DR. AHMAD SHAKER (NPI# 1174767917) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174767917 |
| Entity Type | Individual |
| Full Name | DR. AHMAD SHAKER |
| Credential | M.D. |
| Practice Address |
620 10th St N St Petersburg FL 33705-1407 |
| Mailing Address |
Po Box 12868 St Petersburg FL 33733-2868 |
| Practice Telephone | 7278248206 |
| Practice Fax Number | 7278247110 |
| Mailing Telephone | 7275320002 |
| Mailing Fax Number | 7272664943 |
| Enumeration Date | 2009-04-23 |
| Last Update Date | 2018-04-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
ME124862 | FL | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 018178200 | 05 |
| Street Address |
620 10TH ST N |
| City | ST PETERSBURG |
| State | FL |
| Zip Code | 33705-1407 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235124967 | James C. Mauch | Dermatology | 620 10th St N, St Petersburg, FL 33705-1407 | 2005-09-19 |
| 1639716764 | Rebecca Grimm | Nurse Practitioner | 620 10th St N, St Petersburg, FL 33705-1407 | 2019-12-09 |
| 1306211743 | Saint Petersburg Interventional Pain Management LLC | Pain Medicine | 620 10th St N, Suite 2d, St Petersburg, FL 33705-1407 | 2015-12-10 |
| 1992100788 | Tiffany Todd | Nurse Practitioner | 620 10th St N, St Petersburg, FL 33705-1407 | 2014-10-23 |
| 1457751687 | Warren S Gilbert | Physician Assistant | 620 10th St N, St Petersburg, FL 33705-1407 | 2014-08-25 |
| 1417369588 | Cory Nelson | Family Medicine | 620 10th St N, St Petersburg, FL 33705-1407 | 2014-05-23 |
| 1679997753 | Allison N Kyle | Nurse Practitioner | 620 10th St N, St Petersburg, FL 33705-1407 | 2014-02-11 |
| 1427488360 | Jessie Bardin Sereda | Nurse Practitioner | 620 10th St N, St Petersburg, FL 33705-1407 | 2013-11-13 |
| 1174960694 | Conrad Hernandez Vinalon Jr. | Family Medicine | 620 10th St N, St Petersburg, FL 33705-1407 | 2013-05-23 |
| 1174967129 | Monica Cristina Bovee | Specialist/Technologist | 620 10th St N, Suite 1d, St Petersburg, FL 33705-1407 | 2013-04-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154935781 | Caressa Alice Slocum | Psychologist | 840 Dr M.l.k. Jr St N, St. Petersburg, FL 33705 | 2020-09-01 |
| 1386133015 | Angela Ann Little | Social Worker | 920 Country Club Way S, St Petersburg, FL 33705 | 2018-05-08 |
| 1497279483 | Infinity Health Consultants, LLC. | In Home Supportive Care | 1001 27th Avenue South, St. Petersburg, FL 33705 | 2017-08-01 |
| 1801320528 | Dedicated Senior Medical Center St. Petersburg, LLC. | Non-Pharmacy Dispensing Site | 901 22nd Avenue South, Dedicated Senior Medical Center St. Petersburg, LLC., St. Petersburg, FL 33705 | 2017-04-19 |
| 1790135762 | Robin Dong | Emergency Medicine | 1095 5th Ave N, St. Petersburg, FL 33705 | 2016-06-20 |
| 1437550084 | Community Health Center of Pinellas Inc | Clinic/Center | 612 Dr Martin L King St N, St Petersburg, FL 33705 | 2014-09-12 |
| 1164851754 | Jennifer Carey | Counselor | 11 Mlk Jr St South, St. Petersburg, FL 33705 | 2013-11-05 |
| 1750623997 | Dannaly Reyes Baerga | Physical Medicine & Rehabilitation | 1201 5th Ave N Ste 202, St Petersburg, FL 33705 | 2013-03-26 |
| 1518209055 | Nii Sai Torto | Emergency Medicine | 500 Doctor. M.l.k, Jr. Street North, Ste 303, Saint Petersburg, FL 33705 | 2013-03-22 |
| 1790034635 | Melissa White Kidwell | Physical Therapist | 500 Mlking Street N, Ste 100, St. Petersburg, FL 33705 | 2012-09-06 |
| Find all providers in zip 33705 | ||||
| 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 |
|---|---|---|---|---|
| 1841637436 | Brandon David Konkel | Internal Medicine | 1201 5th Ave N Ste 505, St Petersburg, FL 33705-1455 | 2013-05-23 |
| 1942566567 | Sheel Jayendra Patel | Internal Medicine | 603 7th St S Ste 560, St Petersburg, FL 33701-4732 | 2012-04-09 |
| 1336120336 | Richard Knipe | Internal Medicine | 1201 5th Ave North, Suite 505, St Petersburg, FL 33705-1455 | 2005-11-08 |
| 1801887062 | Andrew E. Hano | Internal Medicine | 300 Beach Dr Ne, #1001, St Petersburg, FL 33701-3482 | 2005-11-04 |
| 1114009651 | Pinellas Hematology and Oncology Pa | Internal Medicine | 5000 Park St N, Suite 1017, St Petersburg, FL 33709-2221 | 2006-10-20 |
| 1487616017 | Anilkumar N Raiker | Internal Medicine | 6499 38th Ave N, Suite G1, St Petersburg, FL 33710-1656 | 2006-04-06 |
| 1730142373 | Anil N. Raiker, M.d., P.l.c. | Internal Medicine | 6499 38th Ave N, Suite G1, St Petersburg, FL 33710-1656 | 2006-04-06 |
| 1245211242 | John A. Peterson | Internal Medicine | 1201 5th Ave North, Suite 505, St Petersburg, FL 33705-1455 | 2005-11-08 |
| 1871574871 | Vu Tran Ho | Internal Medicine | 1201 5th Ave N, Suite 505, St Petersburg, FL 33705-1455 | 2005-11-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194343210 | Jayaben Patel | Internal Medicine | 11818 Shire Wycliffe Ct, Tampa, FL 33626-3329 | 2020-07-07 |
| 1922628833 | Heme Onc Call, LLC | Internal Medicine | 5825 Sw 117th St, Pinecrest, FL 33156-5007 | 2020-04-21 |
| 1457851552 | Yvette M Herrington | Internal Medicine | 425 S Parsons Ave Ste 101, Brandon, FL 33511-5290 | 2018-02-15 |
| 1104360221 | Mid Florida Hematology and Oncology Centers Pa | Internal Medicine | 658 Oviedo Medical Drive, Oviedo, FL 32765 | 2016-12-08 |
| 1225424369 | Florence Arnold | Internal Medicine | 3830 Bee Ridge Rd Ste 301, Sarasota, FL 34233 | 2015-04-15 |
| 1073901187 | Edward Mcaloon | Internal Medicine | 108 Homeport Dr, Palm Harbor, FL 34683-5409 | 2014-12-26 |
| 1063818235 | Barry M. Krein | Internal Medicine | 4220 Careywood Dr, Melbourne, FL 32934-7679 | 2014-11-14 |
| 1912311630 | David Longacre | Internal Medicine | 2439 Weymouth Dr, Clearwater, FL 33764-6556 | 2014-06-20 |
| 1508270778 | Gerard Chaaya | Internal Medicine | 4306 Alton Rd Fl 3, Miami Beach, FL 33140-2840 | 2014-06-16 |
| 1982026670 | Mid Florida Hematology and Oncology Centers Pa | Internal Medicine | 2100 W 1st St, Sanford, FL 32771-1603 | 2014-01-14 |
| Find all providers with the same taxonomy | ||||
| City | ST PETERSBURG |
| Zip Code | 33705 |
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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.