SHIVAM SHAH (NPI# 1144640061) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144640061 |
| Entity Type | Individual |
| Full Name | SHIVAM SHAH |
| Practice Address |
255 W Lancaster Ave Paoli PA 19301-1763 |
| Mailing Address |
Po Box 678678 Dallas TX 75267-8678 |
| Practice Telephone | 4845651596 |
| Practice Fax Number | 6108890813 |
| Mailing Telephone | 8004756112 |
| Mailing Fax Number | 4238261286 |
| Enumeration Date | 2014-04-17 |
| Last Update Date | 2020-10-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
MD472121 | PA | Allopathic & Osteopathic Physicians |
| Y | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
MD472121 | PA | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 1D6800 | 05 | |
| PA | 1D6795 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1249 White Dr, North Brunswick, NJ 089021785 | 7738601318 |
| Street Address |
255 W LANCASTER AVE |
| City | PAOLI |
| State | PA |
| Zip Code | 19301-1763 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679576144 | Victoriya K Hageney | Internal Medicine | 255 W Lancaster Ave, Paoli, PA 19301-1763 | 2005-05-27 |
| 1548874597 | Tam T Nguyen | Registered Nurse | 255 W Lancaster Ave, Paoli, PA 19301-1763 | 2020-09-06 |
| 1447864020 | Monica Anne Disipio | Nurse Practitioner | 255 W Lancaster Ave, Paoli, PA 19301-1763 | 2020-09-01 |
| 1194340786 | Natalie Toner | Physician Assistant | 255 W Lancaster Ave, Paoli, PA 19301-1763 | 2020-06-10 |
| 1932732138 | Cynthia Ayoki Okech | Registered Nurse | 255 W Lancaster Ave, Paoli, PA 19301-1763 | 2020-02-15 |
| 1013552983 | Ashley Diane Olley | Physician Assistant | 255 W Lancaster Ave, Paoli, PA 19301-1763 | 2019-11-14 |
| 1982247078 | Kelsy Kauffman | Physician Assistant | 255 W Lancaster Ave, Paoli, PA 19301-1763 | 2019-10-22 |
| 1245880707 | Melissa Ann Stefanosky | Physician Assistant | 255 W Lancaster Ave, Paoli, PA 19301-1763 | 2019-09-17 |
| 1558923425 | Cara Rose Weinstein | Genetic Counselor, MS | 255 W Lancaster Ave, Paoli, PA 19301-1763 | 2019-07-01 |
| 1780240887 | Rachel Michalek | Nurse Practitioner | 255 W Lancaster Ave, Paoli, PA 19301-1763 | 2019-05-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588280333 | Mary Callery | Physical Therapy Assistant | 16 Industrial Blvd., Ste. 101, Paoli, PA 19301 | 2020-06-17 |
| 1871097519 | Daniel Malloy-good | Social Worker | 45 Darby Rd Ste E4, Paoli, PA 19301 | 2018-03-19 |
| 1306354774 | Patricia Obilo-azandegbe | Counselor | 30 S Valley Rd Ste 101, Paoli, PA 19301 | 2018-01-18 |
| 1275992877 | Jessica Bernard | Physical Therapist | 40 Darby Rd Ste 1, Paoli, PA 19301 | 2016-02-11 |
| 1730576364 | Ushma Sheth | Podiatrist | 250 W Lancaster Ave Ste 225, Paoli, PA 19301 | 2015-04-21 |
| 1619371432 | Miriam Leslie Brewer | Physical Therapist | 195 W Lancaster Ave #3, Paoli, PA 19301 | 2014-10-22 |
| 1447665393 | Matthew Rementer | Podiatrist | 254 West Lancaster Ave, Paoli, PA 19301 | 2014-06-29 |
| 1720490915 | Edward Anthony Romero | Surgery | 255 W Lancaster Ave Ste 332, Paoli, PA 19301 | 2014-05-22 |
| 1285053421 | Jose Ethan Pulido | Urology | 2 Industrial Blvd Bldg C Ste 120, Paoli, PA 19301 | 2014-04-15 |
| 1093065849 | Kathleen M Canfield | Physician Assistant | 11 Industrial Blvd., Ste 204, Paoli Pointe Med. Office Bldg, Paoli, PA 19301 | 2012-09-19 |
| Find all providers in zip 19301 | ||||
| Taxonomy Code | 2085R0204X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Vascular & Interventional Radiology |
| A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669930798 | Mvc Pa Pllc | Radiology | 4262 Old William Penn Hwy Ste 209, Murrysville, PA 15668-1954 | 2019-03-07 |
| 1205296209 | Interventional Solutions Inc. | Radiology | 333 Allegheny Ave Ste 200, Oakmont, PA 15139-2072 | 2016-03-03 |
| 1861857906 | Lehigh Valley Vascular Institute LLC | Radiology | 3450 High Point Blvd, Bethlehem, PA 18017-7801 | 2015-12-16 |
| 1447647102 | Fresenius Vascular Care Pottstown LLC | Radiology | 2217 E High St, Pottstown, PA 19464-3215 | 2015-04-21 |
| 1891119764 | Aaron Shiloh, Md LLC | Radiology | 715 Cherry Ln, Suite 100, Southampton, PA 18966-3936 | 2014-02-12 |
| 1396081857 | Shante D Bennett | Radiology | 503 North 21st St, Camp Hill, PA 17011 | 2013-01-02 |
| 1326310806 | Pa Vascular Institute LLC | Radiology | 505 Independence Rd Ste E, East Stroudsburg, PA 18301-7916 | 2012-01-31 |
| 1699090654 | Guillaume Boiteau | Radiology | 220 S Home Ave, Apt # 404, Pittsburgh, PA 15202-2844 | 2010-04-02 |
| 1184854531 | John Yoon | Radiology | 9 N 9th St Unit 510, Philadelphia, PA 19107-3154 | 2009-07-20 |
| 1831353879 | Pennsylvania Phlebology Group PC | Radiology | 707 Eagleview Blvd Ste 303, Exton, PA 19341-1159 | 2008-07-17 |
| 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.