DR. MODASER - SHAH (NPI# 1194810184) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194810184 |
| Entity Type | Individual |
| Full Name | DR. MODASER - SHAH |
| Credential | M.D. |
| Practice Address |
530 E 34th St. Joplin MO 64803-2526 |
| Practice Telephone | 4173477540 |
| Practice Fax Number | 4173477549 |
| Mailing Telephone | 4173477540 |
| Mailing Fax Number | 4173477549 |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
R7170 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | BCBS | BCBS10290A005 | 01 |
| Street Address |
530 E 34TH ST. |
| City | JOPLIN |
| State | MO |
| Zip Code | 64803-2526 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316140650 | Lowell Kenneth Pottenger | Radiology | 4400 Eden Hall Ln, Joplin, MO 64803 | 2007-06-06 |
| 1851429294 | Spencer L Ellis | Counselor | 2808 S. Picher St., Joplin, MO 64803 | 2007-02-28 |
| 1295781235 | Douglas L Holtmeier | Anesthesiology | 1102 W 32nd St, Joplin, MO 64803 | 2006-05-25 |
| 1326122961 | Ozark Center | Counselor | 1949 Snowberry Lane, Joplin, MO 64803-2526 | 2006-10-24 |
| 1477872265 | Randy Weiss | Radiology | 5237 Mcclelland Park Rd., Joplin, MO 64803-2785 | 2010-05-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952909756 | Jennifer Banks | Physical Therapist | 219 W 2nd St, Joplin, MO 64801-2507 | 2020-10-14 |
| 1982202883 | Unearth Potential, LLC | Behavioral Analyst | 1907 S Moffet Ave, Joplin, MO 64804-1851 | 2020-10-13 |
| 1073128724 | Austin Ray Jones | Chiropractor | 212 S Joplin Ave Ste 4, Joplin, MO 64801-2332 | 2020-09-10 |
| 1053925537 | Jill Bryant | Internal Medicine | 2615 E 15th St, Joplin, MO 64804-1006 | 2020-09-02 |
| 1053924985 | Robert Milton Davis Jr. | Counselor | 2428 S Wall Ave, Joplin, MO 64804-2661 | 2020-08-29 |
| 1902419641 | Kasandra Diane Collins | Non-emergency Medical Transport (VAN) | 2809 Santa Fe St, Joplin, MO 64801-8277 | 2020-08-24 |
| 1023620689 | Joni Lynn Baker | Social Worker | 522 W 32nd St Ste 2, Joplin, MO 64804-2533 | 2020-08-17 |
| 1528677200 | Aubri Danielle Ashbacher | Registered Nurse | 1116 S Connor Ave, Joplin, MO 64801-4216 | 2020-07-28 |
| 1871102541 | Abby Zeb | Registered Nurse | 3220 Westberry Sq, Joplin, MO 64804-1586 | 2020-07-28 |
| 1346859600 | Centered and Connected LLC | Counselor | 2401 E 32nd St, Ste 10 #103, Joplin, MO 64804 | 2020-07-23 |
| Find all providers in JOPLIN | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881766707 | Oscar H Gonzalez | Psychiatry & Neurology | 2509 Jackson Street, Joplin, MO 64804 | 2006-11-15 |
| 1336218320 | Scarlett Florence Custer | Psychiatry & Neurology | 932 E. 34th Street, Joplin, MO 64804-3932 | 2006-11-06 |
| 1891807285 | Jeffrey Shane Bradley | Psychiatry & Neurology | 530 E 34th St, Joplin, MO 64804-3926 | 2006-08-31 |
| 1467489450 | Steven Kory | Psychiatry & Neurology | 1002 Mcintosh Circle, Ste 4, Joplin, MO 64804 | 2006-06-27 |
| 1083671333 | Brandon D. Riesenmy | Psychiatry & Neurology | 2001 S Connor Ave, Joplin, MO 64804-1841 | 2006-04-28 |
| 1316923436 | Asadullah Ahmed | Psychiatry & Neurology | 1800 W 30th St, Joplin, MO 64804-1520 | 2005-12-20 |
| 1629051123 | James Orlando IIi | Psychiatry & Neurology | 5615 W. 32nd, Joplin, MO 64804 | 2005-11-29 |
| 1922001635 | William Joseph Klontz | Psychiatry & Neurology | 5615 W 32nd St, Joplin, MO 64804-8161 | 2005-05-27 |
| 1407472145 | Matthew Krahl | Psychiatry & Neurology | 932 E 34th St, Joplin, MO 64804-3932 | 2020-06-18 |
| 1043834583 | Syed Muhammad Faruleet Aoun Jafri | Psychiatry & Neurology | 932 E 34th St, Joplin, MO 64804-3932 | 2020-06-01 |
| Find all providers in JOPLIN | ||||
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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.