Kareen Shebaclo is a Ophthalmology Physician practicing in Philadelphia, Pennsylvania. The National Provider Identifier (NPI) is #1063935542, which was assigned on July 17, 2017, and the registration record was last updated on May 26, 2025. The practitioner's main practice location is at 840 Walnut St Ste 910, Philadelphia, PA 19107-5109; the contact telephone number is 2159283250, and the fax number is 2159283276. The primary taxonomy of Kareen Shebaclo is Ophthalmology Physician (207W00000X). Kareen Shebaclo is licensed to practice in the state of Pennsylvania (#MD478276), Pennsylvania (#MD478276).
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
NPI | 1063935542 |
Entity Type | Individual |
Provider Name | KAREEN SHEBACLO |
Gender | Female |
Credential | MD |
Practice Address |
840 Walnut St Ste 910 Philadelphia PA 19107-5109 |
Practice Telephone | 2159283250 |
Practice Fax Number | 2159283276 |
Mailing Address |
840 Walnut St Ste 910 Philadelphia PA 19107-5109 |
Mailing Telephone | 2159283250 |
Mailing Fax Number | 2159283276 |
Certification Date | 2025-05-26 |
Enumeration Date | 2017-07-17 |
Last Update Date | 2025-05-26 |
Is Sole Proprietor | N |
PAC ID |
3375922321 Medicare Provider Enrollment and Chain/Ownership System (PECOS) Associate Control (PAC) ID |
Full Name | KAREEN SHEBACLO |
Medical School | GEORGETOWN UNIVERSITY SCHOOL OF MEDICINE |
Primary Specialty | OPHTHALMOLOGY |
Organization Legal Name | ANNESLEY FLANAGAN FISCHER STEFANYSZYN AND ASSOCIATES |
Address |
100 E Lancaster Ave Suite 54 Wynnewood PA 19096-3438 |
Primary | Code | Classification | Specialization | Taxonomy Group | License Number | License State |
---|---|---|---|---|---|---|
N | 207WX0200X | Ophthalmology | Ophthalmic Plastic and Reconstructive Surgery | MD478276 | PA | |
Y | 207W00000X | Ophthalmology | MD478276 | PA |
Code | 207W00000X |
Taxonomy | Ophthalmology Physician |
Classification | Ophthalmology |
Grouping | Allopathic & Osteopathic Physicians |
Definition: An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
Code | 207WX0200X |
Taxonomy | Ophthalmic Plastic and Reconstructive Surgery Physician |
Classification | Ophthalmology |
Specialization | Ophthalmic Plastic and Reconstructive Surgery |
Grouping | Allopathic & Osteopathic Physicians |
Definition: A physician who specializes in oculofacial plastic and reconstructive surgery. This subspecialty combines orbital and periocular surgery with facial plastic surgery, and includes aesthetic and reconstructive surgery of the face, orbit, eyelid, and lacrimal system. Practitioners evaluate, diagnose and treat conditions involving the eyelids, brows, midface, orbits, lacrimal systems and surrounding and supporting structures of the face and neck. |
Notes: Source: American Academy of Ophthalmology, 2015. www.aao.org [1/1/2016: new] |
Provider Name | Address | Taxonomy | Enumeration Date |
---|---|---|---|
Gal Jacob Cohen | 310 E 14th St, New York, NY 10003-4284 | Ophthalmology Physician | 2025-07-23 |
Umpqua Valley Eye Associates LLC | 341 Nw Medical Loop Ste 120, Roseburg, OR 97471-5546 | Ophthalmology Physician | 2025-07-30 |
Three Rivers Cataract and Vision Center | 1326 Freeport Rd Ste 200, Pittsburgh, PA 15238-6193 | Ophthalmology Physician | 2025-08-04 |
Everest Surgery Center, LLC | 2251 Freeman Lane, Suite 300, Midlothian, TX 76065 | Ophthalmology Physician | 2025-07-24 |
Clinical Associates P A | 515 Fairmount Ave Ste 110, Towson, MD 21286-8520 | Ophthalmology Physician | 2025-08-08 |
Michael Rasansky D.O., P.C. | 8950 Telegraph Rd, Taylor, MI 48180-8399 | Ophthalmology Physician | 2025-08-07 |
Associated Retinal Consultants LLC | 103 Old Marlton Pike Ste 216, Medford, NJ 08055-8772 | Ophthalmology Physician | 2025-07-14 |
Associated Retinal Consultants LLC | 25 Homestead Dr Ste A, Columbus, NJ 08022-1005 | Ophthalmology Physician | 2025-07-14 |
Chesapeake Eye Care and Laser Center, LLC | 3110 Lord Baltimore Dr Ste 103, Baltimore, MD 21244-2644 | Ophthalmology Physician | 2025-07-18 |
Oakland Fashion Optical LLC | 311 S Craig St Ste 1, Pittsburgh, PA 15213-3731 | Ophthalmology Physician | 2025-07-30 |
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Street Address |
840 WALNUT ST STE 910 |
City | PHILADELPHIA |
State | PA |
Zip Code | 19107-5109 |
Country | US |
Provider Name | Address | Taxonomy | Enumeration Date |
---|---|---|---|
Judith B Lavrich | 840 Walnut St Dept Of, Philadelphia, PA 19107-5109 | Ophthalmology Physician | 2006-03-22 |
Deirdre Kurtz | 800 Walnut St, 15th Fl, Penn Obgyn, Philadelphia, PA 19107-5109 | Obstetrics & Gynecology Physician | 2019-04-03 |
Victoria Persampiere | 800 Walnut Street, 17th Floor, Philadelphia, PA 19107-5109 | Family Medicine Physician | 2020-03-30 |
Leo Mckeever Hall | 840 Walnut St, Philadelphia, PA 19107-5109 | Ophthalmology Physician | 2021-03-24 |
Anthony Obeid | 840 Walnut St Ste 1020, Philadelphia, PA 19107-5109 | Retina Specialist (Ophthalmology) Physician | 2019-05-21 |
Sarah Judith Michelson · Sarah Michelson | 840 Walnut St, Philadelphia, PA 19107-5109 | Ophthalmology Physician | 2016-03-31 |
Thomas Lawrence Lamson | 840 Walnut St Ste 1230, Philadelphia, PA 19107-5109 | Ophthalmology Physician | 2020-04-01 |
Justin Muste | 840 Walnut St Ste 1020, Philadelphia, PA 19107-5109 | Student in an Organized Health Care Education/Training Program | 2019-03-20 |
Renfeng Xu | 840 Walnut St Ste 920, Philadelphia, PA 19107-5109 | Ophthalmology Physician | 2020-05-27 |
Ali Salimi | 840 Walnut Street, Ste 1110, Philadelphia, PA 19107-5109 | Glaucoma Specialist (Ophthalmology) Physician | 2025-01-14 |
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Provider Name | Address | Taxonomy | Enumeration Date |
---|---|---|---|
Nina Kvaratskhelia | 33 S 9th St Suite 301, Philadelphia, PA 19107 | Family Medicine Physician | 2021-04-06 |
Matthew Isaac Lipow | 33 S. 9th Street Suite, Suite 210, Philadelphia, PA 19107 | Psychiatry Physician | 2022-04-08 |
Sheldon Harvey Stein | 8th & Race Street, Temple University School of Podiatric Medicine, Philadelphia, PA 19107 | Orthopaedic Surgery Physician | 2007-03-06 |
Jerry A Shields | 840 Walnut Street, Suite 1440, Philadelphia, PA 19107 | Ophthalmology Physician | 2006-10-12 |
Joel S Schuman | Wills Eye Hospital, 840 Walnut Street, Philadelphia, PA 19107 | Ophthalmology Physician | 2005-12-14 |
Linda Beryl Atero Barasa | 800 Spruce Street, Philadelphia, PA 19107 | Student in an Organized Health Care Education/Training Program | 2025-04-04 |
Alexander Reed Sandberg | 1015 Walnut Street, Suite 620, Philadelphia, Pa, PA 19107 | Student in an Organized Health Care Education/Training Program | 2025-04-10 |
Synergy Lab Spot | 917 Arch St 107 Philadelphia Pa 19107, 107, Philadelphia, PA 19107 | Family Medicine Physician | 2025-05-14 |
Ahmed Reda Gonnah | 800 Spruce Street, Philadelphia, PA 19107 | Student in an Organized Health Care Education/Training Program | 2025-04-24 |
Zachary Davis | 117 South 11th Street, 204 Pavilion, Philadelphia, PA 19107 | Student in an Organized Health Care Education/Training Program | 2025-04-10 |
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Provider Name | Address | Taxonomy | Enumeration Date |
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Kareen Chung-Buchanan | 7597 Mount Morris Nunda Rd, Mount Morris, NY 14510-9422 | Respite Care | 2025-08-08 |
Kareen A Montanez Rivera | 6 Calle Jose De Diego, Ciales, PR 00638-3214 | Speech-Language Assistant | 2025-05-13 |
Dorothy Kareen Mcpherson | 1616 S Gold St, Centralia, WA 98531-8930 | Peer Specialist | 2024-11-06 |
Kareen Gutierrez | 680 Langsdorf Dr Ste 200, Fullerton, CA 92831-3702 | Student in an Organized Health Care Education/Training Program | 2024-02-13 |
Kareen N Anderson | 5682 Bee Ridge Road, Sarasota, FL 34233 | Clinical Social Worker | 2006-08-02 |
Kareen Rose Elizabeth Simpson | 10801 S Western Ave Ste 201, Chicago, IL 60643-3225 | Nephrology Physician | 2006-01-16 |
Kareen Sicangco | 795 Willow Rd Bldg 332, Menlo Park, CA 94025-2539 | Licensed Vocational Nurse | 2024-11-20 |
Kareen Elliott | 7504 Bissonnet St # T9, Houston, TX 77074-5502 | Pediatric Nurse Practitioner | 2021-03-03 |
Kareen A Velez | 1730 Mayo Dr, Tavares, FL 32778-4308 | Spinal Cord Injury Medicine Physician | 2007-06-14 |
Kareen Kaye Evans | 253 Grand Reserve Dr, Davenport, FL 33837-5204 | Family Nurse Practitioner | 2025-01-08 |
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This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.
Subject | Transparency and Disclosure |
Jurisdiction | Federal |
Data Provider | National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS) |
Source | download.cms.gov |
The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number). All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid). Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008. This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information. |