NORTH SHORE RETINA PLLC (NPI# 1245843937) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245843937 |
| Entity Type | Organization |
| Organization Name | NORTH SHORE RETINA PLLC |
| Practice Address |
900 Cummings Ctr Ste 308v Beverly MA 01915-6181 |
| Mailing Address |
47 Walker Rd Manchester MA 01944-1032 |
| Practice Telephone | 9789221344 |
| Practice Fax Number | 9789221346 |
| Mailing Telephone | 9789221344 |
| Mailing Fax Number | 9789221346 |
| Enumeration Date | 2020-08-24 |
| Last Update Date | 2020-08-24 |
| Authorized Official Name | SHAHROKH C KHANI (SOLE OWNER) |
| Authorized Official Telephone | 9789221344 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207WX0107X |
Ophthalmology Specialization: Retina Specialist |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Shahrokh C Khani MD | Other Name - Individual/Organization |
| Street Address |
900 CUMMINGS CTR STE 308V |
| City | BEVERLY |
| State | MA |
| Zip Code | 01915-6181 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497377253 | Janice E. Schwartz | Psychologist | 100 Cummings Center, 232 C, Beverly, MA 01915 | 2020-05-14 |
| 1720625452 | Campos Dental Care PC | Dentist | 127 Dodge Street, Beverly, MA 01915 | 2019-12-02 |
| 1144781477 | Nutrimedy | Dietitian, Registered | 6 Oceanside Drive, Beverly, MA 01915 | 2019-03-28 |
| 1376001073 | Benjamin David Stebbings | Counselor | 199 Rosewood Dr. Suite 250, Beverly, MA 01915 | 2019-03-12 |
| 1376000455 | Patrick Matthew Noble | Occupational Therapist | Peer Projects - Therapy From The Heart, 100 Cummings Center Suite 350g, Beverly, MA 01915 | 2019-02-26 |
| 1174007900 | Nicole Morreo | Psychologist | 480 Rantoul St., 208, Beverly, MA 01915 | 2018-09-18 |
| 1891282299 | Jeanne Tomich | Psychologist | 110 Hart St., Beverly, MA 01915 | 2018-04-20 |
| 1518469089 | Kathleen L Golemon | Specialist | 100 Cummings Center Suite 158-d, Beverly, MA 01915 | 2018-03-01 |
| 1629582556 | Sarah Elizabeth Tsouvalas | Nurse Practitioner | 900 Cummings Center, Suite 111w, Lahey Health Primary Care, Beverly, Beverly, MA 01915 | 2017-11-30 |
| 1235657339 | Kathleen Ann Downey | Registered Nurse | Element Care, 166d Cummings Center, Beverly, MA 01915 | 2017-09-08 |
| Find all providers in zip 01915 | ||||
| Taxonomy Code | 207WX0107X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| Specialization | Retina Specialist |
| An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases. |
| Notes: Source: American Society of Retina Specialists, www.asrs.org [1/1/2017: new] - Additional Resources: American Academy of Ophthalmology, www.aao.org. Macula Society, www.maculasociety.org. Retina Society, www.retinasociety.org. Association of University Professors of Ophthalmology, www.aupo.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710953690 | Shahrokh Charles Khani | Ophthalmology | 900 Cummings Center, Suite 303v, Beverly, MA 01915-6181 | 2006-02-28 |
| 1194957803 | S. Charles Khani, M.d. Phd, P.C. | Ophthalmology | 900 Cummings Ctr, Suite 308v, Beverly, MA 01915-6198 | 2009-08-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447869839 | Brian Ballios | Ophthalmology | 243 Charles St Rm 319, Boston, MA 02114-3002 | 2020-07-30 |
| 1285258236 | Cris Martin Pacis Jacoba | Ophthalmology | 1 Joslin Pl, Boston, MA 02215-5306 | 2020-06-05 |
| 1104303858 | Elite Bor-shavit | Ophthalmology | 479 Old Union Tpke, Lancaster, MA 01523 | 2018-07-25 |
| 1861979528 | Siamak Shokrollahi | Ophthalmology | 1 Joslin Pl, Boston, MA 02215-5394 | 2018-07-25 |
| 1497241962 | Omar Mohammed Abdelal | Ophthalmology | 1 Joslin Pl, Boston, MA 02215-5306 | 2018-07-07 |
| 1982126769 | Mohamed Ashraf Elmasry | Ophthalmology | 1 Joslin Pl, Boston, MA 02215-5306 | 2017-07-12 |
| 1205361763 | Alex Umali Pisig | Ophthalmology | One Joslin Place, Beetham Eye Institute, Joslin Diabetes Center, Boston, MA 02215 | 2017-04-21 |
| 1255495651 | Vasiliki Poulaki | Ophthalmology | 243 Charles St, Boston, MA 02114 | 2006-12-20 |
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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.