DR. NITIN PRABHAKAR SHIRODKAR (NPI# 1710934070) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710934070 |
| Entity Type | Individual |
| Full Name | DR. NITIN PRABHAKAR SHIRODKAR |
| Credential | M.D. |
| Practice Address |
3600 30th St Des Moines IA 50310-5876 |
| Mailing Address |
13587 Lakeview Dr Clive IA 50325-8646 |
| Practice Telephone | 5156995999 |
| Practice Fax Number | 5156995909 |
| Mailing Telephone | 5156995910 |
| Mailing Fax Number | 5156995909 |
| Enumeration Date | 2006-05-30 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
34309 | IA | Allopathic & Osteopathic Physicians |
| Street Address |
3600 30TH ST |
| City | DES MOINES |
| State | IA |
| Zip Code | 50310-5876 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285635854 | Douglas J Fitzgerald | Pharmacist | 3600 30th St, Pharmacy Dept Mail Stop 119, Des Moines, IA 50310-5876 | 2005-08-04 |
| 1144821091 | Grace Fenner | Pharmacist | 3600 30th St, Des Moines, IA 50310-5753 | 2020-11-06 |
| 1356942213 | Megan Trimble | Recreation Therapist | 3600 30th St, Des Moines, IA 50310-5753 | 2020-11-05 |
| 1881295376 | Christine Louise Way | Respiratory Therapist, Registered | 3600 30th St, Des Moines, IA 50310-5753 | 2020-11-03 |
| 1457951568 | Paige N Webb | Technician, Pathology | 3600 30th St, Des Moines, IA 50310-5753 | 2020-10-28 |
| 1407455546 | Suzanne Elizabeth Anderson | Music Therapist | 3600 30th St, Des Moines, IA 50310-5753 | 2020-10-20 |
| 1457958787 | Cole Jones Fister | Physical Therapist | 3600 30th St, Des Moines, IA 50310-5753 | 2020-10-09 |
| 1548875909 | Jessica Rose-stults Quintanilla | Registered Nurse | 3600 30th St, Des Moines, IA 50310-5753 | 2020-09-12 |
| 1780293688 | Kailey Ann Ingram | Nurse Practitioner | 3600 30th St, Des Moines, IA 50310-5753 | 2020-07-27 |
| 1679181606 | John Matthew Boltz | Registered Nurse | 3600 30th St, Des Moines, IA 50310-5753 | 2020-07-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295392082 | Cofe Amera LLC | Meals | 4940 Franklin Ave., Des Moines, IA 50310 | 2019-05-28 |
| 1790237444 | Shannon Schneider | Occupational Therapy Assistant | 3802 Hillcrest Dr, Des Moines, IA 50310 | 2016-10-28 |
| 1013261874 | Department of Veterans Affairs Central Iowa Health Care System | Long Term Care Hospital | 3011 Aurora Ave, Des Moines, IA 50310 | 2012-11-01 |
| 1700095551 | Real Optics Inc | Eyewear Supplier (Equipment, not the service) | 100 Merle Hay Road, Merle Hay Mall, Des Moines, IA 50310 | 2007-05-21 |
| 1184776023 | Mosaic | Intermediate Care Facility, Mentally Retarded | 4201 41st Street, Des Moines, IA 50310 | 2007-01-18 |
| 1639237951 | Terry D. Huseman Od PC | Optometrist | 3800 Merle Hay Rd #501, Des Moines, IA 50310 | 2006-12-06 |
| 1386710259 | Mosier Dental Associates | Dentist | 1816 Beaver Ave, Des Moines, IA 50310 | 2006-11-24 |
| 1194828632 | James Matthew Talone | Psychologist | Va Cihcs (116a), 3600 30th St, Des Moines, IA 50310 | 2006-09-07 |
| 1437251824 | Mary Cynthia Chicoine | Social Worker | 3601 Douglas Ave, Des Moines, IA 50310 | 2006-09-05 |
| 1508978602 | Chadwick Aaron Johnson | Dentist | 3710 Merle Hay Road, Des Moines, IA 50310 | 2006-08-31 |
| Find all providers in zip 50310 | ||||
| Taxonomy Code | 2085R0204X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Vascular & Interventional Radiology |
| A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285858084 | Ryan Douglas Cook | Radiology | 1111 6th Ave, Des Moines, IA 50314-2613 | 2007-04-12 |
| 1447248844 | Alan T. Mcdaniel | Radiology | 1111 6th Ave, Des Moines, IA 50314-2613 | 2005-10-10 |
| 1740277763 | Karl E. Digman | Radiology | 1111 6th Ave, Des Moines, IA 50314-2613 | 2005-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821619719 | Brendan James Carney | Radiology | 200 Hawkins Dr, Iowa City, IA 52242-1009 | 2020-05-01 |
| 1053803544 | Bradford Price Oliva | Radiology | 200 Hawkins Dr, Dept of Radiology, Iowa City, IA 52242-1009 | 2018-05-31 |
| 1407245301 | Nishad Nadkarni | Radiology | 1825 Logan Ave, Waterloo, IA 50703-1916 | 2015-01-15 |
| 1174754436 | Trinity Regional Medical Center | Radiology | 802 Kenyon Rd, Fort Dodge, IA 50501-5740 | 2009-08-05 |
| 1326118332 | Melhem J Sharafuddin | Radiology | 200 Hawkins Dr, Iowa City, IA 52242-1009 | 2006-11-08 |
| 1033154620 | Haroon Rashid Afridi | Radiology | 1948 1st Ave Ne, Cedar Rapids, IA 52402-5321 | 2006-06-18 |
| 1043277247 | David Lawrence Lacey | Radiology | 12368 Stratford Dr, Suite 300, Clive, IA 50325-8162 | 2006-05-01 |
| 1003872003 | Andrew David Nish | Radiology | 12368 Stratford Dr, Suite 300, Clive, IA 50325-8162 | 2006-04-26 |
| 1851353353 | Robert J Schmall | Radiology | 1948 1st Ave Ne, Cedar Rapids, IA 52402-5321 | 2006-04-03 |
| 1972572386 | Marwan F Jarmakani | Radiology | 1948 1st Ave Ne, Cedar Rapids, IA 52402-5321 | 2006-03-16 |
| Find all providers with the same taxonomy | ||||
| City | DES MOINES |
| Zip Code | 50310 |
Please comment or provide details below to improve the information on DR. NITIN PRABHAKAR SHIRODKAR.
| 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.