MR. JAYKUMAR SHAH (NPI# 1154947323) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1154947323 |
Entity Type | Individual |
Full Name | MR. JAYKUMAR SHAH |
Credential | AGACNP - BC |
Practice Address |
6777 W Maple Rd West Bloomfield MI 48322-3013 |
Mailing Address |
4687 Sutherland Dr Troy MI 48085-3464 |
Practice Telephone | 2483250432 |
Enumeration Date | 2020-06-23 |
Last Update Date | 2020-08-03 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
4704274015 | MI | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225091242 | Jaykumar Harilal Shah | Family Medicine | 862 Second Street Pike, Richboro, PA 18954-1005 | 2006-04-10 |
1376514661 | Jaykumar H Shah | Internal Medicine | 623 W Duarte Rd, # 7, Arcadia, CA 91007-7330 | 2006-01-27 |
Street Address |
6777 W MAPLE RD |
City | WEST BLOOMFIELD |
State | MI |
Zip Code | 48322-3013 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497754816 | Lynne Camille Gafford | Nurse Practitioner | 6777 W Maple Rd, West Bloomfield, MI 48322-3013 | 2005-07-18 |
1740891639 | Teia Lee Irwin | Nurse Practitioner | 6777 W Maple Rd, West Bloomfield, MI 48322-3013 | 2020-08-13 |
1669098174 | Isaac Michael Peruski | Internal Medicine | 6777 W Maple Rd, West Bloomfield, MI 48322-3013 | 2020-06-20 |
1609490689 | Jessica Sassine Akl | Physician Assistant | 6777 W Maple Rd, West Bloomfield, MI 48322-3013 | 2020-06-04 |
1952922684 | Marie Giuseppa Diponio-hohl | Registered Nurse | 6777 W Maple Rd, West Bloomfield, MI 48322-3013 | 2020-05-05 |
1679194542 | Betsy Thomas | Registered Nurse | 6777 W Maple Rd, West Bloomfield, MI 48322-3013 | 2020-05-02 |
1952922841 | Hiba Nabil Issa | Pharmacist | 6777 W Maple Rd, West Bloomfield, MI 48322-3013 | 2020-05-01 |
1427692607 | Jenna E Buchman | Nurse Practitioner | 6777 W Maple Rd, West Bloomfield, MI 48322-3013 | 2019-10-31 |
1558911412 | Anne Renee Adelson | Physician Assistant | 6777 W Maple Rd, West Bloomfield, MI 48322-3031 | 2019-09-12 |
1316595408 | Sora Sheena Kashat | Nurse Practitioner | 6777 W Maple Rd, West Bloomfield, MI 48322-3013 | 2019-08-31 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700483492 | Life Saver Home Health, LLC | Home Health | 6436 Silverbrooke, West Bloomfield, MI 48322 | 2020-10-06 |
1316557374 | Gabrielle Benaderet | Speech-Language Pathologist | 6548 Heritage, West Bloomfield, MI 48322 | 2020-08-05 |
1437774197 | Madeline Gail Tenenbaum | Social Worker | 6800 W. Maple Rd., West Bloomfield, MI 48322 | 2020-06-09 |
1639705676 | Stephanie Cole | Social Worker | 5749 Crossgate, West Bloomfield, MI 48322 | 2020-03-22 |
1407409709 | Laura Elizabeth Large | Social Worker | Couseling Associates, Inc., 6960 Orchard Lake Rd. Ste. 100, W. Bloomfield, MI 48322 | 2019-07-17 |
1144796533 | Jaleesa Davis | Home Health Aide | 6436 Silverbrook W, West Bloomfield, MI 48322 | 2018-10-23 |
1912484411 | Mjl Therapy Pllc | Clinic/Center | 5745 West Maple Road Suite 213, West Bloomfield, MI 48322 | 2018-07-26 |
1396247847 | Martha Gomez-pedraza | Physical Therapist | 6200 Orchard Lake Rd - Suite Ll9, West Bloomfield, MI 48322 | 2018-03-01 |
1659872174 | Jennifer Marie O'connor | Physical Therapist | Beaumont Medical Center West Bloomfield, 6900 Orchard Lake Rd., Suite Ll09, West Bloomfield, MI 48322 | 2018-02-21 |
1851890834 | Naomi Marie Lang | Physical Therapy Assistant | 6535 Drake Rd. West, Bloomfield Township, MI 48322 | 2018-02-06 |
Find all providers in zip 48322 |
Taxonomy Code | 363LA2100X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Acute Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649602905 | Heather Elizabeth Jackson | Nurse Practitioner | 6286 Pepper Hill St, West Bloomfield, MI 48322-2301 | 2013-08-08 |
1033277132 | Sandra Oliver-mcneil | Nurse Practitioner | 6450 Farmington Rd Ste 200, West Bloomfield, MI 48322-4457 | 2006-12-04 |
1184256380 | Melissa Marie Rife | Nurse Practitioner | 2300 Haggerty Rd Ste 1010, West Bloomfield, MI 48323-2185 | 2020-02-06 |
1578050134 | Malgorzata Baumann | Nurse Practitioner | 6777 W Maple Rd, West Bloomfield, MI 48322-3013 | 2018-04-19 |
1194250514 | Tzuting Stevens | Nurse Practitioner | 6777 W Maple Rd, West Bloomfield, MI 48322-3013 | 2017-04-23 |
1215342761 | Lori Ellen Brown | Nurse Practitioner | 6777 W Maple Rd, West Bloomfield, MI 48322-3013 | 2014-06-24 |
1306285366 | Chiaojou Chiu | Nurse Practitioner | 6777 W Maple Rd, West Bloomfield, MI 48322 | 2013-06-22 |
1437407293 | Brian Michael Matyniak | Nurse Practitioner | 6777 W Maple Rd, Henery Ford West Bloofield Hospital, Dept of Surgery, West Bloomfield, MI 48322-3013 | 2012-08-27 |
1487902474 | Douglas Clayton Kinney | Nurse Practitioner | 6777 W Maple Rd, West Bloomfield, MI 48322-3013 | 2012-08-22 |
1306136015 | Krystin Marie Ches | Nurse Practitioner | 6777 W Maple Rd, West Bloomfield, MI 48322-3013 | 2011-04-14 |
Find all providers in WEST BLOOMFIELD |
City | WEST BLOOMFIELD |
Zip Code | 48322 |
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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.