PRAKASH BABU SHAH (NPI# 1730476003) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1730476003 |
Entity Type | Individual |
Full Name | PRAKASH BABU SHAH |
Credential | MD |
Practice Address |
200 Se Hospital Ave Stuart FL 34994-2346 |
Mailing Address |
Po Box 417 Stuart FL 34995-0417 |
Practice Telephone | 7722235618 |
Practice Fax Number | 7722885834 |
Mailing Telephone | 7722232832 |
Mailing Fax Number | 7722235665 |
Enumeration Date | 2011-07-06 |
Last Update Date | 2017-03-28 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207R00000X | Internal Medicine | ME125031 | FL | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | FLORIDA BLUE | ZBIDH | 01 |
FL | 016418500 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609897065 | Prakash N Shah | Internal Medicine | 247 W Milton St, Easton, PA 18042-6689 | 2006-07-21 |
1053583831 | Prakash C. Shah | Pharmacist | 7900 S J Stock Rd, Tucson, AZ 85746-7012 | 2008-04-01 |
1104043801 | Prakash Shantilal Shah | Internal Medicine | 6644 E Baywood Ave, Mesa, AZ 85206-1747 | 2007-04-20 |
1013917996 | Prakash D Shah | Internal Medicine | 2801 W Kinnickinnic River Pkwy, Ste 840, Milwaukee, WI 53215-3669 | 2005-07-21 |
1902803513 | Prakash Shah | Internal Medicine | 1724 Kenton St, Ste 1d, Hopkinsville, KY 42240-1981 | 2005-06-29 |
Street Address |
200 SE HOSPITAL AVE |
City | STUART |
State | FL |
Zip Code | 34994-2346 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629078878 | Michael Petri | Nurse Anesthetist, Certified Registered | 200 Se Hospital Ave, Anesthesia Department, Stuart, FL 34994-2346 | 2005-07-29 |
1366052169 | Jamie Sullivan | Nurse Practitioner | 200 Se Hospital Ave, Stuart, FL 34994-2346 | 2020-08-06 |
1750990008 | Lolade Stacy Bakare | Pharmacist | 200 Se Hospital Ave, Stuart, FL 34994-2346 | 2020-07-23 |
1831716034 | Brady Ellis | Pharmacist | 200 Se Hospital Ave, Stuart, FL 34994-2346 | 2020-07-03 |
1194342048 | Kettelene Philogene Mcmorris | Registered Nurse | 200 Se Hospital Ave, Stuart, FL 34994-2346 | 2020-06-26 |
1972127447 | Veronica D'andria | Registered Nurse | 200 Se Hospital Ave, Stuart, FL 34994-2346 | 2020-06-01 |
1467080440 | Milena Jibaja | Registered Nurse | 200 Se Hospital Ave, Stuart, FL 34994-2346 | 2020-03-27 |
1770120701 | Ludovico Riggio | Registered Nurse | 200 Se Hospital Ave, Stuart, FL 34994-2346 | 2019-12-10 |
1902441975 | Lindsay Nicole Santeramo | Registered Nurse | 200 Se Hospital Ave, Stuart, FL 34994-2346 | 2019-11-13 |
1477195790 | Caitlyn Diane Helm | Physician Assistant | 200 Se Hospital Ave, Stuart, FL 34994-2346 | 2019-10-09 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912543711 | Prestige Medical Billing. Inc | Durable Medical Equipment & Medical Supplies | 2678 Se Willoughby Blvd, Stuart, FL 34994 | 2019-11-27 |
1780229203 | Katherine Ginn | Occupational Therapist | 809 Se Central Parkway, Stuart, FL 34994 | 2019-11-07 |
1972167294 | Melissa Callaham Lcsw | Social Worker | 900 East Ocean Blvd., Suite D-130, Office 26, Stuart, FL 34994 | 2019-04-23 |
1053881300 | Spencer Perna | Chiropractor | 632 Se Monterey Rd., Stuart, FL 34994 | 2018-11-29 |
1720563521 | National Vision Inc | Technician/Technologist | 2600 Southeast Federal Highway, Stuart, FL 34994 | 2018-09-27 |
1649767351 | Frank Alario Md & Associates | Non-Pharmacy Dispensing Site | 721 South Colorado Avenue, Stuart, FL 34994 | 2018-04-18 |
1609305499 | Wideline Thelemaque-claire | Behavior Technician | 900 E Ocean Blvd, Suite 130d, Stuart, FL 34994 | 2017-06-06 |
1316488984 | Jessica Gaffney | Social Worker | 416 Se Balboa Ave., Suite 200, Stuart, FL 34994 | 2017-03-16 |
1578012035 | Essentials Medical Group, LLC | Internal Medicine | 2694 Se Willoughby Blvd, Stuart, FL 34994 | 2016-09-26 |
1356898324 | Waters Edge Dermatology Global LLC | Surgery | 2601 S Kanner Highway, Stuart, FL 34994 | 2016-09-07 |
Find all providers in zip 34994 |
Taxonomy Code | 207R00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114461977 | Mehan Medical Consulting LLC | Internal Medicine | 509 Se Riverside Dr Ste 300, Stuart, FL 34994-2579 | 2016-12-14 |
1578012035 | Essentials Medical Group, LLC | Internal Medicine | 2694 Se Willoughby Blvd, Stuart, FL 34994 | 2016-09-26 |
1750756276 | Doctors House Calls of Florida, LLC | Internal Medicine | 1239 Se Indian St Ste 102, Stuart, FL 34997-5633 | 2015-12-09 |
1144631979 | Lindsey Patterson | Internal Medicine | 2150 Se Salerno Rd Ste 200, Stuart, FL 34997-6572 | 2014-05-14 |
1942437090 | Valerie Anne Barrett | Internal Medicine | 2410 N Federal Hwy, Stuart, FL 34994 | 2009-06-16 |
1861665044 | Robert O. Baratta | Internal Medicine | 2400 Se Monterey Road, Suite 300, Stuart, FL 34996 | 2008-04-08 |
1649456443 | Physician On Call LLC | Internal Medicine | 850 Nw Federal Hwy, Suite 151, Stuart, FL 34994-1000 | 2008-01-11 |
1598951949 | Carl C Gittens Md Pa | Internal Medicine | 789 Sw Federal Hwy Ste 212, Stuart, FL 34994-2962 | 2007-09-19 |
1881894871 | Gloria Garcia | Internal Medicine | 2021 Se Riverside Dr, Stuart, FL 34996-1209 | 2007-07-19 |
1679780563 | Benjamin John Ngo | Internal Medicine | 509 Se Riverside Dr Ste 301, Stuart, FL 34994 | 2007-05-17 |
Find all providers in STUART |
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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.