DEEP N SHAH (NPI# 1164985883) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164985883 |
| Entity Type | Individual |
| Full Name | DEEP N SHAH |
| Practice Address |
1 Medical Center Blvd Chester PA 19013-3902 |
| Mailing Address |
6 Horton Dr Watervliet NY 12189-1309 |
| Practice Telephone | 6104472000 |
| Mailing Telephone | 5183307689 |
| Enumeration Date | 2019-04-09 |
| Last Update Date | 2019-07-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 213E00000X | Podiatrist | SC007033 | PA | Podiatric Medicine & Surgery Service Providers |
| N | 213EP1101X |
Podiatrist Specialization: Primary Podiatric Medicine |
SC007033 | PA | Podiatric Medicine & Surgery Service Providers |
| N | 213ER0200X |
Podiatrist Specialization: Radiology |
SC007033 | PA | Podiatric Medicine & Surgery Service Providers |
| N | 213ES0000X |
Podiatrist Specialization: Sports Medicine |
SC007033 | PA | Podiatric Medicine & Surgery Service Providers |
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
SC007033 | PA | Podiatric Medicine & Surgery Service Providers |
| N | 213ES0131X |
Podiatrist Specialization: Foot Surgery |
SC007033 | PA | Podiatric Medicine & Surgery Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1 Medical Center Blvd, Chester, PA 190133902 | 6104472000 | |
| 6 Horton Dr, Watervliet, NY 121891309 | 5183307689 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295266450 | Deep Shah | Student in an Organized Health Care Education/Training Program | 3595 Olentangy River Rd, Columbus, OH 43214-3440 | 2017-03-21 |
| 1588100192 | Deep Shah | Pharmacist | 2508 E Riverside Dr, Austin, TX 78741-3037 | 2017-01-07 |
| 1447634779 | Deep Shah | Student in an Organized Health Care Education/Training Program | 320 E North Ave, Pittsburgh, PA 15212 | 2015-07-16 |
| 1679968465 | Deep I. Shah | Dentist | 1073 Oak St, Pittston, PA 18640-3716 | 2015-03-30 |
| 1114361458 | Deep Shah | Internal Medicine | 475 Philip Blvd, Ste 100, Lawrenceville, GA 30046-8737 | 2013-04-17 |
| Street Address |
1 MEDICAL CENTER BLVD |
| City | CHESTER |
| State | PA |
| Zip Code | 19013-3902 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124626064 | Rachelle Lynn Dambman | Nurse Practitioner | 1 Medical Center Blvd, Chester, PA 19013-3902 | 2020-10-13 |
| 1588274930 | Hui Chong Lau | Student in an Organized Health Care Education/Training Program | 1 Medical Center Blvd, Chester, PA 19013-3902 | 2020-07-31 |
| 1679194856 | Pooja Manjunatha | Podiatrist | 1 Medical Center Blvd, Chester, PA 19013-3902 | 2020-04-29 |
| 1609497981 | Jessica Hyman | Physician Assistant | 1 Medical Center Blvd, Chester, PA 19013-3995 | 2020-04-28 |
| 1740800242 | Jared Blum | Podiatrist | 1 Medical Center Blvd, Chester, PA 19013-3902 | 2020-04-24 |
| 1487274312 | Patrick Sean Sullivan | Student in an Organized Health Care Education/Training Program | 1 Medical Center Blvd, Chester, PA 19013-3995 | 2020-04-21 |
| 1629698550 | Brett Houston Palmer | Student in an Organized Health Care Education/Training Program | 1 Medical Center Blvd, Chester, PA 19013-3995 | 2020-04-21 |
| 1922627231 | Oluwadara Nnoli | Student in an Organized Health Care Education/Training Program | 1 Medical Center Blvd, Chester, PA 19013-3902 | 2020-04-16 |
| 1730708181 | Sachi Singhal | Student in an Organized Health Care Education/Training Program | 1 Medical Center Blvd, Chester, PA 19013-3995 | 2020-04-15 |
| 1770102014 | Mary Howland Williamson | Student in an Organized Health Care Education/Training Program | 1 Medical Center Blvd, Chester, PA 19013-3902 | 2020-04-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790305043 | Erika Pack | Student in an Organized Health Care Education/Training Program | Crozer-chester Medical Center, 1 Medical Center Blvd., Upland, PA 19013 | 2020-04-16 |
| 1477195287 | Andrew Matthews | Counselor | 301 West 15 Street, Chester, PA 19013 | 2019-10-14 |
| 1780241133 | Raashidah Elizabeth Bowman | Contractor | 1208 Remington Street, Chester, PA 19013 | 2019-05-21 |
| 1134609464 | Shamira Clintonia Johnson | Nurse's Aide | 217 W 5th St, Chester, PA 19013 | 2018-08-16 |
| 1871081299 | Michael Briskey | Student in an Organized Health Care Education/Training Program | 1 Medical Center Blv.d, Chester, PA 19013 | 2018-05-01 |
| 1356845499 | Sonia Gaur | Internal Medicine | 1 Medical Center Blvd Fl 3, Chester, PA 19013 | 2018-03-22 |
| 1548619232 | Beth Barol | Social Worker | 1602 Walnut St, Center for Social Work Education, Chester, PA 19013 | 2016-06-03 |
| 1235594888 | Eryka Jackson | Counselor | 516 West 5th Street, Chester, PA 19013 | 2015-12-28 |
| 1437553146 | Erin Hipple | Counselor | 200 West 9th St, Chester, PA 19013 | 2014-10-09 |
| 1588079867 | Crozer Chester Medical Center | Clinic/Center | 201 Bridgewater Road, Chester Township, PA 19013 | 2014-06-25 |
| Find all providers in zip 19013 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144645722 | South Carolina Podiatric Physicians and Surgeons Group, LLC | Podiatrist | 1 Medical Park Dr Ste C, Chester, SC 29706-9769 | 2014-02-19 |
| 1073781076 | James River Foot & Ankle Center P C | Podiatrist | 13125 Rivers Bend Blvd, Chester, VA 23836-2699 | 2008-02-13 |
| 1609834795 | Allan Scott Wax | Podiatrist | 13048 Rivers Bend Rd, Chester, VA 23836-2564 | 2006-05-01 |
| 1679194856 | Pooja Manjunatha | Podiatrist | 1 Medical Center Blvd, Chester, PA 19013-3902 | 2020-04-29 |
| 1306403803 | Quinn Tran | Podiatrist | 1 Medical Center Blvd, Chester, PA 19013-3902 | 2019-05-21 |
| 1124581079 | Hans Erik Wangsness | Podiatrist | 1 Medical Center Blvd, Chester, PA 19013-3902 | 2019-04-08 |
| 1821550013 | Yusuke Kihira | Podiatrist | 1 Medical Center Blvd, Chester, PA 19013-3902 | 2019-04-05 |
| 1306331590 | Nina Kovalenko | Podiatrist | 1 Medical Center Blvd, Chester, PA 19013 | 2018-06-29 |
| 1376033597 | Scott Hudzinski | Podiatrist | 1 Medical Center Blvd, Chester, PA 19013 | 2018-05-14 |
| 1538656319 | Tyler R Austin | Podiatrist | 1 Medical Center Blvd, Chester, PA 19013 | 2018-04-17 |
| Find all providers in CHESTER | ||||
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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.