DR. SHANTI KRISHNAN (NPI# 1033131420) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033131420 |
| Entity Type | Individual |
| Full Name | DR. SHANTI KRISHNAN |
| Credential | MD |
| Practice Address |
440 East Marshall Street Third Floor North. Suite 300 West Chester PA 19380 |
| Practice Telephone | 6104368611 |
| Practice Fax Number | 6104361193 |
| Mailing Telephone | 6104368611 |
| Mailing Fax Number | 6104361193 |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2012-03-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | 25-MA-05432500 | NJ | Allopathic & Osteopathic Physicians |
| Y | 208000000X | Pediatrics | MD-042214-L | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 001279632 | 05 |
| Street Address |
440 EAST MARSHALL STREET THIRD FLOOR NORTH. SUITE 300 |
| City | WEST CHESTER |
| State | PA |
| Zip Code | 19380 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598791204 | Isaac Tam | Internal Medicine | 440 East Marshall Street, West Chester, PA 19380 | 2006-06-24 |
| 1710178074 | Rama Devi Mandapati | Internal Medicine | 440 East Marshall Street, Ste. 560w, West Chester, PA 19380-5414 | 2007-08-01 |
| 1194802165 | Fred Martin Weinblatt | Psychiatry & Neurology | 440 East Marshall Street, West Chester, PA 19380 | 2006-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245846062 | Mikaela Lynn Mastromatto | Occupational Therapist | 1615 Boot Rd, West Chester, PA 19380 | 2020-09-17 |
| 1356969679 | Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 100 Genuardi Circle, West Chester, PA 19380 | 2020-07-13 |
| 1457984759 | Dana Marie Buckalew | Nurse Practitioner | 915 Fern Hill Road, Building A Suite 3, West Chester, PA 19380 | 2020-02-15 |
| 1285102921 | Audrey Caulfeild Caspar-clark | Dietitian, Registered | 221 Chatham Way, West Chester, PA 19380 | 2018-11-12 |
| 1497245260 | Hshc, Inc. | Audiologist-Hearing Aid Fitter | 131 North Church Street, West Chester, PA 19380 | 2018-05-16 |
| 1164946364 | Kevin Hayes | Social Worker | 310 N Matlack St., West Chester, PA 19380 | 2017-07-29 |
| 1750804472 | Pamela Ann Najera | Psychologist | 390 E. Boot Road, West Chester, PA 19380 | 2017-07-25 |
| 1356723613 | Rynda Ross Ganster | Nurse Practitioner | 400 E. Marshall St., West Chester, PA 19380 | 2015-06-23 |
| 1164823845 | Jeffrey Diksa | Behavioral Analyst | 117 E Chestnut St., Apt 307, West Chester, PA 19380 | 2014-09-12 |
| 1134535057 | Miranda Wolff | Speech-Language Pathologist | 1507 Manchester Ct, Apt 304, West Chester, PA 19380 | 2014-07-11 |
| Find all providers in zip 19380 | ||||
| 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 |
|---|---|---|---|---|
| 1558519298 | Richard Michael Haupt | Pediatrics | 684 Militia Hill Dr, West Chester, PA 19382-8701 | 2008-09-06 |
| 1770709925 | Gail B. Croall | Pediatrics | 9050 Center Pointe, Suite 400, West Chester, OH 45069 | 2007-04-17 |
| 1790841732 | Sara Verghese | Pediatrics | 9902 West Roosevelt Road, West Chester, IL 60154-2770 | 2006-12-27 |
| 1639259583 | Children's Hospital of Philadelphia | Pediatrics | 770 Miles Road, Suite 1, West Chester, PA 19380-4400 | 2006-10-16 |
| 1467542977 | Camille Cecile Graham | Pediatrics | 7777 University Dr Ste D, West Chester, OH 45069-6563 | 2006-10-13 |
| 1639260169 | Theresa M Derickson | Pediatrics | 8040 Princeton-glendale Rd., West Chester, OH 45069-0000 | 2006-09-28 |
| 1639182363 | Neil Pennington | Pediatrics | 795 East Marshall Street, Suite 301-307, West Chester, PA 19380 | 2006-08-14 |
| 1518974831 | Mary Ellen Skalina | Pediatrics | 701 E Marshall St Fl 2, Chester County Hospital - Chop Connection, West Chester, PA 19380-4412 | 2006-08-01 |
| 1831105642 | Barbara H Stipe | Pediatrics | 701 E Marshall St Fl 4, Chop Care Network At Chester County Hospital, West Chester, PA 19380-4412 | 2006-08-01 |
| 1437173721 | Richard Rissmiller | Pediatrics | 440 East Marshall Rd, 3rd Flr North, Suite 300, West Chester, PA 19380 | 2006-07-27 |
| Find all providers in WEST CHESTER | ||||
| City | WEST CHESTER |
| Zip Code | 19380 |
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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.