INTISAR SHAZIA SHAHEED (NPI# 1265099360) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265099360 |
| Entity Type | Individual |
| Full Name | INTISAR SHAZIA SHAHEED |
| Credential | PA-C |
| Practice Address |
8651 Adamstown Way Elk Grove CA 95624-4506 |
| Practice Telephone | 9162085365 |
| Mailing Telephone | 9162085365 |
| Enumeration Date | 2019-05-23 |
| Last Update Date | 2019-05-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
8651 ADAMSTOWN WAY |
| City | ELK GROVE |
| State | CA |
| Zip Code | 95624-4506 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194363721 | Sanam Adela Baidar | Behavior Technician | 9170 Dino Dr, Ste 170, Elk Grove, CA 95624 | 2019-12-13 |
| 1134686041 | Hannah Marie Hamm | Behavior Technician | 9701 Dino Drive, Suite 170, Elk Grove, CA 95624 | 2019-02-27 |
| 1538624259 | Amnah Sattar | Assistant Behavior Analyst | 9701 Dino Dr, Elk Grove, CA 95624 | 2019-02-06 |
| 1740793470 | Sheena Maharaj | Marriage & Family Therapist | 9008 Elk Grove Blvd Ste 11, Elk Grove, CA 95624 | 2017-11-16 |
| 1598285595 | Jessica Russo | Behavior Technician | 8672 Cycladic Ct, Elk Grove, CA 95624 | 2017-06-21 |
| 1982137568 | Jamie Kofoed | Behavioral Analyst | 9355 E Stockton Blvd Ste 100, Elk Grove, CA 95624 | 2017-04-10 |
| 1154878742 | Dorian Elaine Buckner | Counselor | 9355 E. Stockton Blvd., Elk Grove, CA 95624 | 2016-09-01 |
| 1447635529 | David Johnson | Student in an Organized Health Care Education/Training Program | 9666 Kent St, Elk Grove, CA 95624 | 2015-07-30 |
| 1760862437 | Harpreet Singh | Student in an Organized Health Care Education/Training Program | 8617 Orison Ct, Elk Grove, CA 95624 | 2015-06-08 |
| 1942698253 | Noah Shapiro | Social Worker | 9140 Bradshaw Rd, Elf Grove, CA 95624 | 2015-01-08 |
| Find all providers in zip 95624 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699142448 | John Dao | Physician Assistant | 10270 E Taron Dr, #220, Elk Grove, CA 95757-8222 | 2015-08-27 |
| 1770622862 | Keith Chester Myers | Physician Assistant | 2620 Marsh Wren Way, Elk Grove, CA 95757-8185 | 2007-02-05 |
| 1841760170 | Chidinma Cynthia Ukah | Physician Assistant | 9394 Big Horn Blvd, Elk Grove, CA 95758-7977 | 2018-11-29 |
| 1447798111 | Nicole Klopovic | Physician Assistant | 9045 Bruceville Rd Ste 100, Elk Grove, CA 95758-5950 | 2017-02-02 |
| 1205286259 | Erin Sheaffer | Physician Assistant | 8170 Laguna Blvd, #220, Elk Grove, CA 95758-7901 | 2016-06-20 |
| 1518325349 | Eliza Oun | Physician Assistant | 8220 Wymark Dr Ste 200, Elk Grove, CA 95757-6298 | 2016-02-08 |
| 1386014181 | Jennifer Figueroa | Physician Assistant | 9045 Bruceville Rd, Elk Grove, CA 95758-5948 | 2015-10-06 |
| 1609279207 | Dustin Craig Handel | Physician Assistant | 9045 Bruceville Rd Ste 100, Elk Grove, CA 95758-5950 | 2014-09-27 |
| 1497088660 | Pamona Purdy | Physician Assistant | 8170 Laguna Blvd, Suite 200, Elk Grove, CA 95758-7901 | 2009-09-04 |
| 1710102371 | Jennifer M Carmichael | Physician Assistant | 2382 Maritime Dr, #100, Elk Grove, CA 95758-3639 | 2007-04-17 |
| Find all providers in ELK GROVE | ||||
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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.