UPENDRA SHAH (NPI# 1164492088) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164492088 |
| Entity Type | Individual |
| Full Name | UPENDRA SHAH |
| Credential | MD |
| Practice Address |
12805 Escanaba Dr Dewitt MI 48820-8628 |
| Mailing Address |
401 S Ballenger Hwy Flint MI 48532-3638 |
| Practice Telephone | 5173675520 |
| Practice Fax Number | 5173675521 |
| Mailing Telephone | 8103421000 |
| Mailing Fax Number | 8103421590 |
| Enumeration Date | 2006-01-24 |
| Last Update Date | 2013-12-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 4301058499 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | COMMUNITY BLUE PPO | 160C311260 | 01 |
| MI | BLUE CARE NETWORK | 160C311260 | 01 |
| MI | MCLAREN HEALTH PLAN | 252500 | 01 |
| MI | HEALTH ADVANTAGE NETWORK | 252500 | 01 |
| MI | 4155746 | 05 | |
| MI | BLUE CROSS BLUE SHIELD | 160C311260 | 01 |
| MI | BLUE CHOICE | 160C311260 | 01 |
| MI | AETNA | 01795 | 01 |
| MI | PHYSICIANS HEALTH PLAN | 0700183 | 01 |
| MI | HEALTH NET FEDERAL SERVIC | F03502 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285850131 | Upendra Shah | Pathology | 1 Oak Hill Dr, Lincoln, RI 02865-1022 | 2007-04-18 |
| 1245232131 | Upendra C Shah | Internal Medicine | 7447 W Talcott Ave, Suite 444, Chicago, IL 60631-3745 | 2005-08-11 |
| Street Address |
12805 ESCANABA DR |
| City | DEWITT |
| State | MI |
| Zip Code | 48820-8628 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679553952 | Theresa Mayhartle | Obstetrics & Gynecology | 12805 Escanaba Dr, Suite 2, Dewitt, MI 48820-8628 | 2006-01-20 |
| 1497943542 | Linda Sue Bowers | Nurse Practitioner | 12805 Escanaba Dr, Suite 2, Dewitt, MI 48820-8628 | 2007-10-12 |
| 1255345856 | Jay Thomas Hoffman | Family Medicine | 12805 Escanaba Dr, Suite 1, Dewitt, MI 48820-8628 | 2006-07-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164070660 | Safa Abugroun | Pharmacist | 13020 Old Us 27, Dewitt, MI 48820 | 2019-08-28 |
| 1881113645 | Joseph Wesley Zielinski | Physical Therapist | 13105 Shavey Rd. Suite 5, Dewitt, MI 48820 | 2017-09-13 |
| 1366979973 | Brianna Bishop | Behavior Technician | 12450 Airport Rd, Dewitt, MI 48820 | 2017-05-12 |
| 1376882290 | Elements Behavioral Health Pllc | Social Worker | 1651 Pratt Rd, Dewitt, MI 48820 | 2013-02-13 |
| 1265697478 | Abigail Balger | Emergency Medicine | 805 E Geneva Dr, Dewitt, MI 48820 | 2008-07-28 |
| 1992910483 | Heide Ann Novack | Pharmacist | 13157 1/2 Schavey, Dewitt, MI 48820 | 2007-05-10 |
| 1275667321 | Andrea K Simons | Podiatrist | 13105 Schavey Road, Suite 2, Dewitt, MI 48820 | 2007-03-14 |
| 1649222423 | Dewitt Optometry PC | Optometrist | 12900 S Us-27, #7, Dewitt, MI 48820 | 2006-05-17 |
| 1700884467 | Michael R. Bunce | Pharmacist | 128 S Bridge St, Dewitt, MI 48820 | 2005-07-07 |
| 1023439452 | Mary Sieben | Pharmacist | 12821 Crossover Dr, Meijer Pharmacy 209, Dewitt, MI 48820 | 2014-01-03 |
| Find all providers in zip 48820 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679553952 | Theresa Mayhartle | Obstetrics & Gynecology | 12805 Escanaba Dr, Suite 2, Dewitt, MI 48820-8628 | 2006-01-20 |
| 1841288594 | John M. Hobbs, Jr., M.d., P.C. | Obstetrics & Gynecology | 205 W Dill Dr, Dewitt, MI 48820-8798 | 2005-10-06 |
| 1104000744 | John Merrion Hobbs Jr. | Obstetrics & Gynecology | 205 W Dill Dr, Dewitt, MI 48820-8798 | 2007-12-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851900096 | Youssef Derbala | Obstetrics & Gynecology | 15050 E Jefferson Ave Ste 102, Grosse Pointe Park, MI 48230-2050 | 2020-07-23 |
| 1184242760 | Christian Healthcare Specialists, Inc. | Obstetrics & Gynecology | 3322 Beltline Court Ne, Suite 1, Grand Rapids, MI 49525 | 2020-07-09 |
| 1740808799 | Beyond Womens Care PC | Obstetrics & Gynecology | 455 S Livernois Rd Ste A12, Rochester Hills, MI 48307-2579 | 2020-07-07 |
| 1760009070 | Pamila Diwan, Md | Obstetrics & Gynecology | 30555 Southfield Rd Ste 180, Southfield, MI 48076-7700 | 2020-07-02 |
| 1972120962 | Tara Elizabeth Bjorklund | Obstetrics & Gynecology | 44405 Woodward Ave - H23, St. Joseph Mercy Oakland - Gme Office, Pontiac, MI 48341 | 2020-06-25 |
| 1194341198 | Kelcy L Welch | Obstetrics & Gynecology | 30445 Northwestern Hwy Ste 140, Farmington Hills, MI 48334-3174 | 2020-06-25 |
| 1457975476 | Lauren Nicole Holmes | Obstetrics & Gynecology | Gme Department, 1 Genesys Pkwy, Grand Blanc, MI 48439 | 2020-06-05 |
| 1780208272 | Whitney Nicole Buck | Obstetrics & Gynecology | 16001 W 9 Mile Rd Bldg Ste 401, Southfield, MI 48075-4818 | 2020-06-01 |
| 1245854652 | Rachel Shamoun | Obstetrics & Gynecology | 16001 W 9 Mile Rd Bldg Suite401, Southfield, MI 48075-4818 | 2020-06-01 |
| 1841811171 | Advanced Healthcare Associates, Pllc | Obstetrics & Gynecology | 25050 Outer Dr Ste 102, Lincoln Park, MI 48146-1293 | 2020-04-27 |
| Find all providers with the same taxonomy | ||||
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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.