GAURAV R SHAH (NPI# 1013029289) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013029289 |
| Entity Type | Individual |
| Full Name | GAURAV R SHAH |
| Credential | MD |
| Practice Address |
500 Se Osceola St Ste 200 Stuart FL 34994-2364 |
| Mailing Address |
Po Box 417 Stuart FL 34995-0417 |
| Practice Telephone | 7722861550 |
| Practice Fax Number | 7722210569 |
| Mailing Telephone | 7722232832 |
| Mailing Fax Number | 7722235646 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2020-10-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
ME115947 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 009080500 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366938656 | Gaurav P. Shah | Dentist | 300 2nd Ave # S233, Long Branch, NJ 07740-6395 | 2018-07-10 |
| 1124472337 | Gaurav Mukesh Shah | Student in an Organized Health Care Education/Training Program | 625 19th St S, Birmingham, AL 35233-1900 | 2016-04-14 |
| 1508128380 | Gaurav Shah | Dentist | 3501 Terrace St, Pittsburgh, PA 15213-2523 | 2012-06-08 |
| 1962727453 | Gaurav S Shah | Internal Medicine | 17240 Cortez Blvd, Brooksville, FL 34601-8921 | 2010-03-29 |
| 1780840207 | Gaurav Bipin Shah | Internal Medicine | 2088 Ogden Ave, Ste. 160, Aurora, IL 60504-4376 | 2008-08-04 |
| 1588839484 | Gaurav D Shah | Internal Medicine | 1275 York Ave, Department of Medicine, New York, NY 10065-6007 | 2008-04-23 |
| 1972502383 | Gaurav Shah | Ophthalmology | 17 The Boulevard Saint Louis, Saint Louis, MO 63117-1118 | 2005-07-18 |
| Street Address |
500 SE OSCEOLA ST STE 200 |
| City | STUART |
| State | FL |
| Zip Code | 34994-2364 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205833993 | Harvey B Ulano | Specialist | 500 Se Osceola St, Suite 200, Stuart, FL 34994-2364 | 2005-07-07 |
| 1548426398 | Adarsha Shrestha | Specialist | 500 Se Osceola St, Ste 200, Stuart, FL 34994-2364 | 2008-07-31 |
| 1477630648 | Jean Aukerman Vickers | Internal Medicine | 500 Se Osceola St, Ste 200, Stuart, FL 34994-2364 | 2006-11-01 |
| 1013952423 | Resham Khilnani | Internal Medicine | 500 Se Osceola St, Ste 200, Stuart, FL 34994-2364 | 2006-06-19 |
| 1790730794 | Diane Hubertz Hauge | Nurse Practitioner | 500 Se Osceola St, Suite 100, Stuart, FL 34994-2364 | 2006-05-24 |
| 1083611776 | Anis Y Akrawi | Specialist | 500 Se Osceola St, Suite 200, Stuart, FL 34994-2364 | 2005-07-07 |
| 1134126832 | Jeffrey L Glickman | Specialist | 500 Se Osceola St, Ste 200, Stuart, FL 34994-2364 | 2005-07-07 |
| 1952308660 | Nephrology & Internal Medicine Associates | Specialist | 500 Se Osceola St, Stuart, FL 34994-2364 | 2005-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912543711 | Prestige Medical Billing. Inc | Durable Medical Equipment & Medical Supplies | 2678 Se Willoughby Blvd, Stuart, FL 34994 | 2019-11-27 |
| 1780229203 | Katherine Ginn | Occupational Therapist | 809 Se Central Parkway, Stuart, FL 34994 | 2019-11-07 |
| 1972167294 | Melissa Callaham Lcsw | Social Worker | 900 East Ocean Blvd., Suite D-130, Office 26, Stuart, FL 34994 | 2019-04-23 |
| 1053881300 | Spencer Perna | Chiropractor | 632 Se Monterey Rd., Stuart, FL 34994 | 2018-11-29 |
| 1720563521 | National Vision Inc | Technician/Technologist | 2600 Southeast Federal Highway, Stuart, FL 34994 | 2018-09-27 |
| 1649767351 | Frank Alario Md & Associates | Non-Pharmacy Dispensing Site | 721 South Colorado Avenue, Stuart, FL 34994 | 2018-04-18 |
| 1609305499 | Wideline Thelemaque-claire | Behavior Technician | 900 E Ocean Blvd, Suite 130d, Stuart, FL 34994 | 2017-06-06 |
| 1316488984 | Jessica Gaffney | Social Worker | 416 Se Balboa Ave., Suite 200, Stuart, FL 34994 | 2017-03-16 |
| 1578012035 | Essentials Medical Group, LLC | Internal Medicine | 2694 Se Willoughby Blvd, Stuart, FL 34994 | 2016-09-26 |
| 1356898324 | Waters Edge Dermatology Global LLC | Surgery | 2601 S Kanner Highway, Stuart, FL 34994 | 2016-09-07 |
| Find all providers in zip 34994 | ||||
| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043620446 | Henry Jovany Jean | Internal Medicine | 200 Se Hospital Ave, Stuart, FL 34994-2346 | 2014-05-07 |
| 1477630648 | Jean Aukerman Vickers | Internal Medicine | 500 Se Osceola St, Ste 200, Stuart, FL 34994-2364 | 2006-11-01 |
| 1609829407 | D E Noble | Internal Medicine | 509 Se Riverside Dr, 202, Stuart, FL 34994-2579 | 2006-05-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740896281 | Meraki Medical Center LLC | Internal Medicine | 12565 Orange Dr Ste 401, Davie, FL 33330-4305 | 2020-09-21 |
| 1972117109 | Mogilishetty Pllc | Internal Medicine | 10012 Gulf Center Dr Ste 5292, Fort Myers, FL 33913-8904 | 2020-09-04 |
| 1033732797 | Nephron Care & Dialysis LLC | Internal Medicine | Health Central Hospital, 10000 West Colonial Drive, Ocoee, FL 34761 | 2020-05-28 |
| 1245853746 | Ronald M. Goldin, M.d.,p.a. | Internal Medicine | 4215 Burns Rd Ste 240, Palm Beach Gardens, FL 33410-4625 | 2020-05-19 |
| 1447879739 | F Duncan Scott Md Pa | Internal Medicine | 4516 E Highway 20 # 108, Niceville, FL 32578-9755 | 2020-04-16 |
| 1245879055 | Atza Swicht Transportation Corp | Internal Medicine | 1309 Santa Rosa Dr Apt 202, Kissimmee, FL 34741-7572 | 2019-12-26 |
| 1427699859 | Nephro Care Solutions, LLC | Internal Medicine | 1401 Sw 107th Ave Ste 301m, Miami, FL 33174-2553 | 2019-10-07 |
| 1285282871 | Lighthouse Renal Group Pa | Internal Medicine | 951 Nw 13th St Ste 5b, Boca Raton, FL 33486-2337 | 2019-08-28 |
| 1427617265 | Sunstate Kidney & Hypertension LLC | Internal Medicine | 9907 Warm Stone St, Thonotosassa, FL 33592-3350 | 2019-06-06 |
| 1205490091 | Central Florida Nephrology Pllc | Internal Medicine | 7350 Futures Dr Ste 1, Orlando, FL 32819-9082 | 2019-04-26 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.