DR. MANILAL B SHAH (NPI# 1720186513) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720186513 |
| Entity Type | Individual |
| Full Name | DR. MANILAL B SHAH |
| Credential | M.D. |
| Practice Address |
2211 Mayfair Dr Suite 202 Owensboro KY 42301-4568 |
| Mailing Address |
Po Box 23229 Owensboro KY 42304-3229 |
| Practice Telephone | 2706884480 |
| Practice Fax Number | 2706884489 |
| Mailing Telephone | 2706881330 |
| Mailing Fax Number | 2706881338 |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2014-06-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 22408 | KY | Allopathic & Osteopathic Physicians |
| N | 2080A0000X |
Pediatrics Specialization: Adolescent Medicine |
22408 | KY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 64224082 | 05 |
| Street Address |
2211 MAYFAIR DR SUITE 202 |
| City | OWENSBORO |
| State | KY |
| Zip Code | 42301-4568 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770589970 | Elizabeth Hawkins Ottman | Obstetrics & Gynecology | 2211 Mayfair Dr, Ste 301, Owensboro, KY 42301-4569 | 2005-06-22 |
| 1518326990 | Owensboro Health Medical Group, Inc. | Nurse Practitioner | 2211 Mayfair Dr, Suite 305, Owensboro, KY 42301-4568 | 2016-02-15 |
| 1669863585 | Whitney Dawn Peay | Counselor | 2211 Mayfair Dr, Suite 409, Owensboro, KY 42301-4568 | 2015-02-13 |
| 1558779009 | Owensboro Health Medical Group, Inc | Plastic Surgery | 2211 Mayfair Dr, Suite 305, Owensboro, KY 42301-4568 | 2014-07-29 |
| 1932530029 | Stephanie M Decker | Social Worker | 2211 Mayfair Dr, Ste 409, Owensboro, KY 42301-4570 | 2013-11-27 |
| 1639517451 | Snehamala Veeravalli | Psychiatry & Neurology | 2211 Mayfair Dr, Suite 409, Owensboro, KY 42301-4568 | 2013-06-14 |
| 1013353101 | Owensboro Health Medical Group, Inc | Counselor | 2211 Mayfair Dr, Suite 409, Owensboro, KY 42301 | 2013-05-15 |
| 1669739777 | Jin S. Amon | Psychiatry & Neurology | 2211 Mayfair Dr, Suite 409, Owensboro, KY 42301-4568 | 2012-04-13 |
| 1699067074 | Associated Owensboro Urology | Urology | 2211 Mayfair Dr, Suite 401, Owensboro, KY 42301-4568 | 2011-05-04 |
| 1518258177 | Ohio County Hospital Corp Inc | Urology | 2211 Mayfair Dr, Suite 410, Owensboro, KY 42301-4568 | 2011-04-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124558002 | To The Max Behavior Therapy, LLC | Behavioral Analyst | 905 Griffith Avenue, Owensboro, KY 42301 | 2017-06-14 |
| 1558747014 | Kendall L Tapp | Counselor | 1925 Frederica St, Owensboro, KY 42301 | 2015-08-07 |
| 1104168210 | Behavior Associates, LLC | Psychologist | 3445 Wathens Xing Ste 104, Owensboro, KY 42301 | 2013-03-27 |
| 1285990259 | Jaime E Ford | Preventive Medicine | 1723 Windsor Ave., Owensboro, KY 42301 | 2012-04-04 |
| 1457637043 | Bliss United Dental Services Dba Owensboro Family Dentistry | Dentist | 4921 Goetz Dr., Owensboro, KY 42301 | 2011-10-26 |
| 1932483138 | Dennis Craig Hodges | Pharmacist | 2318 Frederica Street, Owensboro, KY 42301 | 2011-10-06 |
| 1225317381 | Donna Kay Ewing | Social Worker | 1925 Frederica St Ste 200, Owensboro, KY 42301 | 2011-08-08 |
| 1639489230 | Easycare Inc | Durable Medical Equipment & Medical Supplies | 5010 Back Square Drive, Owensboro, KY 42301 | 2010-10-15 |
| 1962727529 | Amy Martin | Physical Therapy Assistant | 2420 West Thrid Street, Owensboro, KY 42301 | 2010-04-07 |
| 1215163837 | Green River District Health Department | Public Health or Welfare | 5390 Hwy 56, Owensboro, KY 42301 | 2009-06-10 |
| Find all providers in zip 42301 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124160296 | John Martin Phillips II | Pediatrics | 1000 Breckenridge St Ste 300, Owensboro, KY 42303-0877 | 2007-02-13 |
| 1114912185 | David Edward Danhauer | Pediatrics | 4800 Hunters Ridge, Owensboro, KY 42303 | 2005-09-15 |
| 1003801986 | Amy Hayden Ray | Pediatrics | 2200 E. Parrish Ave, Bldg B, Ste 101, Owensboro, KY 42303-1449 | 2005-09-15 |
| 1568824506 | Owensboro Health Medical Group Inc | Pediatrics | 1201 Pleasant Valley Road, Owensboro, KY 42304-0007 | 2016-03-28 |
| 1154767176 | Heather J. Johnson | Pediatrics | 1201 Pleasant Valley Rd, 7th Floor, Owensboro, KY 42303-9811 | 2013-05-16 |
| 1265798979 | Nicole Elizabeth Davis | Pediatrics | 1000 Breckenridge St, Suite 300, Owensboro, KY 42303-0839 | 2012-04-06 |
| 1740575737 | Stephanie Downing Hayden | Pediatrics | 1000 Breckenridge St Ste 300, Owensboro, KY 42303-0877 | 2011-06-17 |
| 1811296742 | University Pediatric Gastroenterology, LLC | Pediatrics | 811 E Parrish Ave, Ste 120, Owensboro, KY 42303-3258 | 2011-03-17 |
| 1598085342 | Amit Kumar Dulabh | Pediatrics | 1000 Breckenridge St Ste 300, Owensboro, KY 42303-0877 | 2010-06-03 |
| 1174795066 | Jeremiah Robert Mason | Pediatrics | 2200 E Parrish Ave, Bldg B, Ste 101, Owensboro, KY 42303-1449 | 2008-03-31 |
| Find all providers in OWENSBORO | ||||
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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.