VALERIE MALVERN-BRANDT SHAH (NPI# 1083852370) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083852370 |
| Entity Type | Individual |
| Full Name | VALERIE MALVERN-BRANDT SHAH |
| Credential | PA |
| Practice Address |
14 Richland Medical Park Dr Suite 200 Columbia SC 29203-6877 |
| Mailing Address |
Po Box 22265 Belfast ME 04915-4473 |
| Practice Telephone | 8032969200 |
| Practice Fax Number | 8032969297 |
| Mailing Telephone | 8032967320 |
| Mailing Fax Number | 8032967330 |
| Enumeration Date | 2009-01-26 |
| Last Update Date | 2018-03-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
2550 | SC | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
MA056652 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
0110002597 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 1083852370 | 05 | |
| SC | 2832PA | 05 | |
| VA | MEDICARE | 1083852370 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700191467 | Valerie Suzanne Simonson Shah | Speech-Language Pathologist | 1 N Belfield Ave, Havertown, PA 19083-4904 | 2010-08-18 |
| Street Address |
14 RICHLAND MEDICAL PARK DR SUITE 200 |
| City | COLUMBIA |
| State | SC |
| Zip Code | 29203-6877 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619945540 | David B. Fulton | Orthopaedic Surgery | 14 Richland Medical Park Dr, Suite 200, Columbia, SC 29203-6877 | 2006-03-08 |
| 1245616598 | Adila Muhsina Abdul-karim | Nurse Practitioner | 14 Richland Medical Park Dr, Suite 320, Columbia, SC 29203-6877 | 2015-08-09 |
| 1780005827 | Palmetto Health | Orthopaedic Surgery | 14 Richland Medical Park Dr, Suite 200, Columbia, SC 29203-6877 | 2013-12-16 |
| 1508206426 | Erica Lawlor Jordan | Internal Medicine | 14 Richland Medical Park Dr, Columbia, SC 29203-6877 | 2013-06-25 |
| 1982049151 | Rachel Lauren Thorpe | Emergency Medicine | 14 Richland Medical Park Dr, Suite 350, Columbia, SC 29203-6877 | 2013-05-01 |
| 1629319512 | Katherine E. Mollo | Pediatrics | 14 Richland Medical Park Dr, Suite 400, Columbia, SC 29203-6877 | 2013-03-03 |
| 1538417977 | Ashley Stover Kinney | Physician Assistant | 14 Richland Medical Park Dr, Ste 350, Columbia, SC 29203-6877 | 2012-08-15 |
| 1154686582 | Laura Anne Dalsanto | Internal Medicine | 14 Richland Medical Park Dr, Columbia, SC 29203-6877 | 2012-07-11 |
| 1073876082 | Erin Massey Mcelveen | Internal Medicine | 14 Richland Medical Park Dr, Suite 320, Columbia, SC 29203-6877 | 2012-06-25 |
| 1235492240 | Alex Stewart Mcpherson | Internal Medicine | 14 Richland Medical Park Dr, Suite 320, Columbia, SC 29203 | 2012-06-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609475284 | Matthew Leon Brigmon | Surgery | 2 Richland Medical Park, Suite 300, Columbia, SC 29203 | 2020-10-23 |
| 1730706839 | John James Gannon | Family Medicine | Prisma Health Medical Group Family Medicine, 3209 Colonial Drive, Columbia, SC 29203 | 2020-07-06 |
| 1790302362 | Klariz Teves Tucker | Internal Medicine | Internal Medcine Center, 1801 Sunset Drive, Columbia, SC 29203 | 2020-06-30 |
| 1811514482 | Esther Ruth Swan | Psychiatry & Neurology | Prisma Health General Psychiatry Center, 15 Medical Park, Ste 141, Columbia, SC 29203 | 2020-06-30 |
| 1447877014 | Jordan Kaitlyn Merrels | Psychiatry & Neurology | Prisma Health Medical Group General Psychiatry, 15 Medical Park, Ste 141, Columbia, SC 29203 | 2020-06-30 |
| 1306463187 | Jessica Leigh Watson | Psychiatry & Neurology | Prisma Health General Psychiatry, 15 Medical Park, Ste 141, Columbia, SC 29203 | 2020-06-29 |
| 1053938852 | Garrison Glenn Rice | Family Medicine | Prisma Health Medical Group Family Medical Center, 3209 Colonial Drive, Columbia, SC 29203 | 2020-06-29 |
| 1053938977 | Rachel Ellen Harper | Obstetrics & Gynecology | The Womens Center, 1801 Sunset Drive, Columbia, SC 29203 | 2020-06-26 |
| 1609493592 | Elizabeth Marie Kern | Orthopaedic Surgery | Prisma Health Medical Group Orthopedic Center, 2 Medical Park, Ste 105, Columbia, SC 29203 | 2020-06-26 |
| 1891312799 | Kathryn Victoria Steverson | Psychiatry & Neurology | Prisma Health Medical Group Psychiatry Center, 15 Medical Park, Ste 141, Columbia, SC 29203 | 2020-06-26 |
| Find all providers in zip 29203 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689140451 | Nichole Lemay | Physician Assistant | 9 Richland Medical Park Dr Ste 640, Columbia, SC 29203 | 2018-10-19 |
| 1770073587 | Ashton Marie Roberts | Physician Assistant | 1 Hospital Dr # Dc077.00, Columbia, MO 65212-1000 | 2018-05-16 |
| 1780814251 | Jorge E Parra | Physician Assistant | 7253 Procopio Cir, Columbia, MD 21046-1645 | 2009-07-19 |
| 1760584981 | Coleman S Fravel | Physician Assistant | 3 Richland Medical Park Dr Ste 310, Columbia, SC 29203 | 2006-09-01 |
| 1518935543 | Edwin Lionel Schmidt Jr. | Physician Assistant | 8 Richland Medical Park Dr Ste 400, Columbia, SC 29203-8004 | 2006-03-08 |
| 1659360691 | Christina S Harman | Physician Assistant | 2 Office Park Ct Ste 103, Columbia, SC 29223 | 2005-10-20 |
| 1528666328 | Dustin Lee Dunn | Physician Assistant | 5 Richland Medical Park Dr, Columbia, SC 29203-6863 | 2020-10-14 |
| 1134767320 | Emily Christine Beck | Physician Assistant | 800 Hospital Dr, Columbia, MO 65201-5275 | 2019-12-18 |
| 1518522077 | Sarah Partin | Physician Assistant | 9 Richland Medical Park Dr Ste 450, Columbia, SC 29203-6859 | 2019-05-09 |
| 1629436050 | Jessica F Bailey | Physician Assistant | 9 Richland Medical Park Dr, Suite 450, Columbia, SC 29203-6859 | 2016-01-30 |
| Find all providers in COLUMBIA | ||||
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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.