DR. SAMIR PRASHANT SHAH (NPI# 1063535995) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063535995 |
| Entity Type | Individual |
| Full Name | DR. SAMIR PRASHANT SHAH |
| Credential | MD |
| Practice Address |
8901 W Lincoln Ave West Allis WI 53227-2409 |
| Practice Telephone | 4143286420 |
| Practice Fax Number | 4143288514 |
| Mailing Telephone | 4143286420 |
| Mailing Fax Number | 4143288514 |
| Enumeration Date | 2007-04-07 |
| Last Update Date | 2017-10-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
MD60500535 | WA | Allopathic & Osteopathic Physicians |
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
52594020 | WI | Allopathic & Osteopathic Physicians |
| Y | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
52594 | WI | Allopathic & Osteopathic Physicians |
| N | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
MD60500535 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 2040623 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720433451 | Samir Shah | General Practice | 3005 Jackson Ave, Point Pleasant, WV 25550-1717 | 2016-05-02 |
| 1760869747 | Samir Shah | Pharmacist | 2675 Kennedy Blvd, Apt K, Jersey City, NJ 07306-5847 | 2015-04-29 |
| 1992961494 | Samir Rajendra Shah | Plastic Surgery | 737 W Washington Blvd, Unit 3007, Chicago, IL 60661-2173 | 2008-08-04 |
| 1447434469 | Samir Suresh Shah | Internal Medicine | 3140 Princeton Pike Fl 2, Lawrenceville, NJ 08648-2330 | 2007-12-27 |
| 1710166699 | Samir K Shah | Pharmacist | 59 N Plank Rd, Suite 2, Newburgh, NY 12550-2126 | 2007-10-29 |
| 1881893741 | Samir Rameshchandra Shah | Surgery | 5803 Nw 151st St Ste 105, Miami Lakes, FL 33014-2473 | 2007-07-12 |
| 1457412611 | Samir B Shah | Dentist | 469 W Base Line Rd, Rialto, CA 92376-3379 | 2006-12-12 |
| 1437217841 | Samir S Shah | Internal Medicine | 220 W. Arbor Dr. Dept 8781, San Diego, CA 92103-8781 | 2006-12-05 |
| 1881787323 | Samir Hasmukh Shah | Psychiatry & Neurology | 7515 Greenville Ave Ste 400, Dallas, TX 75231-3860 | 2006-10-02 |
| 1548377104 | Samir C Shah | Internal Medicine | 700 Tyrone Blvd N, St Petersburg, FL 33710-7127 | 2006-08-23 |
| Street Address |
8901 W LINCOLN AVE |
| City | WEST ALLIS |
| State | WI |
| Zip Code | 53227-2409 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982603957 | Frederick A Heiden | Anesthesiology | 8901 W Lincoln Ave, West Allis, WI 53227-2409 | 2005-07-20 |
| 1801496500 | Laney Marie Hemer | Physical Therapist | 8901 W Lincoln Ave, West Allis, WI 53227-2409 | 2020-10-30 |
| 1649888389 | Melissa A Jackson | Registered Nurse | 8901 W Lincoln Ave, West Allis, WI 53227-2409 | 2020-07-20 |
| 1679193494 | Jade Noel | Physical Therapy Assistant | 8901 W Lincoln Ave, West Allis, WI 53227-2409 | 2020-04-22 |
| 1740800606 | Andrew Wieting | Physical Medicine & Rehabilitation | 8901 W Lincoln Ave, West Allis, WI 53227-2409 | 2020-04-21 |
| 1104455864 | Andrew D Merkel | Physical Therapist | 8901 W Lincoln Ave, West Allis, WI 53227-2409 | 2020-04-05 |
| 1649807645 | Megan Devine | Speech-Language Pathologist | 8901 W Lincoln Ave, West Allis, WI 53227-2409 | 2020-03-27 |
| 1144858002 | Rachel Ball-tobin | Massage Therapist | 8901 W Lincoln Ave, West Allis, WI 53227-2409 | 2020-03-27 |
| 1093353583 | Mckayla Figueroa | Physical Therapist | 8901 W Lincoln Ave, West Allis, WI 53227-2409 | 2019-12-15 |
| 1407417629 | Stacy Neumann | Occupational Therapist | 8901 W Lincoln Ave, West Allis, WI 53227-2409 | 2019-06-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205451564 | Ginger Renee Bland | Nurse Practitioner | 11133 W. National Avenue, West Allis, WI 53227 | 2020-06-12 |
| 1003312141 | Dynamic Medical Equipment, LLC | Durable Medical Equipment & Medical Supplies | 10236 W National Ave, West Allis, WI 53227 | 2018-04-05 |
| 1932572641 | Alissa Kristine Walker | Specialist/Technologist | 11601 W Lincoln Ave, West Allis, WI 53227 | 2015-11-03 |
| 1396155990 | Bradly Earl Helinski | Physical Therapy Assistant | 3023 S 84th St., Milwaukee, WI 53227 | 2014-05-05 |
| 1609299783 | Amy Renee Rozumalski | Occupational Therapy Assistant | 10150 W. National Ave, Suite 150, Premiere Medical Staffing Services, LLC, Milwaukee, WI 53227 | 2014-01-27 |
| 1497098438 | Kathleen Marie Schneider | Physical Therapy Assistant | 3023 S. 84th Street, Milwaukee, WI 53227 | 2013-03-28 |
| 1760723373 | Lee Ann Schraith | Physical Therapy Assistant | 3023 S. 84th St, Milwaukee, WI 53227 | 2013-03-06 |
| 1740520725 | Samantha Lynn Wozniak | Physical Therapist | 3023 S. 84th St., Milwaukee, WI 53227 | 2013-02-27 |
| 1831434901 | Andrew Paul Roeder | Physical Therapy Assistant | 3023 S. 89th Street, Milwaukee, WI 53227 | 2012-11-30 |
| 1538418116 | Christine Wilford | Social Worker | 2044 S 96th Street, West Allis, WI 53227 | 2012-08-29 |
| Find all providers in zip 53227 | ||||
| Taxonomy Code | 2085R0204X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Vascular & Interventional Radiology |
| A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285671636 | Moises Yoselevitz | Radiology | 8901 W Lincoln Ave, Dept of Radiology, West Allis, WI 53227-2409 | 2006-06-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245520840 | Sujan Swearingen | Radiology | 5931 Pilgrim Way, Racine, WI 53406-2739 | 2011-04-15 |
| 1124289657 | Farzad Rezai | Radiology | 624 N 59th St, Milwaukee, WI 53213-4214 | 2008-06-18 |
| 1679507883 | Center for Medical Imaging Inc | Radiology | W178n9912 Rivercrest Dr, Suite 102, Germantown, WI 53022-4645 | 2006-07-11 |
| 1003869140 | Interventional Procedures Group Ltd | Radiology | 2445 North Mayfair Road, Wauwatosa, WI 53226 | 2006-05-18 |
| 1063473692 | William G Wagner | Radiology | 1601 N Taylor Dr, Sheboygan, WI 53081-1930 | 2006-03-31 |
| 1902260433 | Jiahao Hu | Radiology | 2900 W Oklahoma Ave, Milwaukee, WI 53215-4330 | 2016-04-11 |
| 1720443922 | Elliott Russell | Radiology | Uw Hospitals & Clinics 600 Highland Ave, Madison, WI 53792-0001 | 2015-12-15 |
| 1104212091 | Osmani Deochand | Radiology | 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 | 2015-04-08 |
| 1447666219 | Chadi Diab | Radiology | 600 Highland Ave, Madison, WI 53792-2709 | 2014-07-01 |
| 1255743860 | Naif Hamad Alsaikhan | Radiology | 8701 W Watertown Plank Rd, Milwaukee, WI 53226-3548 | 2014-05-30 |
| Find all providers with the same taxonomy | ||||
| City | WEST ALLIS |
| Zip Code | 53227 |
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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.