DR. JAY AJIT SHAH (NPI# 1215162318) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215162318 |
| Entity Type | Individual |
| Full Name | DR. JAY AJIT SHAH |
| Credential | MD |
| Practice Address |
29345 Sw Town Center Loop E Ste 110 Wilsonville OR 97070 |
| Mailing Address |
Po Box 3158 Portland OR 97208-3158 |
| Practice Telephone | 5035822100 |
| Practice Fax Number | 5035822101 |
| Enumeration Date | 2009-05-19 |
| Last Update Date | 2020-10-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | MD166559 | OR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 500673576 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346656873 | Jay Shah | Radiology | 11327 N Daisy Rd, Dunlap, IL 61525-9436 | 2014-07-04 |
| 1538571997 | Jay Shah | Student in an Organized Health Care Education/Training Program | 41 Burlington Mall Rd, Burlington, MA 01805-3134 | 2014-05-20 |
| 1609134535 | Jay Shah | Anesthesiology | 8424 E Shea Blvd Ste 101, Scottsdale, AZ 85260-6662 | 2012-04-28 |
| 1497989164 | Jay Naresh Shah | Orthopaedic Surgery | 100 Healthy Way Ste 1200, Anderson, SC 29621-7916 | 2009-05-11 |
| 1366632440 | Jay Shah | Family Medicine | 5541 Telegraph Road, #216, Saint Louis, MO 63129-3554 | 2007-07-26 |
| 1881665495 | Jay Pravin Shah | Obstetrics & Gynecology | 6650 Alton Pkwy # 2, Irvine, CA 92618-3734 | 2006-01-31 |
| 1457973133 | Jay Shah | Internal Medicine | 28050 Grand River Ave, Farmington Hills, MI 48336-5919 | 2020-05-15 |
| 1770111676 | Jay Shah | Family Medicine | 9555 S 52nd Ave, Oak Lawn, IL 60453-3054 | 2020-03-28 |
| 1154827970 | Jay Akshay Shah | Student in an Organized Health Care Education/Training Program | 450 Clarkson Ave # 59, Brooklyn, NY 11203-2012 | 2018-04-02 |
| 1003346354 | Jay Shah | Student in an Organized Health Care Education/Training Program | 355 Grand St, Jersey City, NJ 07302-4321 | 2017-06-19 |
| Street Address |
29345 SW TOWN CENTER LOOP E STE 110 |
| City | WILSONVILLE |
| State | OR |
| Zip Code | 97070 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821621152 | Louise Olivia Kindell | Psychologist | 29345 Sw Town Center Loop E Ste 110, Wilsonville, OR 97070-8486 | 2020-02-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457995896 | Rosalyn Sharon Mckinney | Technician | 7798 Sw Vlahos Dr, Wilsonville, OR 97070 | 2019-10-29 |
| 1275027393 | Oregon Regeneration Stem Cell Medical Center, LLC | Chiropractor | 29781 Sw Town Center Loop, Wilsonville, OR 97070 | 2018-06-21 |
| 1073050472 | Kirstin Marie Lauritzen | Chiropractor | 25589 Sw Canyon Creek Rd Ste 100, Wilsonville, OR 97070 | 2017-01-23 |
| 1932642220 | Nicole Galasso | Occupational Therapy Assistant | 25117 Sw Parkway Avenue Suite D, Wilsonville, OR 97070 | 2016-11-18 |
| 1508317512 | Justin Langlais | Naturopath | 25195 Sw Parkway Ave Ste 210, Wilsonville, OR 97070 | 2016-10-14 |
| 1518411149 | Stephanie Tran | Optometrist | 29250 Town Center Loop W, Wilsonville, OR 97070 | 2016-08-11 |
| 1346610607 | Rachel Ziegler | Occupational Therapy Assistant | 25117 Sw Parkway Ave Suite D, Willsonville, OR 97070 | 2015-09-30 |
| 1992184238 | Michelle Miranda | Counselor | 30150 Sw Parkway Ave Ste 300, Wilsonville, OR 97070 | 2015-05-19 |
| 1609275007 | Ryan Bridges | Dentist | 30040 Sw Boones Ferry Rd Ste 20, Wilsonville, OR 97070 | 2014-08-21 |
| 1649604018 | Jason Russell James | Physical Therapist | 29174 Sw Town Center Loop W # 202b, Wilsonville, OR 97070 | 2013-08-21 |
| Find all providers in zip 97070 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083266985 | Peak Medical Group LLC | Family Medicine | 8770 Sw Illahee Ct Apt 310, Wilsonville, OR 97070-8488 | 2019-07-10 |
| 1740216472 | Pompy Z Goswami | Family Medicine | 29345 Sw Town Center Loop E, Suite 110, Wilsonville, OR 97070-9465 | 2006-06-24 |
| 1629365382 | Armasabille Navalon Ermita | Family Medicine | 29345 Sw Town Center Loop E, Suite 110, Wilsonville, OR 97070-8486 | 2011-07-01 |
| 1821179151 | Terry L Davis | Family Medicine | 29345 Sw Town Center Loop E, Suite 110, Wilsonville, OR 97070-8486 | 2006-10-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992306344 | Emily Herrmann | Family Medicine | 1965 Alder St, Eugene, OR 97405-2937 | 2020-11-03 |
| 1366041071 | Christina Cabelly | Family Medicine | 16305 Sw Loon Dr, Beaverton, OR 97007-8989 | 2020-10-23 |
| 1386242790 | Rose City Medical Clinic LLC | Family Medicine | 11397 Se Cascade View Ct, Clackamas, OR 97086-9753 | 2020-10-16 |
| 1346847332 | Jasmine Barnhart | Family Medicine | 1935 Canyon Ave, Medford, OR 97504-2128 | 2020-10-03 |
| 1255949434 | Deep Creek Family Medicine | Family Medicine | 39084 Proctor Blvd Ste A, Sandy, OR 97055-8064 | 2020-07-14 |
| 1316569635 | Doctors On Video | Family Medicine | 13215 Sw Hawks Beard St Apt 726, Tigard, OR 97223-2125 | 2020-05-08 |
| 1710510094 | Gresham Family Care Inc | Family Medicine | 1800 Blankenship Rd Ste 350, West Linn, OR 97068-4182 | 2020-02-14 |
| 1962041707 | Shift Bend Functional Medicine | Family Medicine | 151 Sw Shevlin Hicks Dr, Suite #1, Bend, OR 97702 | 2019-12-26 |
| 1083252472 | Driven Enterprises PC | Family Medicine | 20700 Wandalea Dr, Bend, OR 97701-1594 | 2019-12-16 |
| 1891331195 | Praxis Medical Group Inc | Family Medicine | 1426 Oak Street, Eugene, OR 97401-4043 | 2019-11-21 |
| Find all providers with the same taxonomy | ||||
| City | WILSONVILLE |
| Zip Code | 97070 |
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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.