JHARNA NITIN SHAH (NPI# 1083935670) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083935670 |
| Entity Type | Individual |
| Full Name | JHARNA NITIN SHAH |
| Credential | MD |
| Practice Address |
800 Prudential Dr Ste 1100 Jacksonville FL 32207 |
| Mailing Address |
800 Prudential Dr Fl B11 Jacksonville FL 32207-8202 |
| Practice Telephone | 9043886518 |
| Practice Fax Number | 9043841005 |
| Mailing Telephone | 9043886518 |
| Mailing Fax Number | 9043841005 |
| Enumeration Date | 2010-06-17 |
| Last Update Date | 2019-10-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
ME142041 | FL | Allopathic & Osteopathic Physicians |
| N | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
MD458472 | PA | Allopathic & Osteopathic Physicians |
| N | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
BP10037316 | TX | Allopathic & Osteopathic Physicians |
| Y | 2084A2900X |
Psychiatry & Neurology Specialization: Neurocritical Care |
ME142041 | FL | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1709 Dryden Rd, # 5.70, Houston, TX 770302400 | 7137980190 |
| Street Address |
800 PRUDENTIAL DR STE 1100 |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32207 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437487709 | Andrew Brian Shaw | Neurological Surgery | 800 Prudential Dr Ste 1100, Jacksonville, FL 32207-8202 | 2009-11-25 |
| 1538529235 | Sarah Schumacher Decker | Nurse Practitioner | 800 Prudential Dr Ste 1100, Jacksonville, FL 32207-8202 | 2016-02-24 |
| 1104200450 | Heather Marie Bean | Nurse Practitioner | 800 Prudential Dr Ste 1100, Jacksonville, FL 32207-8202 | 2015-07-16 |
| 1538549944 | Laura Mclauchlin | Nurse Practitioner | 800 Prudential Dr Ste 1100, Jacksonville, FL 32207-8202 | 2015-06-02 |
| 1346656709 | Lynne H Conderman | Nurse Practitioner | 800 Prudential Dr Ste 1100, Jacksonville, FL 32207-8202 | 2014-07-07 |
| 1881008407 | Adrian Rowda | Nurse Practitioner | 800 Prudential Dr Ste 1100, Jacksonville, FL 32207-8202 | 2014-06-12 |
| 1639506199 | Kacie June Brewer | Physician Assistant | 800 Prudential Dr Ste 1100, Jacksonville, FL 32207 | 2013-09-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033768981 | North Florida Pediatrics, Pa | Pediatrics | 4501 Atlantic Boulevard, Jacksonville, FL 32207 | 2019-09-04 |
| 1578117024 | Pragna Mukesh Dholakia | Nurse Practitioner | 2624 Atlantic Blvd., Jacksonville, FL 32207 | 2019-08-01 |
| 1821653601 | The Adoption Authority, Inc. | Case Management | 4940 Emerson Street, Suite 103, Jacksonville, FL 32207 | 2019-05-07 |
| 1255896080 | Elizabeth Lynn Houghton | Social Worker | Sulzbacher Village, 904-720-2079, Jacksonville, FL 32207 | 2019-02-06 |
| 1902374630 | Guilherme Jose Agnoletto | Neurological Surgery | 800 Prudential Drive Weaver Tower 11th Floor, Jacksonville, FL 32207 | 2018-11-12 |
| 1073008504 | Pavilion Infusion Therapy Inc | Durable Medical Equipment & Medical Supplies | 1301 Palm Avenue, Suite 220, Jacksonville, FL 32207 | 2018-06-27 |
| 1346733185 | Dueseason1 | Registered Nurse | 4058 Saint Augustine Rd, Jacksonville, FL 32207 | 2018-06-06 |
| 1164911913 | Eric Lang Poovey | Nurse Practitioner | Baptist Heart Specialists, 836 Prudential Drive Suite 1700, Jacksonville, FL 32207 | 2018-05-08 |
| 1902311046 | Spring Park Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 3851 Emerson St Ste 13, Jacksonville, FL 32207 | 2017-12-12 |
| 1295247948 | Emed Urgent and Primary Care Pa | Clinic/Center | 2570 Atlantic Boulevard, Jacksonville, FL 32207 | 2017-11-02 |
| Find all providers in zip 32207 | ||||
| Taxonomy Code | 2084A2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurocritical Care |
| The medical subspecialty of Neurocritical Care is devoted to the comprehensive, multisystem care of the critically-ill neurological patient. Like other intensivists, the neurointensivist generally assumes the primary role for coordinating the care of his or her patients in the ICU, both the neurological and medical management of the patient. They may also provide consultative services for these patients as requested within the health system. |
| Notes: Source: Adapted from the United Council for Neurologic Subspecialties website definition at: http://www.ucns.org/go/subspecialty/neurocritical [7/1/2016: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346223641 | William Freeman | Psychiatry & Neurology | 4500 San Pablo Rd S, Jacksonville, FL 32224-1865 | 2005-11-22 |
| City | JACKSONVILLE |
| Zip Code | 32207 |
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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.