KIRIT S SHAH (NPI# 1184660813) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184660813 |
| Entity Type | Individual |
| Full Name | KIRIT S SHAH |
| Credential | MD |
| Practice Address |
171 Ne 102nd Avenue Portland OR 97220-4169 |
| Practice Telephone | 5032546418 |
| Practice Fax Number | 5032541029 |
| Mailing Telephone | 5032546418 |
| Mailing Fax Number | 5032541029 |
| Enumeration Date | 2006-06-21 |
| Last Update Date | 2012-08-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | MD12620 | OR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 226662 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386716090 | Kirit C Shah | Psychiatry & Neurology | 800 8th Ave Ste 636, Fort Worth, TX 76104-2617 | 2006-11-15 |
| 1003987298 | Kirit C Shah | Family Medicine | 6252 S Archer Rd, Summit, IL 60501-1720 | 2006-11-10 |
| 1699783035 | Kirit C. Shah | Internal Medicine | 900 S 1st Ave, Suite A, Arcadia, CA 91006-3919 | 2006-08-03 |
| 1306827647 | Kirit Ray Shah | Internal Medicine | 30055 Northwestern Hwy, Ste 220, Farmington Hills, MI 48334-3230 | 2005-11-11 |
| Street Address |
171 NE 102ND AVENUE |
| City | PORTLAND |
| State | OR |
| Zip Code | 97220-4169 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316569254 | Debra Shamblin | Behavioral Analyst | 150 Ne 100th Ave, Portland, OR 97220 | 2020-05-14 |
| 1336780618 | Joan Lambert | Technician | 2802 Ne 108th Avenue, Portland, OR 97220 | 2019-10-08 |
| 1750933917 | Multnomah County | Clinic/Center | 11540 Ne Inverness Dr., Inverness Jail, Portland, OR 97220 | 2019-07-09 |
| 1194223107 | Landmark Connect of Oregon PC | General Practice | 5933 Ne Win Sivers Dr Ste 310, Portland, OR 97220 | 2018-01-24 |
| 1487178711 | Andrew Shonk | Massage Therapist | 163 Ne 102nd Ave Blid V, Portland, OR 97220 | 2017-07-28 |
| 1548781693 | Greater New Hope Family Services | Lodging | 11868 Ne Sandy Blvd, Portland, OR 97220 | 2017-06-29 |
| 1245771740 | Maria Teresa Banez Salcedo | Registered Nurse | 10300 Ne Hancock Street, Portland, OR 97220 | 2017-03-16 |
| 1568901858 | Christopher Gabriel Lyons | Adult Companion | 1343 Ne 118 Ave. Apt5, Portland, OR 97220 | 2017-02-20 |
| 1962945956 | Linda Ann Oldenburg | Registered Nurse | 9515 Ne Skidmore Avenue, Portland, OR 97220 | 2016-11-23 |
| 1326493446 | Trent D. Wilson | Massage Therapist | 8401 Ne Halsey St., Suite 101, Portland, OR 97220 | 2016-04-26 |
| Find all providers in zip 97220 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376885418 | Sasha Courand Druskin | Urology | 2226 Nw Pettygrove St, Portland, OR 97210-2608 | 2013-03-26 |
| 1871837468 | Kirit S Shah M.d., P.C. | Urology | 171 Ne 102nd Ave, Portland, OR 97220-4169 | 2012-11-20 |
| 1730484544 | James Bresee | Urology | 9135 Sw Barnes Rd Ste 663, Portland, OR 97225 | 2011-01-26 |
| 1538332291 | James T Pappas, Md, PC | Urology | 5050 Ne Hoyt St Ste 428, Portland, OR 97213-2984 | 2008-04-02 |
| 1679775241 | James Francis Tycast | Urology | 2230 Nw Pettygrove St Ste 210, Portland, OR 97210-2659 | 2007-06-04 |
| 1255546982 | Nicholas A Boncher | Urology | 5050 Ne Hoyt St Ste 210, Portland, OR 97213-2980 | 2007-05-14 |
| 1740329366 | Jaroslava Zoubek | Urology | 800 Sw 13th Ave Ste 663, Portland, OR 97205-1902 | 2007-02-06 |
| 1992809966 | Bruce Henry Blank | Urology | 164 Nw Macleay Blvd, Portland, OR 97210-3323 | 2006-09-12 |
| 1396854121 | Michael J Raife | Urology | 727 S Wahanna Road, Portland, OR 97138-7735 | 2006-08-29 |
| 1134173032 | Christopher Lee Amling | Urology | 3303 Sw Bond Ave, Mail Code Ch10u, Ohsu, Urology, Portland, OR 97239 | 2006-05-22 |
| Find all providers in PORTLAND | ||||
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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.