JAYESH R SHAH (NPI# 1184663627) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184663627 |
| Entity Type | Individual |
| Full Name | JAYESH R SHAH |
| Credential | MD |
| Practice Address |
500 E Pottawatamie St Tecumseh MI 49286-2018 |
| Mailing Address |
2000 Green Rd Suite 300 Ann Arbor MI 48105-1598 |
| Practice Telephone | 5174232141 |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2009-01-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207PE0004X |
Emergency Medicine Specialization: Emergency Medical Services |
084511 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BC/BS | JS084511 | 01 |
| MI | 4718360 | 05 | |
| MI | 4685027 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619299070 | Jayesh K Shah | Pharmacist | 99-1 Rte 25a, Shoreham, NY 11786 | 2010-02-25 |
| 1366556771 | Jayesh S Shah | Internal Medicine | 1426 W Busch Blvd Ste 105, Tampa, FL 33612-7648 | 2006-08-19 |
| 1205899325 | Jayesh B Shah | Pediatrics | 1000 E Mountain Blvd, Wilkes Barre, PA 18711-0027 | 2006-04-10 |
| 1962404830 | Jayesh B Shah | Internal Medicine | 8811 Village Dr, Northeast Baptist Wound Healing Center, San Antonio, TX 78217-5415 | 2005-08-11 |
| Street Address |
500 E POTTAWATAMIE ST |
| City | TECUMSEH |
| State | MI |
| Zip Code | 49286-2018 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003809633 | Masud S Hashmi | Emergency Medicine | 500 E Pottawatamie St, Tecumseh, MI 49286-2018 | 2005-08-30 |
| 1528546371 | Kirstin Owens | Occupational Therapist | 500 E Pottawatamie St, Tecumseh, MI 49286-2018 | 2018-08-03 |
| 1316432933 | Jennifer Yape | Physical Therapist | 500 E Pottawatamie St, Tecumseh, MI 49286-2018 | 2018-06-26 |
| 1609368521 | Elizabeth Alcock | Physical Therapist | 500 E Pottawatamie St, Tecumseh, MI 49286-2018 | 2018-06-06 |
| 1639601008 | Nancy Mueller | Pharmacist | 500 E Pottawatamie St, Tecumseh, MI 49286-2018 | 2017-04-03 |
| 1740609098 | Herrick Hospital | Clinical Medical Laboratory | 500 E Pottawatamie St, Tecumseh, MI 49286-2018 | 2014-04-15 |
| 1548549298 | Promedica Northwest Ohio Cardiology Consultants, LLC | Internal Medicine | 500 E Pottawatamie St, Tecumseh, MI 49286-2018 | 2011-08-12 |
| 1356659411 | Elise M Mcnulty | Social Worker | 500 E Pottawatamie St, 2 South, Tecumseh, MI 49286-2018 | 2010-09-22 |
| 1063641546 | Sushma Chandramouli | Psychiatry & Neurology | 500 E Pottawatamie St, Tecumseh, MI 49286-2018 | 2009-07-06 |
| 1699929232 | Tammy S. Jordan | Social Worker | 500 E Pottawatamie St, Tecumseh, MI 49286-2018 | 2008-11-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649706276 | Shivaay 1 Pllc | Pharmacy | 6869 S Occidental Highway, Tecumseh, MI 49286 | 2017-05-02 |
| 1386073658 | Leslie Ann Kovalski | Counselor | 2698 Burwyn Hills Drive, Tecumseh, MI 49286 | 2013-11-06 |
| 1629347364 | Carol A. Drayton | Social Worker | 308 South Maumee, Tecumseh, MI 49286 | 2011-12-27 |
| 1487931812 | Luann M Hurd | Counselor | 808 E. Chicago Blvd., Suite 14, Tecumseh, MI 49286 | 2011-11-14 |
| 1043596760 | Shawn R Gerrity | Physician Assistant | 501 E. Cummins St, Tecumseh, MI 49286 | 2011-10-26 |
| 1932331386 | Heidi Cunningham Herman | Social Worker | 2558 Dinius Rd, Tecumseh, MI 49286 | 2009-08-19 |
| 1417105560 | Nancy Grace Hornsby | Pharmacist | 2655 W. Chicago Blvd, Tecumseh, MI 49286 | 2008-09-03 |
| 1487822524 | James A Hinesly | Dentist | 126 Herrick Park Dr, Tecumseh, MI 49286 | 2008-02-12 |
| 1548442676 | Tecumseh Chiropractic Center, Incorporated | Chiropractor | 402 East Chicago Blvd., Tecumseh, MI 49286 | 2007-11-30 |
| 1740470509 | Todd Eduard Vonhofe | Chiropractor | 120 North Evans St., Tecumseh, MI 49286 | 2007-07-27 |
| Find all providers in zip 49286 | ||||
| Taxonomy Code | 207PE0004X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| Specialization | Emergency Medical Services |
| An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) is issued by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770059529 | Zachary Kenneth Brown | Emergency Medicine | 906 S Crapo St, Mt Pleasant, MI 48858-3662 | 2018-10-19 |
| 1356778286 | Donald Smith Pllc | Emergency Medicine | 1905 N Hammond Lake Dr, Bloomfield Hills, MI 48302-0139 | 2013-10-10 |
| 1346486222 | Flushing Road Urgent Care PC | Emergency Medicine | 1301 Flushing Rd, Flint, MI 48504-4710 | 2008-12-26 |
| 1184897209 | Donnell Stephen Newman Jr. | Emergency Medicine | 1460 Lakepointe St, Grosse Pointe Park, MI 48230-1016 | 2008-04-09 |
| 1205849866 | Daryl D Wisdom | Emergency Medicine | 10015 Cascade Rd Se, Lowell, MI 49331-9529 | 2006-08-14 |
| 1134131683 | Rick L Holland | Emergency Medicine | 8333 Felch Ave, Zeeland, MI 49464 | 2006-08-13 |
| 1760493472 | Katherine J Pitus | Emergency Medicine | 118000 E Twelve Mile Rd, Er Department, Warren, MI 48093 | 2006-08-10 |
| 1952319881 | Robert Prodinger | Emergency Medicine | 9825 W Gull Lake Dr, Richland, MI 49083-9543 | 2006-08-04 |
| 1164436671 | James Barry Nolin | Emergency Medicine | 1805 Wild Dr, Richland, MI 49083-9361 | 2006-07-28 |
| 1518987072 | Trace Dotson | Emergency Medicine | 118000 E Twelve Mile Road, Er Department, Warren, MI 48093 | 2006-07-20 |
| 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.