ATUL T SHAH MD PA (NPI# 1083735021) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083735021 |
| Entity Type | Organization |
| Organization Name | ATUL T SHAH MD PA |
| Practice Address |
2802 Garth Road Suite 115 Baytown TX 77521-3924 |
| Practice Telephone | 2814227970 |
| Practice Fax Number | 2814227960 |
| Mailing Telephone | 2814227970 |
| Mailing Fax Number | 2814227960 |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2008-06-02 |
| Authorized Official Name | DR. ATUL T SHAH (OWNER) |
| Authorized Official Telephone | 8322604418 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RI0008X |
Internal Medicine Specialization: Hepatology |
J1039 | TX | Allopathic & Osteopathic Physicians |
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
J1039 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | RAILROAD MEDICARE | DG8402 | 01 |
| TX | BCBS | 0066PN | 01 |
| Street Address |
2802 GARTH ROAD SUITE 115 |
| City | BAYTOWN |
| State | TX |
| Zip Code | 77521-3924 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134132111 | Kristy L Cooley Obrien | Physician Assistant | 2802 Garth Road, Suite 309, Baytown, TX 77521 | 2006-08-14 |
| 1922368257 | Texas Specialty Group, LLC | Pharmacy | 2802 Garth Road, Suite 101, Baytown, TX 77521 | 2012-05-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841832805 | Brenda Joyce Frederick | Technician | 919 Northwood Dr #7105, Baytown, TX 77521 | 2019-10-11 |
| 1073168746 | Next Level Mv LLC | Clinic/Center | 7710 Garth Road, Ste A, Baytown, TX 77521 | 2019-08-08 |
| 1306304019 | Rani Benson | Licensed Practical Nurse | Houston Methodist Baytown Hospital, 4401 Garth Road, Bay Town, TX 77521 | 2019-03-12 |
| 1073091146 | Providence Er of Baytown Pllc | Clinic/Center | 0 Garth Rd, Baytown, TX 77521 | 2018-08-01 |
| 1083100648 | Shelbi Lynn Weatherly | Nurse Practitioner | 621-1 Rollingbrook Dr, Baytown, TX 77521 | 2018-07-06 |
| 1922592278 | Charleston Espanol | Dentist | 6360 Garth Rd #105, Baytown, TX 77521 | 2018-06-20 |
| 1013437334 | Manish Shanker | Dentist | 7922 Cheyenne Court, Baytown, TX 77521 | 2017-06-27 |
| 1306366299 | H-e-b, Lp | Clinical Medical Laboratory | 6430 Garth Road, Baytown, TX 77521 | 2017-06-22 |
| 1942756184 | Alisa Dill | Dentist | 6331 Garth Rd., Suite 100, Baytown, TX 77521 | 2016-08-28 |
| 1447605472 | Metx, LLC | Audiologist-Hearing Aid Fitter | 1109 W Baker Rd, Ste C, Baytown, TX 77521 | 2016-04-27 |
| Find all providers in zip 77521 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal 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 |
|---|---|---|---|---|
| 1790016897 | Fernando Sarti Md Pa | Internal Medicine | 4301 Garth Rd Ste 301, Baytown, TX 77521-3158 | 2010-01-29 |
| 1437236791 | Digestive Disorders Associates, P.a. | Internal Medicine | 2802 Garth Rd Ste 201, Baytown, TX 77521-3924 | 2006-11-01 |
| 1417045311 | Satish V Iduru | Internal Medicine | 4201 Garth Rd Ste 309, Baytown, TX 77521-3156 | 2006-10-10 |
| 1902991334 | Mohamad Salem Muayad | Internal Medicine | 4201 Garth Rd., Suite 208, Baytown, TX 77521 | 2006-10-03 |
| 1609973015 | Yassir Ashraf | Internal Medicine | 2002 Garth Road, Suite 120, Baytown, TX 77521-3900 | 2006-09-20 |
| 1306842760 | Ludie Hernandez-buck | Internal Medicine | 4002 Garth Rd, Baytown, TX 77521 | 2005-06-21 |
| 1336406511 | Yassir Ashraf, M.d., Pa | Internal Medicine | 2802 Garth Rd, Suite 115, Baytown, TX 77521-3900 | 2012-04-12 |
| 1225366727 | Ludie Hernandez-buck Mdpa | Internal Medicine | 4201 Garth Rd, Suite 119, Baytown, TX 77521-3167 | 2009-11-23 |
| 1386660876 | Samir Kumar Nath | Internal Medicine | 4002 Garth Rd, Suite 120, Baytown, TX 77521-3180 | 2006-07-15 |
| 1265474597 | Jacinto Medical Group P A | Internal Medicine | 2800 Garth Rd, Baytown, TX 77521-3947 | 2006-06-12 |
| Find all providers in BAYTOWN | ||||
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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.