JAYENDRAKUMAR J SHAH (NPI# 1568411254) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568411254 |
| Entity Type | Individual |
| Full Name | JAYENDRAKUMAR J SHAH |
| Credential | MD |
| Practice Address |
475 Philip Blvd Ste 100 Lawrenceville GA 30046-8737 |
| Practice Telephone | 7709953300 |
| Practice Fax Number | 7709953307 |
| Mailing Telephone | 7709953300 |
| Mailing Fax Number | 7709953307 |
| Enumeration Date | 2006-05-09 |
| Last Update Date | 2014-03-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | 021345 | GA | Allopathic & Osteopathic Physicians |
| Street Address |
475 PHILIP BLVD STE 100 |
| City | LAWRENCEVILLE |
| State | GA |
| Zip Code | 30046-8737 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013965375 | Ned B. Armstrong | Orthopaedic Surgery | 475 Philip Blvd, Ste 100, Lawrenceville, GA 30046 | 2006-05-05 |
| 1568998177 | Rosa Garcia | Nurse Practitioner | 475 Philip Blvd, Ste 100, Lawrenceville, GA 30046-8737 | 2017-05-03 |
| 1497296990 | Kayla G Rosenberg | Nurse Practitioner | 475 Philip Blvd, Ste 100, Lawrenceville, GA 30046-8737 | 2017-03-16 |
| 1164979324 | Lora Stepp | Nurse Practitioner | 475 Philip Blvd, Ste 100, Lawrenceville, GA 30046-8737 | 2016-09-06 |
| 1275903981 | Jessica Etzkorn | Nurse Practitioner | 475 Philip Blvd, Unit 100, Lawrenceville, GA 30046-8737 | 2015-10-07 |
| 1801235817 | Mary Jeanette Draucek | Nurse Practitioner | 475 Philip Blvd, Ste 100, Lawrenceville, GA 30046-8737 | 2013-06-24 |
| 1114361458 | Deep Shah | Internal Medicine | 475 Philip Blvd, Ste 100, Lawrenceville, GA 30046-8737 | 2013-04-17 |
| 1972755650 | North Georgia Digestive Disease Consultants, LLC | Internal Medicine | 475 Philip Blvd, 304, Lawrenceville, GA 30046-8737 | 2008-10-14 |
| 1336328293 | Ambulatory Surgery Anesthesia LLC | Nurse Anesthetist, Certified Registered | 475 Philip Blvd, Suite 304, Lawrenceville, GA 30045-8737 | 2007-10-29 |
| 1558560326 | Gwinnett Clinic Ltd | Pharmacy | 475 Philip Blvd, Suite 100, Lawrenceville, GA 30045-8732 | 2007-07-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063023174 | Alpha & Omega Hearing Centers | Hearing Instrument Specialist | Alpha & Omega Hearing Centers, 250 Langley Drive, Suite 1106, Lawrenceville, GA 30046 | 2020-08-12 |
| 1285259846 | Mesun Health Services, Inc | Clinical Nurse Specialist | 88 Johnson Rd Building # 1-b, Lawrenceville, GA 30046 | 2020-06-10 |
| 1215550264 | Mesun Health Services, Inc | Skilled Nursing Facility | 88 Johnson Rd. Building #2, Lawrenceville, GA 30046 | 2020-05-26 |
| 1306499785 | Bryan Acosta | Chiropractor | 471 Scenic Hwy South, Lawrenceville, GA 30046 | 2019-07-24 |
| 1205308616 | Belle Lumiere Cosmetics LLC | Dermatology | 753 Old Norcross Road, Lawrenceville, GA 30046 | 2018-12-24 |
| 1548730179 | Alexis Nicole Robinson | Nurse Anesthetist, Certified Registered | 1000 Medical Center Boulevard, Lawrenceville, GA 30046 | 2018-11-27 |
| 1679060388 | Christopher Puckett | Student in an Organized Health Care Education/Training Program | 665 Duluth Hwy Suite 501, Lawrenceville, GA 30046 | 2018-04-18 |
| 1457851255 | Advanced Urology Institute of Georgia | Urology | 501 Crown Point Way, Lawrenceville, GA 30046 | 2018-02-19 |
| 1013447044 | Pharmacy Investments of Lawrenceville, LLC | Pharmacy | 738 Old Norcross Road, Ste A, Lawrenceville, GA 30046 | 2017-06-13 |
| 1225577000 | Priority Housecalls LLC | Clinic/Center | 225 Scenic Hwy, Ste 200, Lawrenceville, GA 30046 | 2017-02-14 |
| Find all providers in zip 30046 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982248597 | Atlanta Area Orthopedics and Regenerative Medicine LLC | Orthopaedic Surgery | 2878 Five Forks Trickum Rd Ste 2c, Lawrenceville, GA 30044-5896 | 2019-11-06 |
| 1730321985 | Obi Ugochukwu Osuji | Orthopaedic Surgery | 771 Old Norcross Rd Ste 390, Lawrenceville, GA 30046 | 2009-04-02 |
| 1013965375 | Ned B. Armstrong | Orthopaedic Surgery | 475 Philip Blvd, Ste 100, Lawrenceville, GA 30046 | 2006-05-05 |
| 1750342085 | Andrew P Harakas | Orthopaedic Surgery | 601-a Professional Drive, Suite 130, Lawrenceville, GA 30046 | 2006-03-28 |
| 1871593285 | Gary A Levengood | Orthopaedic Surgery | 1900 Riverside Pkwy, Lawrenceville, GA 30043-5925 | 2005-07-28 |
| 1356789192 | Kellie Kristin Middleton | Orthopaedic Surgery | 771 Old Norcross Rd Ste 105, Lawrenceville, GA 30046-4977 | 2013-06-13 |
| 1942648944 | Timilehin O Wusu | Orthopaedic Surgery | 771 Old Norcross Rd Ste 105, Lawrenceville, GA 30046-4977 | 2013-06-12 |
| 1073821989 | New Jersey Neck & Back Institute PC | Orthopaedic Surgery | 3131 Princeton Pike, Building 6, Suite 106, Lawrenceville, NJ 08648-2201 | 2010-09-14 |
| 1215249586 | Jeffrey Percey Smith Jr. | Orthopaedic Surgery | 771 Old Norcross Rd, Suites 155 and 390, Lawrenceville, GA 30046-4386 | 2010-07-02 |
| 1740517457 | Laury A Cuddihy | Orthopaedic Surgery | 3100 Princeton Pike, Bldg 1, C/o Institute for Spine & Scoliosis, Lawrenceville, NJ 08648-2300 | 2009-11-17 |
| Find all providers in LAWRENCEVILLE | ||||
| City | LAWRENCEVILLE |
| Zip Code | 30046 |
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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.