SHEFALI NAVIN SHAH (NPI# 1124237284) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124237284 |
| Entity Type | Individual |
| Full Name | SHEFALI NAVIN SHAH |
| Credential | MD |
| Practice Address |
2400 Mt. Zion Parkway Kaiser Permanente Southwood Medical Center Jonesboro GA 30236 |
| Mailing Address |
3495 Piedmont Road, Ne Nine Piedmont Center Atlanta GA 30305 |
| Practice Telephone | 7067216744 |
| Mailing Telephone | 4043647070 |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2014-06-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 036.117100 | IL | Allopathic & Osteopathic Physicians |
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
066813 | GA | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | 036.117100 | IL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073091385 | Shefali K Shah | Occupational Therapist | 1506 Timber Oaks Rd, Edison, NJ 08820-1550 | 2018-07-30 |
| 1174838155 | Shefali Ashish Shah | Pharmacist | 4057 Asbury Avenue, Neptune, NJ 07753 | 2010-08-13 |
| 1730401803 | Shefali B Shah | Pharmacist | 342 E 23rd St, New York, NY 10010-4701 | 2010-02-17 |
| 1609815414 | Shefali K Shah | Family Medicine | 2526 N Lincoln Ave, Chicago, IL 60614-2353 | 2006-06-06 |
| 1962961060 | Shefali Shah | Student in an Organized Health Care Education/Training Program | 1601 Owen Dr, Fayetteville, NC 28304-3425 | 2019-03-18 |
| 1720469950 | Shefali Shah | Internal Medicine | 245 N 15th St, 6th Floor, Philadelphia, PA 19102-1101 | 2015-06-12 |
| 1740621648 | Shefali Bipin Shah | Dentist | 6215 E State St, Rockford, IL 61108-2514 | 2013-07-09 |
| 1326120510 | Shefali Sanjay Shah | Occupational Therapist | 760 Broadway, Brooklyn, NY 11206-5317 | 2006-10-19 |
| 1083622138 | Shefali Shah | Internal Medicine | 3000 Q St, Sacramento, CA 95816-7058 | 2006-08-04 |
| 1568484020 | Shefali I. Shah | Otolaryngology | 728 E Park Ave, Long Beach, NY 11561-2605 | 2006-07-24 |
| Street Address |
2400 MT. ZION PARKWAY KAISER PERMANENTE SOUTHWOOD MEDICAL CENTER |
| City | JONESBORO |
| State | GA |
| Zip Code | 30236 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508866153 | Jodi Bayley Baptiste | Family Medicine | 2400 Mt. Zion Parkway, Kaiser Permanente Southwood Medical Center, Jonesboro, GA 30236 | 2005-07-26 |
| 1013450816 | Dorothy Delisfort-crisostomo | Nurse Practitioner | 2400 Mt. Zion Parkway, Kaiser Permanente Southwood Comprehension Medical Offic, Jonesboro, GA 30236 | 2016-11-28 |
| 1639590136 | Ashley Christine Ziobrowski | Nurse Practitioner | 2400 Mt. Zion Parkway, Kaiser Permanente Southwood Medical Center, Jonesboro, GA 30236 | 2013-12-31 |
| 1730520321 | Nash Ditmetaroj | Optometrist | 2400 Mt. Zion Parkway, Kaiser Permanente Southwood Medical Center, Jonesboro, GA 30236 | 2013-07-10 |
| 1770927402 | Labrittany R Davis-farve | Nurse Practitioner | 2400 Mt. Zion Parkway, Kaiser Permanente Southwood Comprehensive Medical Cente, Jonesboro, GA 30236 | 2013-04-24 |
| 1477896645 | Fofie S Akoto | Internal Medicine | 2400 Mt. Zion Parkway, Kaiser Permanente Southwood Comprehensive Medical Cente, Jonesboro, GA 30236 | 2013-04-05 |
| 1265773584 | Karen Kelly Willard | Nurse Practitioner | 2400 Mt. Zion Parkway, Kaiser Permanente Southwood Comprehensive Medical Cente, Jonesboro, GA 30236 | 2013-03-12 |
| 1114264652 | Jaclyn Marie Schwartz | Podiatrist | 2400 Mt. Zion Parkway, Kaiser Permanente Southwood Comprehensive Medical Cente, Jonesboro, GA 30236 | 2013-01-03 |
| 1801144605 | Dorie Angela Saxon | Pediatrics | 2400 Mt. Zion Parkway, Kaiser Permanente Southwood Comprehensive Medical Cente, Jonesboro, GA 30236 | 2012-08-28 |
| 1689937880 | Meena Yasmeen | Family Medicine | 2400 Mt. Zion Parkway, Kaiser Permanente Southwood Comprehensive Medical Cente, Jonesboro, GA 30236 | 2012-06-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972123362 | Life Source Counseling & Consulting, LLC | Clinic/Center | 118 North Avenue, Suite A, Jonesboro, GA 30236 | 2020-04-25 |
| 1639609555 | New Beginnings Behavioral Counseling,llc | Social Worker | 9456 S Main St Ste E2, Jonesboro, GA 30236 | 2017-06-13 |
| 1437696762 | Clarissa Alexandra Poole | Counselor | 2106 Fair Ridge Ct, Jonesboro, GA 30236 | 2017-01-25 |
| 1588012892 | Sundance Healthcare Service Inc | In Home Supportive Care | 7861 Collinswood Court, Jonesboro, GA 30236 | 2016-05-26 |
| 1942669205 | Adrianne Smiley Gurley | Occupational Therapist | 1299 Battlecreek Rd Ste 210, Jonesboro, GA 30236 | 2016-02-15 |
| 1336505809 | Integrated Health Center | Dentist | 8600 Tara Blvd, Suite D, Jonesboro, GA 30236 | 2016-01-13 |
| 1467827402 | Surrell Porter | Nurse Practitioner | 1287 Georgia Highway 138 Spur, Suite 8, Jonesboro, GA 30236 | 2015-12-02 |
| 1740688910 | Jacqueline Carolyn Edwards | Registered Nurse | 8081 Tara Blvd, 265, Jonesboro, GA 30236 | 2014-12-19 |
| 1770991861 | Lower Extremity Diagnostics, LLC | Podiatrist | 6911 Tara Boulevard, Jonesboro, GA 30236 | 2014-08-01 |
| 1760899710 | Fresenius Medical Care Jonesboro, LLC | Clinic/Center | 8060 Summitt Business Parkway, Jonesboro, GA 30236 | 2014-07-22 |
| Find all providers in zip 30236 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588620025 | Suapsan Singhapakdi | Internal Medicine | 216 Arrowhead Blvd, Jonesboro, GA 30236 | 2006-04-25 |
| 1700846045 | David A Nixon | Internal Medicine | 4808e Johnson Ave, Jonesboro, AR 72401-8413 | 2006-03-23 |
| 1689643751 | Ronald J Blachly | Internal Medicine | 4808 E Johnson Ave, Jonesboro, AR 72401-8413 | 2006-03-14 |
| 1184968661 | Cancer Care Associates Inc | Internal Medicine | 225 E Jackson Ave, Jonesboro, AR 72401-3119 | 2012-11-21 |
| 1649441296 | Georgia Cancer Specialists I, PC | Internal Medicine | 7823 Spivey Station Blvd, Suite 300, Jonesboro, GA 30236-2886 | 2008-03-21 |
| 1124231816 | Scott A. Dorroh | Internal Medicine | 4808 E Johnson Ave, Hem/onc Dept., Jonesboro, AR 72401 | 2007-05-08 |
| 1770659328 | Michael F Doherty | Internal Medicine | 2400 Mount Zion Parkway, Department of Hematology Oncology, Jonesboro, GA 30236 | 2006-11-27 |
| 1508801978 | Jyothirmai Kondapaneni | Internal Medicine | 2400 Mt Zion Parkway, Kp Southwood Medical Center, Jonesboro, GA 30236 | 2006-06-18 |
| 1659323608 | Mazen Khalil | Internal Medicine | 300 Carson St, Jonesboro, AR 72401-3104 | 2006-05-17 |
| 1821058991 | Carroll D. Scroggin | Internal Medicine | 4808e Johnson Ave, Jonesboro, AR 72401-8413 | 2006-03-24 |
| Find all providers in JONESBORO | ||||
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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.