DR. TAREK S SHAATH


Address: 1040 Lake Sumter Lndg, The Villages, FL 32162-2697
Phone: 3522183211

DR. TAREK S SHAATH (NPI# 1366823775) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1366823775
Entity Type Individual
Full Name DR. TAREK S SHAATH
Credential MD
Practice Address 1040 Lake Sumter Lndg
The Villages
FL 32162-2697
Mailing Address 697 Oak Hollow Way
Altamonte Springs
FL 32714-1838
Practice Telephone 3522183211
Practice Fax Number 8776993709
Mailing Telephone 7857606740
Enumeration Date 2015-06-11
Last Update Date 2020-04-20
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207N00000X Dermatology ME136133 FL Allopathic & Osteopathic Physicians
Y 207ND0101X Dermatology
Specialization: MOHS-Micrographic Surgery
ME136133 FL Allopathic & Osteopathic Physicians
N 207ND0900X Dermatology
Specialization: Dermatopathology
ME136133 FL Allopathic & Osteopathic Physicians
N 207NS0135X Dermatology
Specialization: Procedural Dermatology
ME136133 FL Allopathic & Osteopathic Physicians

Office Location

Street Address 1040 LAKE SUMTER LNDG
City THE VILLAGES
State FL
Zip Code 32162-2697

Providers in the same location

NPI Name Taxonomy Address Enumeration
1891257655 Orlando Dermatology Clinic, LLC Dermatology 1040 Lake Sumter Lndg, The Villages, FL 32162-2697 2019-04-02

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1831700939 Lana Nesheiwat Pharmacist 2235 Parr Drive, Lady Lake, FL 32162 2020-08-12
1619591393 Advanced Periodontics & Implant Care, LLC Dentist 1950 Laurel Manor Drive #184, The Villages, FL 32162 2020-05-29
1639719081 Retirement Five, LLC Skilled Nursing Facility 16605 Se 74th Souiliere Ave, The Villages, FL 32162 2020-01-14
1184263261 Eric William Allen Pharmacist Win Dixie Pharmacy #2545, 2500 Burnsed Blvd, The Villages, FL 32162 2020-01-06
1740828391 Tara Maria Jennings Irwin Physical Therapy Assistant 11962 Cr 101 #104, The Villages, FL 32162 2019-12-13
1851819254 Bio-medical Applications of Florida, Inc. Clinic/Center 310 Longview Ave, Lady Lake, FL 32162 2017-09-06
1033642327 Ben Miller Specialist/Technologist 251 Buffalo Trl, The Villages, FL 32162 2017-04-04
1932631173 Walgreen Co Durable Medical Equipment & Medical Supplies 620 Kristine Way, The Villages, FL 32162 2017-03-28
1639534522 Pamela Marie Bureau Registered Nurse 1020 Lake Sumter Landing, The Villages, FL 32162 2015-12-21
1669847059 Dawn Johnson Dental Assistant 8900 Mulberry Ln, The Villages, FL 32162 2015-12-10
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Taxonomy Information

Taxonomy Code 207ND0101X
Grouping Allopathic & Osteopathic Physicians
Classification Dermatology
Specialization MOHS-Micrographic Surgery

Taxonomy Definition

The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S.
Notes: Source: American College of Mohs Surgery, 2007 [1/1/2008: added definition, added source] Additional Resources: Additional Resources: http://www.mohscollege.org/; American Board of Dermatology, 2007. http://www.abderm.org/

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1619232501 Alliant Dermatology Pa Dermatology 8620 E County Road 466, The Villages, FL 32162-3670 2012-07-07
1417115908 Leavitt Medical Associates of Florida Inc Dermatology 910 Old Camp Rd Ste 166, The Villages, FL 32162-5604 2008-05-30
1700044286 Leavitt Medical Associates of Florida Inc Dermatology 1503 Buenos Aires Blvd, The Villages, FL 32159-6821 2008-05-30

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1144827577 Onspot-fl LLC. Dermatology 16461 Domestic Ave, Fort Myers, FL 33912-6008 2020-10-08
1942855150 International Dermatology Research, Inc. Dermatology 8370 W Flagler St Ste 200, Miami, FL 33144-2038 2019-08-05
1154815546 Forefront Dermatology, S.c. Dermatology 7720 Us Highway 98 W Ste 240, Miramar Beach, FL 32550-7232 2018-06-19
1437517802 Total Vein and Skin LLC Dermatology 10383 Hagen Ranch Road, Ste 100, Boynton Beach, FL 33437-3732 2016-02-01
1861812851 Anand Haryani Dermatology 8745 N Us Highway 1, Sebastian, FL 32958-7524 2014-04-17
1164841797 Michael Montuno Dermatology 38135 Market Sq Ste 108, Zephyrhills, FL 33542-7505 2014-04-10
1861813719 Hillcrest Dermatology and Plastic Surgery P.a. Dermatology 733 Highway 466, Lady Lake, FL 32159-6340 2013-12-19
1922355957 Florida Medical Specialists Dermatology 4351 Cortez Rd W, Suite 101, Bradenton, FL 34210 2012-08-09
1114218328 Leavitt Medical Assocaittes of Florida Inc Dermatology 1426 E Bloomindale Ave, Valrico, FL 33596 2011-04-21
1992095681 Leavitt Medical Associates of Florida Inc Dermatology 3427 Mariner Blvd, Spring Hill, FL 34609-2463 2011-04-14
Find all providers with the same taxonomy

Competitor

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City THE VILLAGES
Zip Code 32162

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Dataset Information

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.

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