DR. SHIV MEHTA (NPI# 1114489986) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114489986 |
| Entity Type | Individual |
| Full Name | DR. SHIV MEHTA |
| Credential | DPM |
| Practice Address |
12303 Depaul Drive Bridgeton MO 63044 |
| Mailing Address |
124 Royal Woods Rd Columbia SC 29210-4464 |
| Practice Telephone | 3143446000 |
| Mailing Telephone | 8037608841 |
| Enumeration Date | 2019-04-02 |
| Last Update Date | 2019-04-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
12303 DEPAUL DRIVE |
| City | BRIDGETON |
| State | MO |
| Zip Code | 63044 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386642320 | Sameer Rana | Internal Medicine | 12303 Depaul Drive, Bridgeton, MO 63044 | 2005-07-13 |
| 1609481241 | Hannah Ross | Social Worker | 12303 Depaul Drive, Bridgeton, MO 63044 | 2020-09-10 |
| 1023661709 | Jessica Wild | Family Medicine | 12303 Depaul Drive, Bridgeton, MO 63044 | 2019-07-22 |
| 1699330803 | Melinda Sue Nicholes | Student in an Organized Health Care Education/Training Program | 12303 Depaul Drive, Bridgeton, MO 63044 | 2019-05-02 |
| 1124580410 | Blake Thomas Savage | Student in an Organized Health Care Education/Training Program | 12303 Depaul Drive, Bridgeton, MO 63044 | 2019-04-04 |
| 1467918128 | Joy Roberts | Social Worker | 12303 Depaul Drive, Bridgeton, MO 63044 | 2019-02-18 |
| 1376074377 | Deborah Lynn Murphy | Registered Nurse | 12303 Depaul Drive, Bridgeton, MO 63044 | 2017-03-22 |
| 1174060719 | Candice Bowman | Social Worker | 12303 Depaul Drive, Bridgeton, MO 63044 | 2017-01-20 |
| 1164878252 | Deanna Krankel | Social Worker | 12303 Depaul Drive, St. Vincent's Behavioral Heatlh Services, Bridgeton, MO 63044 | 2016-05-09 |
| 1346635281 | Christi Anne Dunmire | Pharmacist | 12303 Depaul Drive, Pharmacy, Bridgeton, MO 63044 | 2015-03-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073150017 | Zoe Marie Wadsworth | Nurse Practitioner | 12255 Depaul Dr Suite 300, Bridgeton, MO 63044 | 2019-12-10 |
| 1609412451 | Beyond Better, Best Home Health Care Services, Limited Liability Corpo | In Home Supportive Care | 3430 Mckelvey Road Ste B, Bridgeton, MO 63044 | 2019-11-26 |
| 1275189078 | Delicate Angels Home Health LLC | Home Health | 11726 St. Charles Rock Road Suite G, Bridgeton, MO 63044 | 2019-08-16 |
| 1588210082 | Nicholas Huber | Physical Therapist | 12349 Depaul Dr., Ste. 110, Bridgeton, MO 63044 | 2019-08-12 |
| 1124688858 | Michelle Bassett | Registered Nurse | 11520 St. Charles Rock Rd., Suite 106, Bridgeton, MO 63044 | 2019-06-14 |
| 1336703883 | Elena A Barrow | Nurse Practitioner | 12255 Depaul Dr, Suite 260, Bridgeton, MO 63044 | 2019-04-30 |
| 1487123105 | Laura N Steiner | Registered Nurse | Gateway Pediatrics, Ltd, 12255 Depaul Drive, Suite 460 North Medical Building, Bridgeton, MO 63044 | 2018-11-26 |
| 1205310950 | Danielle Mathis | Nurse Practitioner | 3440 Depaul Lane Suite 201, Bridgeton, MO 63044 | 2018-09-19 |
| 1588163570 | Thoughts Out Loud Counseling, LLC | Social Worker | 11520 St. Charles Rock Road Suite 101, Bridgeton, MO 63044 | 2018-02-06 |
| 1912411430 | Breanna Victoria Hayes | Counselor | 3165 Mckevley Road, Suite 200, Bridgeton, MO 63044 | 2017-11-20 |
| Find all providers in zip 63044 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194357624 | Taylor Judith Turner | Student in an Organized Health Care Education/Training Program | 12255 De Paul Dr Ste 860, Bridgeton, MO 63044-2515 | 2020-02-12 |
| 1194274902 | Christina Rankine | Student in an Organized Health Care Education/Training Program | 32 Longview Drive, Bridgeton, NJ 08302-4419 | 2016-09-22 |
| 1699330803 | Melinda Sue Nicholes | Student in an Organized Health Care Education/Training Program | 12303 Depaul Drive, Bridgeton, MO 63044 | 2019-05-02 |
| 1780147447 | Raul Aviles | Student in an Organized Health Care Education/Training Program | 12255 Depaul Dr, Suite 705, Bridgeton, MO 63044 | 2019-04-10 |
| 1437611720 | Hannan Zahid | Student in an Organized Health Care Education/Training Program | 12255 Depaul Drive, Bridgeton, MO 63044 | 2019-04-04 |
| 1124580410 | Blake Thomas Savage | Student in an Organized Health Care Education/Training Program | 12303 Depaul Drive, Bridgeton, MO 63044 | 2019-04-04 |
| 1023587060 | Angela E Esser | Student in an Organized Health Care Education/Training Program | 3165 Mckelvey Rd Ste 200, Bridgeton, MO 63044-2550 | 2018-11-20 |
| 1417431867 | Tessa Anwar | Student in an Organized Health Care Education/Training Program | 3165 Mckelvey Rd Ste 200, Bridgeton, MO 63044-2550 | 2018-09-21 |
| 1164914826 | Jordan Gibbon | Student in an Organized Health Care Education/Training Program | 12303 De Paul Dr, Bridgeton, MO 63044-2512 | 2018-05-30 |
| 1790274066 | Nicholas Staub | Student in an Organized Health Care Education/Training Program | 12303 De Paul Dr, Bridgeton, MO 63044-2512 | 2018-05-02 |
| Find all providers in BRIDGETON | ||||
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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.