HETA SHAH (NPI# 1619427069) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619427069 |
| Entity Type | Individual |
| Full Name | HETA SHAH |
| Credential | FNP-BC |
| Practice Address |
630 E North Ave Carol Stream IL 60188-2127 |
| Practice Telephone | 0000000000 |
| Enumeration Date | 2016-10-10 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
209014462 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 630 E North Ave, Carol Stream, IL 601882127 | 6304585300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023320793 | Heta Shah | Pharmacist | 9660 Westheimer Rd, Houston, TX 77063-3205 | 2010-07-09 |
| 1912091364 | Heta Neel Shah | Physician Assistant | 6848 Magnolia Ave, Suite 230, Riverside, CA 92506-2857 | 2006-10-02 |
| Street Address |
630 E NORTH AVE |
| City | CAROL STREAM |
| State | IL |
| Zip Code | 60188-2127 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275520132 | James H Kim | Obstetrics & Gynecology | 630 E North Ave, Dept of Ob Gyn, Carol Stream, IL 60188 | 2005-10-05 |
| 1366971970 | Avani Hemant Kumar Patel | Nurse Practitioner | 630 E North Ave, Carol Stream, IL 60188-2127 | 2017-06-07 |
| 1982070835 | Kayla Hranka | Advanced Practice Midwife | 630 E North Ave, Dept of Ob Gyn, Carol Stream, IL 60188 | 2015-08-14 |
| 1851704043 | Shagufta Naaz Khader | Family Medicine | 630 E North Ave, Dept of Family Medicine, Carol Stream, IL 60188 | 2014-06-05 |
| 1407086143 | Chong-hsiang Liang | Obstetrics & Gynecology | 630 E North Ave, Dept of Ob Gyn, Carol Stream, IL 60188 | 2009-07-15 |
| 1629232699 | Steven Thein Singh | Surgery | 630 E North Ave, Carol Stream, IL 60188-2127 | 2008-07-17 |
| 1013009265 | Ibrahim S. Sadek | Preventive Medicine | 630 E North Ave, Carol Stream, IL 60188 | 2006-09-28 |
| 1033143227 | Frank C Chao | Family Medicine | 630 E North Ave, Dept of Family Practice, Carol Stream, IL 60188 | 2006-07-11 |
| 1538110044 | Charles Lin | Family Medicine | 630 E North Ave, Dept of Family Medicine, Carol Stream, IL 60188-1560 | 2006-05-12 |
| 1710935242 | Edwin Anderson | Family Medicine | 630 E North Ave, Carol Stream, IL 60188 | 2006-05-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205496296 | Vita Pharmacy Inc | Pharmacy | 279-281 W Elk Trail Rd, Carol Stream, IL 60188 | 2019-06-20 |
| 1992287346 | Anjana Matiwala | Pharmacist | 1600 Mcconnor Parkway, Schaumburg, IL 60188 | 2018-09-02 |
| 1588145197 | Rita D Patel | Family Medicine | 858 Papoose Ct., Carol Stream, IL 60188 | 2018-08-22 |
| 1881103638 | Lineta Kundrotiene | Pharmacist | 615 Appaloosa Ct, Carol Stream, IL 60188 | 2017-09-25 |
| 1225409345 | Dr David Cavazos Dc LLC | Chiropractor | 66 E North Ave, Carol Stream, IL 60188 | 2015-10-15 |
| 1548657901 | Mark Babinski | Chiropractor | 1189 N Gary Ave, Carol Stream, IL 60188 | 2015-04-22 |
| 1609267095 | Jocelyn Tolentino | Obstetrics & Gynecology | 630 North Ave, Dept of Ob Gyn, Carol Stream, IL 60188 | 2015-02-06 |
| 1265798532 | William Vogds | Chiropractor | 25 W 330 Geneva Rd, Carol Stream, IL 60188 | 2012-04-11 |
| 1740557073 | Mary Jene Howe | Pharmacist | 540 Schmale, Carol Stream, IL 60188 | 2011-12-01 |
| 1992087878 | Patricia J Zurek | Pharmacist | 540 Schmale Rd, Carol Stream, IL 60188 | 2011-09-15 |
| Find all providers in zip 60188 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235635269 | Megan Stefani | Nurse Practitioner | 371 S Main Pl, Carol Stream, IL 60188-2427 | 2018-03-30 |
| 1417454893 | Caitlin Louise Linder | Nurse Practitioner | 798 W Army Trail Rd, Carol Stream, IL 60188-9297 | 2018-04-11 |
| 1366971970 | Avani Hemant Kumar Patel | Nurse Practitioner | 630 E North Ave, Carol Stream, IL 60188-2127 | 2017-06-07 |
| 1821537960 | Beth Anne Chiari | Nurse Practitioner | 371 S. Main Place, Carol Stream, IL 60107 | 2017-02-22 |
| 1497101513 | Sarah Ann Sitter | Nurse Practitioner | 503 Thornhill Dr, Carol Stream, IL 60188-2780 | 2016-05-07 |
| 1831435403 | Christina Ann Payton Grunwaldt | Nurse Practitioner | 540 N Schmale Rd, Carol Stream, IL 60188-1867 | 2012-12-29 |
| 1649520990 | Maria Teresa N. Obenza | Nurse Practitioner | 26w212 Geneva Rd, Carol Stream, IL 60188-2240 | 2012-09-13 |
| 1225314990 | Mary K Dahilig | Nurse Practitioner | 26w212 Geneva Rd, Carol Stream, IL 60188-2240 | 2011-10-26 |
| 1306076906 | Aleksandra Bielawiec | Nurse Practitioner | 540 N Schmale Rd, Carol Stream, IL 60188-1867 | 2009-07-17 |
| 1366630642 | Betsy Jacob | Nurse Practitioner | 540 N Schmale Rd, Carol Stream, IL 60188 | 2007-10-11 |
| Find all providers in CAROL STREAM | ||||
| City | CAROL STREAM |
| Zip Code | 60188 |
Please comment or provide details below to improve the information on HETA SHAH.
| 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.