Kareen Shebaclo · Ophthalmology Physician

840 Walnut St Ste 910, Philadelphia, PA 19107-5109

Overview

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.

Provider Information

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

Doctor and Clinician Information

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

Taxonomy and Licenses

PrimaryCodeClassificationSpecializationTaxonomy GroupLicense NumberLicense State
N207WX0200XOphthalmologyOphthalmic Plastic and Reconstructive SurgeryMD478276PA
Y207W00000XOphthalmologyMD478276PA

Taxonomy Information

Primary Taxonomy

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.

Other Taxonomy

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]

Providers with the same taxonomy

Provider NameAddressTaxonomyEnumeration Date
Gal Jacob Cohen 310 E 14th St, New York, NY 10003-4284Ophthalmology Physician2025-07-23
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Three Rivers Cataract and Vision Center 1326 Freeport Rd Ste 200, Pittsburgh, PA 15238-6193Ophthalmology Physician2025-08-04
Everest Surgery Center, LLC 2251 Freeman Lane, Suite 300, Midlothian, TX 76065Ophthalmology Physician2025-07-24
Clinical Associates P A 515 Fairmount Ave Ste 110, Towson, MD 21286-8520Ophthalmology Physician2025-08-08
Michael Rasansky D.O., P.C. 8950 Telegraph Rd, Taylor, MI 48180-8399Ophthalmology Physician2025-08-07
Associated Retinal Consultants LLC 103 Old Marlton Pike Ste 216, Medford, NJ 08055-8772Ophthalmology Physician2025-07-14
Associated Retinal Consultants LLC 25 Homestead Dr Ste A, Columbus, NJ 08022-1005Ophthalmology Physician2025-07-14
Chesapeake Eye Care and Laser Center, LLC 3110 Lord Baltimore Dr Ste 103, Baltimore, MD 21244-2644Ophthalmology Physician2025-07-18
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Location Information

Street Address 840 WALNUT ST STE 910
City PHILADELPHIA
State PA
Zip Code 19107-5109
Country US

Providers in the same zip code

Provider NameAddressTaxonomyEnumeration Date
Judith B Lavrich 840 Walnut St Dept Of, Philadelphia, PA 19107-5109Ophthalmology Physician2006-03-22
Deirdre Kurtz 800 Walnut St, 15th Fl, Penn Obgyn, Philadelphia, PA 19107-5109Obstetrics & Gynecology Physician2019-04-03
Victoria Persampiere 800 Walnut Street, 17th Floor, Philadelphia, PA 19107-5109Family Medicine Physician2020-03-30
Leo Mckeever Hall 840 Walnut St, Philadelphia, PA 19107-5109Ophthalmology Physician2021-03-24
Anthony Obeid 840 Walnut St Ste 1020, Philadelphia, PA 19107-5109Retina Specialist (Ophthalmology) Physician2019-05-21
Sarah Judith Michelson · Sarah Michelson 840 Walnut St, Philadelphia, PA 19107-5109Ophthalmology Physician2016-03-31
Thomas Lawrence Lamson 840 Walnut St Ste 1230, Philadelphia, PA 19107-5109Ophthalmology Physician2020-04-01
Justin Muste 840 Walnut St Ste 1020, Philadelphia, PA 19107-5109Student in an Organized Health Care Education/Training Program2019-03-20
Renfeng Xu 840 Walnut St Ste 920, Philadelphia, PA 19107-5109Ophthalmology Physician2020-05-27
Ali Salimi 840 Walnut Street, Ste 1110, Philadelphia, PA 19107-5109Glaucoma Specialist (Ophthalmology) Physician2025-01-14
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Providers in the same zip code

Provider NameAddressTaxonomyEnumeration Date
Nina Kvaratskhelia 33 S 9th St Suite 301, Philadelphia, PA 19107Family Medicine Physician2021-04-06
Matthew Isaac Lipow 33 S. 9th Street Suite, Suite 210, Philadelphia, PA 19107Psychiatry Physician2022-04-08
Sheldon Harvey Stein 8th & Race Street, Temple University School of Podiatric Medicine, Philadelphia, PA 19107Orthopaedic Surgery Physician2007-03-06
Jerry A Shields 840 Walnut Street, Suite 1440, Philadelphia, PA 19107Ophthalmology Physician2006-10-12
Joel S Schuman Wills Eye Hospital, 840 Walnut Street, Philadelphia, PA 19107Ophthalmology Physician2005-12-14
Linda Beryl Atero Barasa 800 Spruce Street, Philadelphia, PA 19107Student in an Organized Health Care Education/Training Program2025-04-04
Alexander Reed Sandberg 1015 Walnut Street, Suite 620, Philadelphia, Pa, PA 19107Student in an Organized Health Care Education/Training Program2025-04-10
Synergy Lab Spot 917 Arch St 107 Philadelphia Pa 19107, 107, Philadelphia, PA 19107Family Medicine Physician2025-05-14
Ahmed Reda Gonnah 800 Spruce Street, Philadelphia, PA 19107Student in an Organized Health Care Education/Training Program2025-04-24
Zachary Davis 117 South 11th Street, 204 Pavilion, Philadelphia, PA 19107Student in an Organized Health Care Education/Training Program2025-04-10
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Dataset Information

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

Dataset Details

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.