DR. SANDEEP N SHAH (NPI# 1154362770) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154362770 |
| Entity Type | Individual |
| Full Name | DR. SANDEEP N SHAH |
| Credential | MD |
| Practice Address |
1008 Nw 139th Street Pkwy Edmond OK 73013-9791 |
| Mailing Address |
Po Box 2492 Edmond OK 73083-2492 |
| Practice Telephone | 4056076699 |
| Practice Fax Number | 4056076685 |
| Mailing Telephone | 4052925500 |
| Mailing Fax Number | 4052925505 |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2017-04-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207W00000X | Ophthalmology | 22912 | OK | Allopathic & Osteopathic Physicians |
| Y | 207WX0107X |
Ophthalmology Specialization: Retina Specialist |
22912 | OK | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 200198330A | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225314966 | Sandeep Shah | Pediatrics | 1906 Paterson Plank Rd, Apt #3a, North Bergen, NJ 07047-1902 | 2011-10-26 |
| 1417125667 | Sandeep A Shah | Pharmacist | 399 Route 112, Patchogue, NY 11772-1849 | 2008-02-11 |
| 1902821259 | Sandeep Anil Shah | Radiology | 12554 Riata Vista Cir, Austin, TX 78727-6431 | 2006-07-13 |
| 1710944061 | Sandeep K Shah | Pediatrics | 1955 W Frye Rd, Chandler, AZ 85224-6282 | 2006-04-28 |
| Street Address |
1008 NW 139TH STREET PKWY |
| City | EDMOND |
| State | OK |
| Zip Code | 73013-9791 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780634782 | Ryan Ridges | Ophthalmology | 1008 Nw 139th Street Pkwy, Edmond, OK 73013-9791 | 2006-05-11 |
| 1386932333 | Michael Philip Hood | Ophthalmology | 1008 Nw 139th Street Pkwy, Edmond, OK 73013-9791 | 2011-07-12 |
| 1689866576 | Brian Steven Phelps | Ophthalmology | 1008 Nw 139th Street Pkwy, Edmond, OK 73013-9791 | 2007-08-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407461866 | Alison Church-pugh | Case Manager/Care Coordinator | 1441 Kelley Pointe Pkwy, Edmond, OK 73013 | 2020-09-12 |
| 1699395343 | Dental Specialists of Edmond | Dentist | 16430 Muirfield Pl, Edmond, OK 73013 | 2020-04-23 |
| 1104477215 | Kammerer Richey LLC | Nurse Practitioner | 902 Nw 139th Street Parway, Edmond, OK 73013 | 2019-09-20 |
| 1811459191 | Peak Movement Centre, Pllc | Clinic/Center | 13816 Santa Fe Crossing Dr, Edmond, OK 73013 | 2019-04-04 |
| 1851858492 | Luma Hilal | Pharmacist | 2228 Nw 15th Terrace, Edmond, OK 73013 | 2019-03-01 |
| 1578031571 | Oklahoma Wellness Group LLC | Internal Medicine | 14101 North Esatern Avenue Suite B, Edmond, OK 73013 | 2018-11-07 |
| 1477034395 | Specialty Care Pediatrics, Inc. | Home Health | 2256 Nw 164th Street, Edmond, OK 73013 | 2018-08-28 |
| 1972083921 | Pooja Bhakta | Physician Assistant | Stanbro Healthcare Group LLC, 2000 E. 15th St., Suite 400-a, Edmond, OK 73013 | 2018-08-20 |
| 1417460577 | Oklahoma Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 15103 N Macarthur Blvd, Oklahoma City, OK 73013 | 2017-11-13 |
| 1356879753 | Shawn Smith Optimal Pt and Performance, Pllc | Physical Therapist | 336 Ne 145th Pl, Edmond, OK 73013 | 2017-05-30 |
| Find all providers in zip 73013 | ||||
| Taxonomy Code | 207WX0107X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| Specialization | Retina Specialist |
| An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases. |
| Notes: Source: American Society of Retina Specialists, www.asrs.org [1/1/2017: new] - Additional Resources: American Academy of Ophthalmology, www.aao.org. Macula Society, www.maculasociety.org. Retina Society, www.retinasociety.org. Association of University Professors of Ophthalmology, www.aupo.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386932333 | Michael Philip Hood | Ophthalmology | 1008 Nw 139th Street Pkwy, Edmond, OK 73013-9791 | 2011-07-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861918146 | Robert E Leonard II Md Pllc | Ophthalmology | 12318 Saint Andrews Dr, Oklahoma City, OK 73120-8604 | 2017-08-17 |
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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.