DR. VIVEK MANHAR SHAH (NPI# 1164611687) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1164611687 |
Entity Type | Individual |
Full Name | DR. VIVEK MANHAR SHAH |
Credential | M.D. |
Practice Address |
750 Washington St Boston MA 02111 |
Mailing Address |
375 Boylston St Brookline MA 02445-6007 |
Practice Telephone | 6176365000 |
Mailing Telephone | 8573070869 |
Enumeration Date | 2007-10-21 |
Last Update Date | 2018-08-29 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgery | 233439 | MA | Allopathic & Osteopathic Physicians |
Y | 207XS0114X |
Orthopaedic Surgery Specialization: Adult Reconstructive Orthopaedic Surgery |
251049 | MA | Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033771894 | Vivek Shah | Pharmacist | 451 Bloomfield Ave, Newark, NJ 07107-1866 | 2019-07-02 |
1013570563 | Vivek Dilipkumar Shah | Student in an Organized Health Care Education/Training Program | 11234 Anderson St, Loma Linda, CA 92354-2804 | 2019-04-19 |
1144674789 | Vivek Chandrakant Shah | Student in an Organized Health Care Education/Training Program | 2201 Hempstead Tpke, East Meadow, NY 11554-1859 | 2016-04-20 |
1508123134 | Vivek Shah | Internal Medicine | 919 E 32nd St, Austin, TX 78705-2703 | 2012-04-20 |
1942249024 | Vivek Shah | Internal Medicine | 12 S 8th St, Yakima, WA 98901-3020 | 2006-06-05 |
Street Address |
750 WASHINGTON ST |
City | BOSTON |
State | MA |
Zip Code | 02111 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255337044 | Paul N Abourjaily | Pharmacist | 750 Washington St, # 420, Boston, MA 02111-1526 | 2005-06-27 |
1780222539 | Kathleen Nora Coughlin | Nurse Practitioner | 750 Washington St, Boston, MA 02111-1526 | 2019-12-11 |
1073962122 | John Pinski | Orthopaedic Surgery | 750 Washington St, Boston, MA 02111-1526 | 2016-06-09 |
1982901823 | Sara M Mcreynolds | Physician Assistant | 750 Washington St, Tufts Medical Center Emergency Dept, Boston, MA 02111-1526 | 2011-02-11 |
1457591638 | Maureen Abbott | Nurse Practitioner | 750 Washington St, Nemc Box 7105, Boston, MA 02111-1526 | 2009-02-27 |
1013152438 | Alexis Madej | Dietitian, Registered | 750 Washington St, Frances Stern Nutrition Center, Boston, MA 02111-1552 | 2008-12-15 |
1376797860 | Michelle W.s. Ma | Dermatology | 750 Washington St, Tufts Medical Center - Department of Internal Medicine, Boston, MA 02111-1526 | 2008-11-10 |
1366690554 | Tony Woo, Dds | Clinic/Center | 750 Washington St, Boston, MA 02111-1526 | 2008-09-03 |
1952564437 | Denise F. Arthurs | Dietitian, Registered | 750 Washington St, Boston, MA 02111-1526 | 2008-07-06 |
1891958385 | Daria Rachelle Homenko | Internal Medicine | 750 Washington St, Boston, MA 02111-1526 | 2008-07-06 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689271397 | Maximilian Richert | Counselor | 25 Kingston St, 4r, Boston, MA 02111 | 2020-10-06 |
1558978957 | Tien-hsin Chang | Student in an Organized Health Care Education/Training Program | 1 Kneeland Street (tufts University School of Dental Me, Boston, MA 02111 | 2020-09-29 |
1548883465 | Elizabeth Carter Stapleton | Dentist | Tufts School of Dental Medicine: Dept of Orthodontics, 1 Kneeland Street, Boston, MA 02111 | 2020-05-27 |
1932729597 | Jacob Joseph Kosarchuk | Neurological Surgery | 800 Washington Street, Proger 7, Boston, MA 02111 | 2020-04-23 |
1164051868 | Daniele Abela | Surgery | 860 Washington Street, South Building, 4th Floor, Boston, MA 02111 | 2020-04-04 |
1184265258 | Jade Orthodontics | Dentist | 30 Kneeland St, Suite 301, Boston, MA 02111 | 2019-09-30 |
1932753639 | Loukia Kamille Danaf | Student in an Organized Health Care Education/Training Program | 1 Kneeland Street, Tufts University School of Dental Me, Boston, MA 02111 | 2019-07-31 |
1033771944 | Faris Khalifa | Student in an Organized Health Care Education/Training Program | 1 Kneeland Street, 5th Floor, Boston, MA 02111 | 2019-07-01 |
1609437276 | Blair Hanna Ray Farbstein | Student in an Organized Health Care Education/Training Program | 1 Kneeland Street, 3rd Floor, Boston, MA 02111 | 2019-06-25 |
1821658709 | Jennifer Drummond | Internal Medicine | 800 Washington St. Gme Office, Boston, MA 02111 | 2019-06-13 |
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Taxonomy Code | 207XS0114X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Orthopaedic Surgery |
Specialization | Adult Reconstructive Orthopaedic Surgery |
Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, adult reconstructive orthopaedic surgeons deal with reconstructive procedures such as joint arthroplasty (i.e., hip and knee), osteotomy, arthroscopy, soft-tissue reconstruction, and a variety of other adult reconstructive surgical procedures. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881753242 | Harris S Yett | Orthopaedic Surgery | Bidmc - Dept of Orhtopaedics, 330 Brookline Ave, Boston, MA 02115 | 2006-12-08 |
1497847982 | John Mcarthur Harris IIi | Orthopaedic Surgery | 150 South Huntington Avenue (112), Dva Boston Healthcare System, Boston, MA 02130 | 2006-09-29 |
1184100802 | Ajb Orthopedics, Pllc | Orthopaedic Surgery | 125 Parker Hill Ave, Boston, MA 02120-2847 | 2018-07-16 |
1679075410 | Krysta Kayla Cass | Orthopaedic Surgery | 330 Brookline Ave, Boston, MA 02215-5400 | 2018-03-07 |
1407240062 | Daniel R Schmitt | Orthopaedic Surgery | 125 Parker Hill Avenue, Boston, MA 02120 | 2015-03-22 |
1952690455 | Tiffany Nicole Castillo | Orthopaedic Surgery | 55 Fruit St, Boston, MA 02114-2621 | 2011-04-05 |
1225365430 | Antonio Gomez | Orthopaedic Surgery | 180 Brookline Ave, Apt 339, Boston, MA 02215 | 2009-11-09 |
1316106958 | Mohamed E Moussa | Orthopaedic Surgery | Massachusetts General Hospital, 55 Fruit St White # 535, Boston, MA 02114-2621 | 2008-06-09 |
1104085604 | Dennis W Burke Md PC | Orthopaedic Surgery | 55 Fruit St, Yawkey 3b, Boston, MA 02114 | 2008-06-09 |
1750579165 | Senthil Sambandam | Orthopaedic Surgery | 1400 Vfw Pkwy, Boston, MA 02132-4927 | 2007-10-10 |
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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.