ANJAN R SHAH (NPI# 1104091933) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104091933 |
| Entity Type | Individual |
| Full Name | ANJAN R SHAH |
| Credential | M.D. |
| Practice Address |
560 S Lakewood Dr Ste 101 Brandon FL 33511-5016 |
| Mailing Address |
13020 N Telecom Pkwy Temple Terrace FL 33637-0925 |
| Practice Telephone | 8139789700 |
| Practice Fax Number | 8135586434 |
| Mailing Telephone | 8139789700 |
| Mailing Fax Number | 8135586186 |
| Enumeration Date | 2008-04-23 |
| Last Update Date | 2020-01-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | ME100905 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 000065200 | 05 | |
| FL | AVMED | 316383 | 01 |
| FL | CIGNA | 7794524 | 01 |
| FL | AETNA | 9595150 | 01 |
| FL | BLUECROSS BLUESHIELD | 30332 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609847680 | Anjan Shah | Internal Medicine | 1200 N Phillips Ave, Suite 3900, Oklahoma City, OK 73104-4600 | 2006-01-30 |
| 1093057747 | Anjan Shah | Anesthesiology | 1 Gustave L Levy Pl, Anesthesiology - Box 1010, New York, NY 10029-6504 | 2013-03-20 |
| Street Address |
560 S LAKEWOOD DR STE 101 |
| City | BRANDON |
| State | FL |
| Zip Code | 33511-5016 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104853704 | Amanda Renea Porter | Physician Assistant | 560 S Lakewood Dr Ste 101, Brandon, FL 33511-5016 | 2006-06-27 |
| 1174158042 | Daniel Morgan Stuart | Specialist/Technologist | 560 S Lakewood Dr Ste 101, Brandon, FL 33511-5015 | 2020-03-11 |
| 1871134585 | Jordan Stone | Nurse Practitioner | 560 S Lakewood Dr Ste 101, Brandon, FL 33511-5015 | 2019-10-03 |
| 1699329375 | Cassandra Sunisa Turchany | Physician Assistant | 560 S Lakewood Dr Ste 101, Brandon, FL 33511-5015 | 2019-07-30 |
| 1467917450 | Chandler Diedrich | Physician Assistant | 560 S Lakewood Dr Ste 101, Brandon, FL 33511-5015 | 2019-02-05 |
| 1023591674 | Annette M Frechette-lynn | Physician Assistant | 560 S Lakewood Dr Ste 101, Brandon, FL 33511-5016 | 2018-09-10 |
| 1144562448 | Evan Michael Loewy | Orthopaedic Surgery | 560 S Lakewood Dr Ste 101, Brandon, FL 33511-5015 | 2013-03-25 |
| 1750538906 | Musculoskeletal Institute Chartered | Clinic/Center | 560 S Lakewood Dr Ste 101, Brandon, FL 33511-5015 | 2008-08-19 |
| 1225191729 | Musculoskeletal Institute Chartered | Prosthetic/Orthotic Supplier | 560 S Lakewood Dr Ste 101, Brandon, FL 33511 | 2006-12-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295367555 | Ability Beyond Measures LLC. | Clinic/Center | 2705 Isabella Valley Court, Brandon, FL 33511 | 2020-02-05 |
| 1831744655 | Brandon Modern Dentistry, Pa | Dentist | 971 E. Bloomingdale Avenue, Brandon, FL 33511 | 2019-08-08 |
| 1487208922 | Heart and Vascular Center of Brandon, Pllc | Internal Medicine | 511 Medical Oaks Ave., Brandon, FL 33511 | 2019-08-01 |
| 1841842895 | Rebecca Harrelson | Counselor | 915 Oakfield Drive, Suite E, Brandon, FL 33511 | 2019-07-10 |
| 1043779713 | Cheryl Diane Hart | Nurse Practitioner | 888 S Parsons Ave., Brandon, FL 33511 | 2019-03-13 |
| 1306303177 | Paula J Buchwald | Nurse Practitioner | 888 S. Parsons Ave, Brandon, FL 33511 | 2019-02-27 |
| 1063993996 | Ashlee Marie Shevchenko | Speech-Language Pathologist | 602 Vondeburg Dr, Suite 201, Brandon, FL 33511 | 2018-08-28 |
| 1275023012 | Ava Cares, LLC | Assisted Living Facility | 3005 Bell Shoals Rd., Brandon, FL 33511 | 2018-05-17 |
| 1346738705 | Tampa Psychology Group | Psychologist | 1463 Oakfield Dr Ste 109, Brandon, FL 33511 | 2018-05-01 |
| 1760982987 | Suresh Lama Tamang | Counselor | 510 Vonderburg Dr, Suite# 301, Brandon, FL 33511 | 2018-02-14 |
| Find all providers in zip 33511 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265469720 | Keith J Simon | Orthopaedic Surgery | 230 S Moon Ave, Brandon, FL 33511-5704 | 2006-06-28 |
| 1720042609 | Fabio F Fiore | Orthopaedic Surgery | 803 S Parsons Ave, Brandon, FL 33511 | 2006-04-17 |
| 1912903204 | Thomas M Davison | Orthopaedic Surgery | 305 E Brandon Blvd, Brandon, FL 33511-5222 | 2005-06-22 |
| 1407489172 | Musculoskeletal Institute Chartered | Orthopaedic Surgery | 721 W Robertson St, Brandon, FL 33511-4934 | 2020-02-20 |
| 1134462906 | Matthew Richard Moralle | Orthopaedic Surgery | 615 Vonderburg Dr, Brandon, FL 33511 | 2013-03-31 |
| 1144562448 | Evan Michael Loewy | Orthopaedic Surgery | 560 S Lakewood Dr Ste 101, Brandon, FL 33511-5015 | 2013-03-25 |
| 1356620330 | Thao Phuong Nguyen | Orthopaedic Surgery | 615 Vonderburg Dr, Brandon, FL 33511 | 2011-08-09 |
| 1104051598 | Adam F Jester | Orthopaedic Surgery | 615 Vonderburg Dr, Brandon, FL 33511 | 2009-05-28 |
| 1477788867 | Mark J Sando | Orthopaedic Surgery | 615 Vonderburg Dr, Brandon, FL 33511-5972 | 2009-05-28 |
| 1225202575 | Michael A Miranda | Orthopaedic Surgery | 305 E Brandon Blvd, Brandon, FL 33511-5222 | 2008-04-17 |
| Find all providers in BRANDON | ||||
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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.