SHUBHA SHASTRY (NPI# 1124387048) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124387048 |
| Entity Type | Individual |
| Full Name | SHUBHA SHASTRY |
| Credential | MD, PHD |
| Practice Address |
370 E Ridge Rd Rochester NY 14621-1240 |
| Mailing Address |
370 E Ridge Rd Suite 20 Rochester NY 14621-1240 |
| Practice Telephone | 5859220400 |
| Enumeration Date | 2012-05-12 |
| Last Update Date | 2014-01-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
267196 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 03725091 | 05 | |
| NY | 01131126/RGH | 05 |
| Street Address |
370 E RIDGE RD |
| City | ROCHESTER |
| State | NY |
| Zip Code | 14621-1240 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811960073 | John Hausle | Internal Medicine | 370 E Ridge Rd, Suite 400, Rochester, NY 14621-1240 | 2006-02-08 |
| 1174878086 | Michael Joseph Macikowski | Physician Assistant | 370 E Ridge Rd, Rochester, NY 14621-1240 | 2012-07-17 |
| 1346505492 | Jennifer L Hefley | Nurse Practitioner | 370 E Ridge Rd, Suite 20, Rochester, NY 14621-1240 | 2012-07-05 |
| 1841584042 | Seema Hameed | Internal Medicine | 370 E Ridge Rd, Rochester, NY 14621 | 2011-06-06 |
| 1437312956 | Ana Molovic-kokovic | Internal Medicine | 370 E Ridge Rd, Rochester, NY 14621-1240 | 2008-07-03 |
| 1104926062 | Douglas H Potter | Internal Medicine | 370 E Ridge Rd, Suite 400, Rochester, NY 14621-1240 | 2006-09-22 |
| 1770695215 | Chao-yu Yu Hsu | Internal Medicine | 370 E Ridge Rd, Rgh Nephrology @ Seneca Ridge, Rochester, NY 14621-1240 | 2006-08-31 |
| 1053379859 | Farokh Foroozesh | Internal Medicine | 370 E Ridge Rd, Rochester, NY 14621-1240 | 2006-05-02 |
| 1538132659 | Betty Zillmann | Nurse Practitioner | 370 E Ridge Rd, Suite 400, Rochester, NY 14621-1240 | 2006-02-09 |
| 1225001217 | David Terp | Physician Assistant | 370 E Ridge Rd, Suite 400, Rochester, NY 14621-1240 | 2006-02-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619515327 | Patti Humphrey | Occupational Therapist | 1831 Ridge Rd. East, Rochester, NY 14621 | 2019-12-12 |
| 1861956682 | Sonya Thomas | Counselor | Sonya Thomas, 490 East Ridge Road, Rochester, NY 14621 | 2019-01-25 |
| 1811478357 | Laura Iannella | Student in an Organized Health Care Education/Training Program | 1455 East Ridge, Rochester, NY 14621 | 2018-08-23 |
| 1982180345 | Naman Sharma | Student in an Organized Health Care Education/Training Program | Rochester General Hospital, 1425 Portland Avenue, Rochester, NY 14621 | 2018-07-18 |
| 1699213447 | Kara Mcallister | Nurse Practitioner | 370 East Ridge Road, Suite 400, Rochester, NY 14621 | 2017-02-01 |
| 1285082982 | Universal Care Services, LLC | In Home Supportive Care | 64 Delamaine Drive, Rochester, NY 14621 | 2016-06-03 |
| 1700243896 | Kenroy King I | Registered Nurse | 67 Warsaw Street, Rochester, NY 14621 | 2016-01-21 |
| 1154794808 | Shari Venisee | Licensed Practical Nurse | 67 Carthage St, Rochester, NY 14621 | 2015-11-03 |
| 1114349024 | Anthony Michael Plavsity | Registered Nurse | 1450 Clifford Ave, Rochester, NY 14621 | 2014-01-11 |
| 1033541107 | The Community Place of Greater Rochester, Inc | Case Management | 500 Carter Street, Rochester, NY 14621 | 2013-07-31 |
| Find all providers in zip 14621 | ||||
| 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 |
|---|---|---|---|---|
| 1710273685 | Fatima Rizwan Khalid | Internal Medicine | 601 Elmwood Ave Box 675, Rochester, NY 14642 | 2011-06-20 |
| 1396846317 | Thu Huy Le | Internal Medicine | 601 Elmwood Ave Ste 675, Rochester, NY 14642-0001 | 2006-09-25 |
| 1821037045 | Robert R Mayo | Internal Medicine | 370 E Ridge Rd Ste 20, Rochester, NY 14621-1239 | 2006-06-05 |
| 1205829744 | James Anthony Sloand | Internal Medicine | 335 Mount Vernon Ave, Rochester, NY 14620-2736 | 2005-08-30 |
| 1992318406 | Amogh Agrawal | Internal Medicine | 200 1st St Sw, Rochester, MN 55905-0002 | 2020-08-25 |
| 1306383104 | Andrew John Bentall | Internal Medicine | 200 1st St Sw, Rochester, MN 55905-0001 | 2017-01-31 |
| 1639529837 | Carissa Yanson Dumancas | Internal Medicine | 200 1st St Sw, Rochester, MN 55905-0001 | 2016-06-17 |
| 1063860559 | Jing Miao | Internal Medicine | 200 1st St Sw, Rochester, MN 55905-0001 | 2016-05-25 |
| 1639532963 | Lagu Alfred Androga | Internal Medicine | 200 1st St Sw, Rochester, MN 55905-0001 | 2016-04-04 |
| 1821473109 | Ranine Ghamrawi | Internal Medicine | 200 1st St Sw, Rochester, MN 55905 | 2015-07-28 |
| Find all providers in ROCHESTER | ||||
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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.