DR. JAYESH B SHAH (NPI# 1205899325) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205899325 |
| Entity Type | Individual |
| Full Name | DR. JAYESH B SHAH |
| Credential | M.D. |
| Practice Address |
1000 E Mountain Blvd Wilkes Barre PA 18711-0027 |
| Mailing Address |
100 N Academy Ave Danville PA 17822-4903 |
| Practice Telephone | 5708088653 |
| Practice Fax Number | 5708088658 |
| Mailing Telephone | 5702716144 |
| Mailing Fax Number | 5702716578 |
| Enumeration Date | 2006-04-10 |
| Last Update Date | 2019-06-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080N0001X |
Pediatrics Specialization: Neonatal-Perinatal Medicine |
MD042382E | PA | Allopathic & Osteopathic Physicians |
| N | 2080N0001X |
Pediatrics Specialization: Neonatal-Perinatal Medicine |
17410 | WV | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 0007020000 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619299070 | Jayesh K Shah | Pharmacist | 99-1 Rte 25a, Shoreham, NY 11786 | 2010-02-25 |
| 1366556771 | Jayesh S Shah | Internal Medicine | 1426 W Busch Blvd Ste 105, Tampa, FL 33612-7648 | 2006-08-19 |
| 1184663627 | Jayesh R Shah | Emergency Medicine | 500 E Pottawatamie St, Tecumseh, MI 49286-2018 | 2006-06-06 |
| 1962404830 | Jayesh B Shah | Internal Medicine | 8811 Village Dr, Northeast Baptist Wound Healing Center, San Antonio, TX 78217-5415 | 2005-08-11 |
| Street Address |
1000 E MOUNTAIN BLVD |
| City | WILKES BARRE |
| State | PA |
| Zip Code | 18711-0027 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841292943 | Robert A Rostock | Specialist | 1000 E Mountain Blvd, Wilkes Barre, PA 18711-0027 | 2005-06-02 |
| 1396342994 | Haley Stackhouse | Physician Assistant | 1000 E Mountain Blvd, Wilkes Barre, PA 18711-0027 | 2020-10-06 |
| 1346852670 | Nicholas John Preston | Pharmacist | 1000 E Mountain Blvd, Wilkes Barre, PA 18711-0001 | 2020-08-18 |
| 1497363816 | Ashley Hine | Surgery | 1000 E Mountain Blvd, Wilkes Barre, PA 18711-0027 | 2020-07-22 |
| 1851919971 | Chelsea Pieshefski | Physician Assistant | 1000 E Mountain Blvd, Wilkes Barre, PA 18711-0027 | 2020-07-07 |
| 1437776150 | Alyssa M Callela | Physician Assistant | 1000 E Mountain Blvd, Wilkes Barre, PA 18711-0027 | 2020-06-29 |
| 1679199848 | Gabrielle Cristina Roberts | Physician Assistant | 1000 E Mountain Blvd, Wilkes Barre, PA 18711-0027 | 2020-06-23 |
| 1194341602 | Kylie Morgan Verespy | Physician Assistant | 1000 E Mountain Blvd, Wilkes Barre, PA 18711-0001 | 2020-06-20 |
| 1346865680 | Jillian Theresa Butkiewicz | Physician Assistant | 1000 E Mountain Blvd, Wilkes Barre, PA 18711-0027 | 2020-06-12 |
| 1902426711 | Belinda Sibanda | Student in an Organized Health Care Education/Training Program | 1000 E Mountain Blvd, Wilkes Barre, PA 18711-0001 | 2020-04-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467924274 | Leeann Kayal | Nurse Practitioner | 111 East End Boulevard, Wilkes Barre, PA 18711 | 2018-12-19 |
| 1336661701 | Patricia Dworak | Occupational Therapist | 1175 East Mountain Boulevard, Wilkes-barre, PA 18711 | 2017-07-07 |
| 1992160352 | Hope Danishanko | Social Worker | 111 East End Blvd, Wilkes Barre, PA 18711 | 2015-12-29 |
| 1477962785 | Jennifer L. Heck | Physical Therapist | 1140 Route 315, Suite 207, Wilkes-barre, PA 18711 | 2014-08-12 |
| 1821338807 | Melinda Flaim | Physical Therapist | 1555 East End Blvd, Wilkes Barre, PA 18711 | 2013-02-27 |
| 1598900953 | Elizabeth Patricia Keating | Pharmacist | 1000 East Mountain Drive, Wilkes Barre, PA 18711 | 2008-12-12 |
| 1457433294 | Christopher William O'brien | Specialist/Technologist | King's College, 133 North River Street, Wilkes-barre, PA 18711 | 2006-10-20 |
| 1821197450 | Louis Jay Freedman | Obstetrics & Gynecology | Valley Medical Building, 3rd Floor, 1010 East Mountain Boulevard, Wilkes-barre, PA 18711 | 2006-09-21 |
| 1730282625 | Natalia N Belikova | Internal Medicine | 1111 East End Boulvard, Wilkesbarre, PA 18711 | 2006-09-06 |
| 1609883628 | Va Medical Center | General Acute Care Hospital | 1111 East End Blvd., Wilkes-barre, PA 18711 | 2006-08-02 |
| Find all providers in zip 18711 | ||||
| Taxonomy Code | 2080N0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Neonatal-Perinatal Medicine |
| A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265534879 | Catherine C Muhumuza | Pediatrics | 1000 E Mountain Blvd, Wilkes Barre, PA 18711-0027 | 2006-09-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922595016 | St. Luke's Physician Group, Inc. | Pediatrics | 450 Chew St Fl 2, Allentown, PA 18102-3434 | 2018-04-16 |
| 1942671532 | Ian Gertner | Pediatrics | 3430 W Congress St, Allentown, PA 18104-2677 | 2015-10-08 |
| 1871810192 | Christine Marie Ennis | Pediatrics | 1512 Bensalem Blvd, Bensalem, PA 19020-2404 | 2010-04-26 |
| 1740443936 | Sulaiman Sannoh | Pediatrics | 2545 Schoenersville Rd Fl 3, Bethlehem, PA 18017-7300 | 2008-07-08 |
| 1568656981 | Mario Zichella Jr. | Pediatrics | 1025 Walnut Street, Suite 700, Philadelphia, PA 19107-3121 | 2007-08-29 |
| 1235333774 | Andrea Freeman Duncan | Pediatrics | 3401 Civic Center Blvd Fl 2, Philadelphia, PA 19104-4319 | 2007-06-11 |
| 1831302603 | Folasade Ibironke Kehinde | Pediatrics | 160 E Erie Ave Dept Of, Philadelphia, PA 19134-1011 | 2007-05-08 |
| 1851512685 | Andrew Meyer | Pediatrics | Cedar Crest Blvd & I78, Allentown, PA 18105 | 2007-05-01 |
| 1700918414 | Nicole Esther Cohen-addad | Pediatrics | 6039 Boardwalk Dr, Tobyhanna, PA 18466-3207 | 2007-03-09 |
| 1770610677 | Erika Maria Yencha | Pediatrics | Lehigh Valley Hospital, Cedar Crest & I78, Allentown, PA 18102-1556 | 2007-02-27 |
| Find all providers with the same taxonomy | ||||
| City | WILKES BARRE |
| Zip Code | 18711 |
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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.