TISHI S SHAH (NPI# 1023367885) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023367885 |
| Entity Type | Individual |
| Full Name | TISHI S SHAH |
| Other Name | TISHI MAHENDUKUMAR JHA |
| Practice Address |
800 Washington St # 14 Boston MA 02111-1552 |
| Practice Telephone | (617) 636-5535 |
| Practice Fax Number | 6176367738 |
| Mailing Telephone | (617) 636-5535 |
| Mailing Fax Number | 6176367738 |
| Enumeration Date | 2012-09-06 |
| Last Update Date | 2017-09-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | 275649 | NY | Allopathic & Osteopathic Physicians |
| Y | 2080P0207X |
Pediatrics Specialization: Pediatric Hematology-Oncology |
271817 | MA | Allopathic & Osteopathic Physicians |
| Street Address |
800 WASHINGTON ST # 14 |
| City | BOSTON |
| State | MA |
| Zip Code | 02111-1552 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326262734 | Michael James Kelly | Pediatrics | 800 Washington St # 14, Boston, MA 02111-1552 | 2007-04-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689271397 | Maximilian Richert | Counselor | 25 Kingston St, 4r, Boston, MA 02111 | 2020-10-06 |
| 1558978957 | Tien-hsin Chang | Student in an Organized Health Care Education/Training Program | 1 Kneeland Street (tufts University School of Dental Me, Boston, MA 02111 | 2020-09-29 |
| 1548883465 | Elizabeth Carter Stapleton | Dentist | Tufts School of Dental Medicine: Dept of Orthodontics, 1 Kneeland Street, Boston, MA 02111 | 2020-05-27 |
| 1932729597 | Jacob Joseph Kosarchuk | Neurological Surgery | 800 Washington Street, Proger 7, Boston, MA 02111 | 2020-04-23 |
| 1164051868 | Daniele Abela | Surgery | 860 Washington Street, South Building, 4th Floor, Boston, MA 02111 | 2020-04-04 |
| 1184265258 | Jade Orthodontics | Dentist | 30 Kneeland St, Suite 301, Boston, MA 02111 | 2019-09-30 |
| 1932753639 | Loukia Kamille Danaf | Student in an Organized Health Care Education/Training Program | 1 Kneeland Street, Tufts University School of Dental Me, Boston, MA 02111 | 2019-07-31 |
| 1033771944 | Faris Khalifa | Student in an Organized Health Care Education/Training Program | 1 Kneeland Street, 5th Floor, Boston, MA 02111 | 2019-07-01 |
| 1609437276 | Blair Hanna Ray Farbstein | Student in an Organized Health Care Education/Training Program | 1 Kneeland Street, 3rd Floor, Boston, MA 02111 | 2019-06-25 |
| 1821658709 | Jennifer Drummond | Internal Medicine | 800 Washington St. Gme Office, Boston, MA 02111 | 2019-06-13 |
| Find all providers in zip 02111 | ||||
| Taxonomy Code | 2080P0207X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Hematology-Oncology |
| A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases. |
| 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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558788869 | John Prensner | Pediatrics | 44 Binney St Bldg Floor3, Boston, MA 02115-6013 | 2014-03-25 |
| 1649556879 | Yasser Elborai | Pediatrics | 450 Brookline Ave # Sw301, Boston, MA 02215-5418 | 2011-11-02 |
| 1386834422 | Sonia Franco | Pediatrics | 1 Blackfan Cir, Karp Rbo9006f, Boston, MA 02115-5713 | 2007-07-25 |
| 1841354941 | Todd R Golub | Pediatrics | Dana-farber Cancer Inst, 44 Binney Street, Boston, MA 02115 | 2006-12-21 |
| 1184702722 | Daniel P. Kronish | Pediatrics | 66 Revere St, Boston, MA 02114-4405 | 2006-11-01 |
| 1992766984 | Jennifer S Whangbo | Pediatrics | 44 Binney Street, Dana 3, Dana Farber Cancer Institute, Boston, MA 02115 | 2006-03-29 |
| 1902874241 | Kapil Saxena | Pediatrics | 300 Longwood Ave # Fegan707, Children's Hospital Boston, Boston, MA 02115-5724 | 2006-03-11 |
| 1912900507 | Carlos Rodriguez-galindo | Pediatrics | 44 Binney St, Sw350, Boston, MA 02115-6013 | 2005-05-27 |
| 1134547532 | Ulrike Gerdemann | Pediatrics | 450 Brookline Ave, Boston, MA 02215-5450 | 2014-04-02 |
| 1366869257 | Kirsty Hillier | Pediatrics | 450 Brookline Ave, Boston, MA 02215 | 2014-03-28 |
| Find all providers in BOSTON | ||||
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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.