MOUSUMEE SHAH (NPI# 1780021451) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780021451 |
| Entity Type | Individual |
| Full Name | MOUSUMEE SHAH |
| Credential | MD |
| Practice Address |
Pediactric Education Ofc 101 Manning Drive, Cb# 7593 Chapel Hill NC 27599-0001 |
| Mailing Address |
Pediactric Critical Care Ofc Unc Hospital, 417 Macnider, Cb# 7221 Chapel Hill NC 27599-0001 |
| Practice Telephone | 9199666669 |
| Practice Fax Number | 9199667490 |
| Mailing Telephone | 9199667495 |
| Mailing Fax Number | 9198437036 |
| Enumeration Date | 2013-06-04 |
| Last Update Date | 2018-01-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0203X |
Pediatrics Specialization: Pediatric Critical Care Medicine |
192323 | NC | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | 192323 | NC | Student, Health Care |
| Street Address |
PEDIACTRIC EDUCATION OFC 101 MANNING DRIVE, CB# 7593 |
| City | CHAPEL HILL |
| State | NC |
| Zip Code | 27599-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366060386 | Makayla Brooke Gresham | Dentist | 120 Dental Circle, Chapel Hill, NC 27599 | 2020-07-07 |
| 1609436385 | Elnaz N/a Gharah Bash | Dentist | Unc Adams School of Dentistry, Dept of Periodontology 111 Brauer Hall, Chapel Hill, NC 27599 | 2019-06-16 |
| 1528558384 | Alexandria Sims Hart | Student in an Organized Health Care Education/Training Program | Nc2198 Unc Hospitals Cb# 7010, Chapel Hill, NC 27599 | 2018-05-16 |
| 1972091833 | Kaila Tindle Yeste | Student in an Organized Health Care Education/Training Program | 101 Manning Drive Nc Memorial Hospital, Rm N1183 To Cb 7200, Chapel Hill, NC 27599 | 2018-04-26 |
| 1457860272 | Hiromi Nakamura | Dentist | 5441g Koury Oral Health Science Bulding, Chapel Hill, NC 27599 | 2017-09-25 |
| 1902324627 | Gustavo Ernesto Mahn Arteaga | Student in an Organized Health Care Education/Training Program | 401 Brauer Hall Operative Graduate Clinic, Chapel Hill, NC 27599 | 2017-09-01 |
| 1386165736 | Susun Theresa Kim | Dentist | Dept of Prosthodontics, Unc School of Dentistry, 330 Brauer Hall, Chapel Hill, NC 27599 | 2017-07-06 |
| 1407381148 | Shelby Lauren Register | Student in an Organized Health Care Education/Training Program | 101 Manning Drive, Cb# 7160, Chapel Hill, NC 27599 | 2017-05-01 |
| 1386021723 | Andrew Coniglio | Student in an Organized Health Care Education/Training Program | 170 Manning Drive, Cb 7070, Phys Off Bldg Room G190, Chapel Hill, NC 27599 | 2015-05-06 |
| 1871970319 | Laura Parente | Pediatrics | 260 Macnider Building Cb # 7220, 321 S Columbia Street Unc School of Medicine, Chapel Hill, NC 27599 | 2015-05-05 |
| Find all providers in zip 27599 | ||||
| Taxonomy Code | 2080P0203X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Critical Care Medicine |
| A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. ACGME Accredited Residency Program Requirements: 2 years of training with 3 years Pediatrics plus 1 year Pediatric Critical Care for certification for a total of 6 years. ABMS Approved Subspecialty Certificate (Pediatrics) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538691514 | Christen Nicole Seaman | Pediatrics | 333 South Columbia Street, 230 Macnider Hall Cb #7593, Chapel Hill, NC 27599-0001 | 2017-03-30 |
| 1891057915 | Melissa Smith | Pediatrics | 417 Macnider, Chapel Hill, NC 27599 | 2012-06-14 |
| 1114110392 | Afsaneh Pirzadeh | Pediatrics | 214 Macnider Building, Cb # 7221, Chapel Hill, NC 27599-0001 | 2007-08-22 |
| 1477600286 | Jenny M Boyd | Pediatrics | 214 Macnider, Cb #7221, Chapel Hill, NC 27599-7221 | 2007-01-04 |
| 1568679108 | Katherine Camper Clement | Pediatrics | 101 Manning Dr, Chapel Hill, NC 27514-4220 | 2007-05-16 |
| 1649483512 | Cherissa Hanson | Pediatrics | 101 Manning Dr, Rm 1107g W Wing, Chapel Hill, NC 27514-4220 | 2007-05-08 |
| 1679613558 | Benny L Joyner Jr. | Pediatrics | 101 Manning Dr, Chapel Hill, NC 27599-0001 | 2007-02-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598010217 | Alan Kent Lassiter | Pediatrics | 10106 Raven Tree Dr, Raleigh, NC 27617-8206 | 2012-07-18 |
| 1770663726 | Stephen Leinenweber | Pediatrics | Duke Hospital South Trent Dr, Durham, NC 27710-0001 | 2006-10-16 |
| 1417904889 | David A Turner | Pediatrics | 2300 Erwin Road, Durham, NC 27710 | 2006-05-30 |
| 1124086814 | Childrens Acute Care of Fayetteville, P.a. | Pediatrics | 1638 Owen Dr - Picu, Fayetteville, NC 28304-3424 | 2006-05-02 |
| 1174187637 | Wakemed Specialists Group, LLC | Pediatrics | 3000 New Bern Ave, Raleigh, NC 27610-1231 | 2019-04-30 |
| 1982092219 | Coastal Childrens Services Pllc | Pediatrics | 2131 S 17th St, Wilmington, NC 28401-7407 | 2015-01-09 |
| 1093157828 | Kathryn Anne Best | Pediatrics | 2100 Stantonsburg Rd, Greenville, NC 27834-2818 | 2013-07-22 |
| 1003159179 | Candice Marlow Ray | Pediatrics | 2301 Erwin Rd, Durham, NC 27710 | 2013-03-27 |
| 1215277876 | Rachael E Bushman | Pediatrics | 2100 Erwin Rd, Durham, NC 27705-3941 | 2013-02-19 |
| 1588959258 | Carolinas Medical Center-northeast | Pediatrics | 101 E W T Harris Blvd, Bldg 3000, Suite 3301a, Charlotte, NC 28262-7000 | 2011-06-10 |
| Find all providers with the same taxonomy | ||||
| City | CHAPEL HILL |
| Zip Code | 27599 |
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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.