LEENA SHAHLA (NPI# 1235489774) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1235489774 |
Entity Type | Individual |
Full Name | LEENA SHAHLA |
Credential | MD |
Practice Address |
4555 Emerson St Jacksonville FL 32207-4966 |
Mailing Address |
Po Box 44008 Jacksonville FL 32231-4008 |
Practice Telephone | 9043831004 |
Practice Fax Number | 9042445650 |
Mailing Telephone | 9043831004 |
Mailing Fax Number | 9042445650 |
Enumeration Date | 2012-09-12 |
Last Update Date | 2017-11-14 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207R00000X | Internal Medicine | ME132940 | FL | Allopathic & Osteopathic Physicians |
Y | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
ME132940 | FL | Allopathic & Osteopathic Physicians |
N | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
264613 | MA | Allopathic & Osteopathic Physicians |
Address | Telephone Number | Fax Number |
---|---|---|
55 Lake Ave N, Worcester, MA 016550002 | 5083341000 |
Street Address |
4555 EMERSON ST |
City | JACKSONVILLE |
State | FL |
Zip Code | 32207-4966 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669434494 | Amie G Deutch | Internal Medicine | 4555 Emerson St, Jacksonville, FL 32207-4966 | 2006-04-05 |
1407494875 | Kristina Worthington | Nutritionist | 4555 Emerson St, Jacksonville, FL 32207-4966 | 2019-12-17 |
1245617315 | Eliza Lynn Rivera | Physical Therapist | 4555 Emerson St, Suite # 220, Jacksonville, FL 32207-4966 | 2015-04-28 |
1003236910 | Christopher Aubrey | Specialist/Technologist | 4555 Emerson St, Suite 100, Jacksonville, FL 32207-4966 | 2014-04-17 |
1972839082 | Ron Schey | Internal Medicine | 4555 Emerson St, Jacksonville, FL 32207-4966 | 2009-10-23 |
1568639326 | Miguel Horacio Malespin | Internal Medicine | 4555 Emerson St, Building 1, Suite 300, Jacksonville, FL 32207-4966 | 2008-05-12 |
1265581243 | Christine Chmielewski | Specialist/Technologist, Other | 4555 Emerson St, Suite 100, Jacksonville, FL 32207-4966 | 2007-01-09 |
1982763652 | Mary Alizadeh | Internal Medicine | 4555 Emerson St, Suite 300, Jacksonville, FL 32207-4966 | 2006-12-08 |
1104869510 | John Murray | Plastic Surgery | 4555 Emerson St, Suite 230, Jacksonville, FL 32207-4966 | 2006-06-14 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033768981 | North Florida Pediatrics, Pa | Pediatrics | 4501 Atlantic Boulevard, Jacksonville, FL 32207 | 2019-09-04 |
1578117024 | Pragna Mukesh Dholakia | Nurse Practitioner | 2624 Atlantic Blvd., Jacksonville, FL 32207 | 2019-08-01 |
1821653601 | The Adoption Authority, Inc. | Case Management | 4940 Emerson Street, Suite 103, Jacksonville, FL 32207 | 2019-05-07 |
1255896080 | Elizabeth Lynn Houghton | Social Worker | Sulzbacher Village, 904-720-2079, Jacksonville, FL 32207 | 2019-02-06 |
1902374630 | Guilherme Jose Agnoletto | Neurological Surgery | 800 Prudential Drive Weaver Tower 11th Floor, Jacksonville, FL 32207 | 2018-11-12 |
1073008504 | Pavilion Infusion Therapy Inc | Durable Medical Equipment & Medical Supplies | 1301 Palm Avenue, Suite 220, Jacksonville, FL 32207 | 2018-06-27 |
1346733185 | Dueseason1 | Registered Nurse | 4058 Saint Augustine Rd, Jacksonville, FL 32207 | 2018-06-06 |
1164911913 | Eric Lang Poovey | Nurse Practitioner | Baptist Heart Specialists, 836 Prudential Drive Suite 1700, Jacksonville, FL 32207 | 2018-05-08 |
1902311046 | Spring Park Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 3851 Emerson St Ste 13, Jacksonville, FL 32207 | 2017-12-12 |
1295247948 | Emed Urgent and Primary Care Pa | Clinic/Center | 2570 Atlantic Boulevard, Jacksonville, FL 32207 | 2017-11-02 |
Find all providers in zip 32207 |
Taxonomy Code | 207RE0101X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Endocrinology, Diabetes & Metabolism |
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013402783 | Thyroid Diabetes Endocrinology and Wellness Inc | Internal Medicine | 8075 Gate Pkwy W Ste 306, Jacksonville, FL 32216-3685 | 2018-06-26 |
1013461193 | Diabetes Management Partners LLC | Internal Medicine | 4190 Belfort Rd Ste 352, Jacksonville, FL 32216-1407 | 2016-08-07 |
1679910863 | Poonam Kalidas Kapadia | Internal Medicine | 653 W 8th St # L-14, Jacksonville, FL 32209-6511 | 2013-05-28 |
1679896401 | Robert Miller Md Pa | Internal Medicine | 1547 San Marco Blvd, Jacksonville, FL 32207-2905 | 2010-03-08 |
1467683524 | Salma Makhoul-ahwach | Internal Medicine | 3 Shircliff Way Ste 630, Jacksonville, FL 32204-4776 | 2009-08-06 |
1811134216 | Rafael Eligio Gomez Jr. | Internal Medicine | 1222 Molokai Rd, Jacksonville, FL 32216-3276 | 2009-01-07 |
1134328719 | Ramadan Hammoud | Internal Medicine | 9745 Touchton Rd Unit 1705, Jacksonville, FL 32246-9200 | 2007-07-13 |
1255541512 | Eric Charles Puestow | Internal Medicine | 7746 Miller Oaks Dr W, Jacksonville, FL 32217-3512 | 2007-05-23 |
1952387912 | Gunjan Y Gandhi | Internal Medicine | 653 W 8th St, Jacksonville, FL 32209-6511 | 2005-12-21 |
1821071903 | Melissa Anne Morgan | Internal Medicine | 11945 San Jose Blvd Ste 301, Credentialing Department, Jacksonville, FL 32223-1627 | 2005-11-22 |
Find all providers in JACKSONVILLE |
City | JACKSONVILLE |
Zip Code | 32207 |
Please comment or provide details below to improve the information on LEENA SHAHLA.
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.