DR. NIRAV R SHAH (NPI# 1629289509) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629289509 |
| Entity Type | Individual |
| Full Name | DR. NIRAV R SHAH |
| Credential | M.D |
| Practice Address |
1610 Dry Creek Dr Ste 200 Longmont CO 80503-6405 |
| Practice Telephone | 3037721600 |
| Practice Fax Number | 3037729317 |
| Mailing Telephone | 3037721600 |
| Mailing Fax Number | 3037729317 |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2017-12-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
49986 | CO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 44087578 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962033084 | Nirav Shah | Counselor | 5725 Northbrook Dr, Plano, TX 75093-5954 | 2020-01-28 |
| 1083970321 | Nirav S Shah | Anesthesiology | 900 Cummings Ctr Ste 221u, Beverly, MA 01915-6183 | 2012-04-11 |
| 1225315716 | Nirav R Shah | Podiatrist | 58 Nicole Dr, Denville, NJ 07834-9531 | 2011-11-10 |
| 1629389887 | Nirav Subhash Shah | Physical Therapist | 475 Front St, Hempstead, NY 11550-4229 | 2010-06-23 |
| 1588982664 | Nirav Shah | Psychiatry & Neurology | 4525 Heritage Trace Pkwy Ste 117, Fort Worth, TX 76244-8910 | 2010-05-13 |
| 1417114281 | Nirav Anilkumar Shah | Physical Therapist | 6001 Oakbend St Apt 8104, Orlando, FL 32835-2808 | 2008-05-20 |
| 1548392319 | Nirav Hasmukh Shah | Dentist | 467 N Twin Oaks Valley Rd, San Marcos, CA 92069-1708 | 2007-03-09 |
| 1417034943 | Nirav Ramesh Shah | Internal Medicine | Corning Tower Esp, Albany, NY 12237-0001 | 2006-11-01 |
| 1457385023 | Nirav K Shah | Emergency Medicine | 1500 W West Covina Pkwy Ste 100, West Covina, CA 91790-2729 | 2006-07-10 |
| 1023083607 | Nirav D Shah | Internal Medicine | 5 Jeanne Dr Ste 7, Newburgh, NY 12550-1797 | 2006-02-17 |
| Street Address |
1610 DRY CREEK DR STE 200 |
| City | LONGMONT |
| State | CO |
| Zip Code | 80503-6405 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396740411 | Gregg A. Koldenhoven | Orthopaedic Surgery | 1610 Dry Creek Dr Ste 200, Longmont, CO 80503-6405 | 2005-06-15 |
| 1356721393 | Joseph Lammers | Physician Assistant | 1610 Dry Creek Dr Ste 200, Longmont, CO 80503-6405 | 2015-06-04 |
| 1093100067 | Susan Hose | Physician Assistant | 1610 Dry Creek Dr Ste 200, Longmont, CO 80503-6405 | 2015-04-06 |
| 1396141289 | Alanda Weber | Physician Assistant | 1610 Dry Creek Dr Ste 200, Longmont, CO 80503-6405 | 2014-11-05 |
| 1316211824 | Erin Elizabeth Blessing | Physical Therapist | 1610 Dry Creek Dr Ste 200, Longmont, CO 80503-6405 | 2012-03-01 |
| 1720365331 | Cassandra Christine Porter | Physician Assistant | 1610 Dry Creek Dr Ste 200, Longmont, CO 80503-6405 | 2011-11-10 |
| 1831485820 | Eric Landon Crouch | Physician Assistant | 1610 Dry Creek Dr Ste 200, Longmont, CO 80503-6405 | 2011-06-28 |
| 1063714848 | Lara Louise Hunter | Physician Assistant | 1610 Dry Creek Dr Ste 200, Longmont, CO 80503-6405 | 2010-11-30 |
| 1811138720 | George William Chaus | Orthopaedic Surgery | 1610 Dry Creek Dr Ste 200, Longmont, CO 80503-6405 | 2009-03-23 |
| 1992713267 | William P Cooney | Orthopaedic Surgery | 1610 Dry Creek Dr Ste 200, Longmont, CO 80503-6405 | 2006-08-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073145025 | Home Care Colorado, LLC | In Home Supportive Care | 2919 17th Ave., Suite 215, Longmont, CO 80503 | 2020-02-07 |
| 1639644016 | Katherine and Charles Hover Greenhouses Inc | Skilled Nursing Facility | 1425 Belmont Dr, Longmont, CO 80503 | 2018-10-11 |
| 1467981993 | Donna Faye Georje Mchaney | Nurse Practitioner | 903 Reynolds Farm Lane, Longmont, CO 80503 | 2017-06-08 |
| 1972030161 | Advanced Vision Surgery Center LLC | Clinic/Center | 1390 Dry Creek Drive, Longmont, CO 80503 | 2017-05-18 |
| 1063958338 | Longmont Tc, LLC | Skilled Nursing Facility | 1960 South Fordham St, Longmont, CO 80503 | 2017-01-11 |
| 1710340211 | Rachel A Schreiber | Optometrist | 8900 Prairie Knoll Dr, Longmont, CO 80503 | 2016-04-01 |
| 1427368299 | Sally Anne Thompson | Specialist | 3664 Oakwood Drive, Longmont, CO 80503 | 2010-10-14 |
| 1124357082 | Penny Trevithick | Specialist | 8380 Hygiene Rd, Longmont, CO 80503 | 2009-12-23 |
| 1104155381 | Adrienne R. Leeds | Midwife | 1736 Clover Creek Dr, Longmont, CO 80503 | 2009-12-16 |
| 1003142928 | Sarah Jean Dubbe | Massage Therapist | 1690 Brown Court, Longmont, CO 80503 | 2009-10-28 |
| Find all providers in zip 80503 | ||||
| Taxonomy Code | 207XX0005X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Sports Medicine |
| An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton changed, source changed] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. ACGME Accredited Program Requirements: 1 year GME in the specialty + 5 years of Orthopaedic Surgery for a total of 6 years |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992713267 | William P Cooney | Orthopaedic Surgery | 1610 Dry Creek Dr Ste 200, Longmont, CO 80503-6405 | 2006-08-03 |
| 1407884620 | Robert E Fitzgibbons | Orthopaedic Surgery | 1610 Dry Creek Dr Ste 200, Longmont, CO 80503-6405 | 2006-06-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649884057 | Scl Health Medical Group - Denver, LLC | Orthopaedic Surgery | 1830 N Franklin St Ste 340, Denver, CO 80218-1128 | 2020-09-02 |
| 1700498797 | Colorado Sports Medicine and Orthopaedics | Orthopaedic Surgery | 4500 E 9th Ave Ste 420, Denver, CO 80220-3931 | 2020-08-20 |
| 1033668322 | University Physicians, Incorporated | Orthopaedic Surgery | 10103 Ridgegate Pkwy Ste 100, Cu Sports Medicine Sdh Lonetree, Lone Tree, CO 80124-5520 | 2016-09-27 |
| 1750763017 | Ryan Jahn | Orthopaedic Surgery | 2150 Stadium Dr 2nd Floor, Boulder, CO 80309-1029 | 2015-06-23 |
| 1518353218 | Valley View Hospital Association | Orthopaedic Surgery | 1830 Blake Ave Ste 207, Glenwood Spgs, CO 81601-4261 | 2015-04-09 |
| 1326276783 | Thomas P Moore Md Phd PC | Orthopaedic Surgery | 32 Crested Mt. Way, Mt. Crested Butte, CO 81225 | 2009-06-24 |
| 1396919858 | Stephanie Watson Mayer | Orthopaedic Surgery | 13123 E 16th Ave # B060, Aurora, CO 80045-7106 | 2008-04-16 |
| 1689889966 | Orthopedic Surgery & Sports Medicine Specialist | Orthopaedic Surgery | 9141 Grant St Ste 10, Thornton, CO 80229-4374 | 2007-05-11 |
| 1023117850 | Rocky Mountain Trauma Services Proff LLC | Orthopaedic Surgery | 13918 E Mississippi Ave, Suite 473, Aurora, CO 80012 | 2006-09-21 |
| 1215045133 | Andrew W Parker | Orthopaedic Surgery | 4700 E.hale Pkwy, Ste 550, Denver, CO 80220-4053 | 2006-08-29 |
| Find all providers with the same taxonomy | ||||
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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.