176 Phone: 317-398-0121 Fax: 317-398-0538 |