Nishant R Shah (NPI# 1578717716, PAC ID# 8022160761) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1578717716 |
| PAC ID by PECOS | 8022160761 |
| Professional Enrollment ID | I20151021001761 |
| Full Name | Nishant R Shah |
| Organization Legal Name | LIFESPAN PHYSICIAN GROUP INC |
| Address |
2 Dudley St Providence RI 02905-3236 |
| Phone Number | 4014534500 |
| Gender | M |
| Graduation Year | 2006 |
| Primary Specialty | INTERNAL MEDICINE |
| Secondary Specialties | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| Group Practice PAC ID | 2567455082 |
| Number of Group Practice Members | 600 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 410012 | THE MIRIAM HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 950 Warren Ave, Fl 2, East Providence, RI 02914-1432 | 4016061004 | THE MIRIAM HOSPITAL |
| 2 Dudley St, Providence, RI 02905-3236 | 4014534500 | LIFESPAN PHYSICIAN GROUP INC |
| Organization Legal Name | LIFESPAN PHYSICIAN GROUP INC |
| Physicians | 560 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Roy Souaid | Internal Medicine | Lifespan Physician Group Inc | 1500 Pontiac Ave, Suite 101, Cranston, RI 02920-4486 |
| Amritpal Singh Jawanda | Family Medicine | Lifespan Physician Group Inc | 639 Metacom Ave, Warren, RI 02885-2348 |
| Alisha Lakhani | Rheumatology | Lifespan Physician Group Inc | 407 E Ave, Suite 250, Pawtucket, RI 02860-5290 |
| Leah R Battista | Obstetrics/gynecology | Lifespan Physician Group Inc | 148 W River St, Suite 1g, Providence, RI 02904-2615 |
| Mahmoud Mowafy | Internal Medicine | Lifespan Physician Group Inc | 164 Summit Ave, Providence, RI 02906-2853 |
| Caroline Sizer | Physical Medicine and Rehabilitation | Lifespan Physician Group Inc | 765 Allens Ave, Suite 110, Providence, RI 02905-5443 |
| Christine Michele Leddy | Psychiatry | Lifespan Physician Group Inc | 11 Friendship St, Newport, RI 02840-2209 |
| Dana Siperstein | Psychiatry | Lifespan Physician Group Inc | 167 Point St, Providence, RI 02903-4771 |
| Brady Geronimo Case | Psychiatry | Lifespan Physician Group Inc | 1011 Veterans Memorial Pkwy, Riverside, RI 02915-5061 |
| Maurice Francis Joyce Iii | Anesthesiology | Lifespan Physician Group Inc | 55 Lambert Lind Hwy, Warwick, RI 02886-1074 |
| Street Address |
2 DUDLEY ST |
| City | PROVIDENCE |
| State | RI |
| Zip | 02905-3236 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brad Douglas Blankenhorn | Orthopedic Surgery | University Orthopedics, Inc. | 2 Dudley St, Suite 200, Providence, RI 02905-3248 |
| Lars Stangenberg | Vascular Surgery | University Surgical Associates, Inc. | 2 Dudley St, Suite 470, Providence, RI 02905-3248 |
| Todd Stafford | General Surgery | University Surgical Associates, Inc. | 2 Dudley St, Suite 190, Providence, RI 02905-3248 |
| Phillip Lucas | Orthopedic Surgery | University Orthopedics, Inc. | 2 Dudley St, Suite 200, Providence, RI 02905-3248 |
| Amy P Pilotte | Nurse Practitioner | University Surgical Associates, Inc. | 2 Dudley St, Suite 470, Providence, RI 02905-3248 |
| Philip Haines | Cardiovascular Disease (cardiology) | Lifespan Physician Group Inc | 2 Dudley St, Providence, RI 02905-3236 |
| Jaclyn Plante | Physical Therapy | University Orthopedics, Inc. | 2 Dudley St, Suite 200, Providence, RI 02905-3248 |
| Stephanie N Lueckel | General Surgery | University Surgical Associates, Inc. | 2 Dudley St, Suite 190, Providence, RI 02905-3248 |
| Eric Benoit | General Surgery | University Surgical Associates, Inc. | 2 Dudley St, Suite 190, Providence, RI 02905-3248 |
| Nikola Babovic | Orthopedic Surgery | University Orthopedics, Inc. | 2 Dudley St, Suite 200, Providence, RI 02905-3248 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Clarissa D. Lewis | Optometry | The Providence Community Health Centers Inc. | 335 Prairie Ave, Fl 2, Providence, RI 02905-1924 |
| Angel M. Eads | Family Medicine | The Providence Community Health Centers Inc. | 355 Prairie Ave, Providence, RI 02905-1928 |
| Sandrine O Guilherme | Clinical Social Worker | The Providence Center Inc | 355 Prairie Ave, Providence, RI 02905-1928 |
| Katherine Williams | Family Medicine | The Providence Community Health Centers Inc. | 355 Prairie Ave, Providence, RI 02905-1928 |
| Luis A Ferreira | Clinical Social Worker | The Providence Center Inc | 355 Prairie Ave, Providence, RI 02905-1928 |
| Andrew Saal | Family Medicine | The Providence Community Health Centers Inc. | 355 Prairie Ave, Providence, RI 02905-1928 |
| Lauren E Stewart | Obstetrics/gynecology | The Providence Community Health Centers Inc. | 355 Prairie Ave, Providence, RI 02905-1928 |
| Tenesha R Lisbon | Nurse Practitioner | The Providence Community Health Centers Inc. | 355 Prairie Ave, Providence, RI 02905-1928 |
| Elaine K Parker Williams | Nurse Practitioner | The Providence Community Health Centers Inc. | 355 Prairie Ave, Providence, RI 02905-1928 |
| Carla Martin | Internal Medicine | The Providence Community Health Centers Inc. | 355 Prairie Ave, Providence, RI 02905-1928 |
| Find all physicians in zip 02905 | |||
| City | PROVIDENCE |
| Zip Code | 02905 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | PROVIDENCE + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Nishant R Shah.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.