PUJA SHAH (NPI# 1336627561) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336627561 |
| Entity Type | Individual |
| Full Name | PUJA SHAH |
| Credential | PA |
| Practice Address |
200 Hawthorne Ln Charlotte NC 28204 |
| Mailing Address |
Po Box 60447 Charlotte NC 28260-0447 |
| Practice Telephone | 7043845416 |
| Practice Fax Number | 7043845992 |
| Mailing Telephone | 7043845416 |
| Mailing Fax Number | 7043845992 |
| Enumeration Date | 2018-07-31 |
| Last Update Date | 2020-10-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 0010-08286 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1000 Blythe Blvd, Charlotte, NC 282035812 | 7043552171 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245844927 | Puja Shah | Dentist | 602 S Bethlehem Pike Ste C2, Ambler, PA 19002-5800 | 2020-09-01 |
| 1518584317 | Puja Shah | Pharmacist | 10814 Cory Lake Dr, Tampa, FL 33647-2783 | 2020-06-29 |
| 1558675942 | Puja Shah | Optometrist | 3220 W Armitage Ave, Chicago, IL 60647-3797 | 2010-07-28 |
| 1528434255 | Puja Shah | Pharmacist | 6100 Arlington Blvd, Falls Church, VA 22044-2901 | 2015-08-17 |
| 1003235722 | Puja Shah | Counselor | 1001 Rohlwing Rd, Elk Grove Vlg, IL 60007-3217 | 2014-04-09 |
| 1366701468 | Puja Shah | Case Manager/Care Coordinator | 605 W Olympic Blvd Ste 600, Los Angeles, CA 90015-1475 | 2012-05-09 |
| 1659639144 | Puja Dipakkumar Shah | Registered Nurse | 1421 E 17th St, Santa Ana, CA 92705-8505 | 2012-05-02 |
| 1982985511 | Puja Shah | Pharmacist | 7960 W 159th St, Orland Park, IL 60462-5038 | 2011-09-09 |
| 1407142680 | Puja R Shah | Anesthesiology | 24 Stevens St, Norwalk, CT 06850-3852 | 2011-06-25 |
| 1760648935 | Puja Shah | Dentist | 333 S Broadway, Hicksville, NY 11801-5005 | 2008-08-06 |
| Street Address |
200 HAWTHORNE LN |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28204 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013913128 | Patrick Aloysius Wilson | Pathology | 200 Hawthorne Ln, Presbyterian Hospital Department of Pathology, Charlotte, NC 28204-2515 | 2005-06-23 |
| 1649879479 | Lovina; Takon | Registered Nurse | 200 Hawthorne Ln, Charlotte, NC 28204-2515 | 2020-10-22 |
| 1982203253 | Jaime Michelle Stanton Morris | Nurse Practitioner | 200 Hawthorne Ln, Charlotte, NC 28204-2515 | 2020-10-19 |
| 1447864640 | Steven Cimijotti | Respiratory Therapist, Registered | 200 Hawthorne Ln, Charlotte, NC 28204-2515 | 2020-09-04 |
| 1962015420 | Randall Lee Coffman | Nurse Practitioner | 200 Hawthorne Ln, Charlotte, NC 28204-2515 | 2020-08-25 |
| 1083226062 | Jamie Tyo | Nurse Practitioner | 200 Hawthorne Ln, Charlotte, NC 28204-2515 | 2020-08-20 |
| 1477171494 | Larson Vickery | Physician Assistant | 200 Hawthorne Ln, Charlotte, NC 28204-2515 | 2020-07-07 |
| 1497378327 | Courtney Lynn Harper | Pharmacist | 200 Hawthorne Ln, Charlotte, NC 28204-2515 | 2020-05-27 |
| 1760005094 | Kwame Adusei-mensah | Respiratory Therapist, Registered | 200 Hawthorne Ln, Charlotte, NC 28204-2515 | 2020-05-21 |
| 1598388829 | Mark William Benfield | Respiratory Therapist, Registered | 200 Hawthorne Ln, Charlotte, NC 28204-2515 | 2020-05-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285263582 | Precise Home Care Service LLC | In Home Supportive Care | 1935 Baxter Street, Unit 101, Charlotte, NC 28204 | 2020-04-07 |
| 1285276253 | Shannon Miller | Counselor | 1432 E Seventh Street, Charlotte, NC 28204 | 2019-10-11 |
| 1194282202 | Madison Joann Mcgarrigle | Behavior Technician | 1401 East 7th Street, Charlotte, NC 28204 | 2019-02-25 |
| 1255802674 | Stacey D. Alston, Dds, Pa | Dentist | 1020 E. 10th St., Suite 1, Charlotte, NC 28204 | 2018-12-11 |
| 1972082097 | Kim Webb Talbert | Nurse Practitioner | Novant Health Presbyterian Medical Center Charlotte, 200 Hawthorne Lane, Charlotte, NC 28204 | 2018-08-09 |
| 1164910535 | Jesse Elijah Roberts | Counselor | 1801 E 5th Street, #208, Charlotte, NC 28204 | 2018-05-01 |
| 1336696848 | Eight Healthcare | Exclusive Provider Organization | 2455 Weddington Ave, 2110, Charlotte, NC 28204 | 2016-09-01 |
| 1225480551 | Kathleen Quintana Bradley | Physician Assistant | 1523 Elizabeth Ave., Suite 200, Charlotte, NC 28204 | 2016-07-11 |
| 1184049777 | Della Franklin | Speech-Language Pathologist | 1021 Morehead Medical Dr Ste 3300, Charlotte, NC 28204 | 2014-02-19 |
| 1225459845 | Healing Arts Medical, Pa | Family Medicine | 335 N. Caswell Rd., Charlotte, NC 28204 | 2013-12-27 |
| Find all providers in zip 28204 | ||||
| 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 |
|---|---|---|---|---|
| 1396351607 | Michael James Blackwell | Physician Assistant | 501 Billingsley Rd Ste B, Charlotte, NC 28211-1009 | 2020-09-22 |
| 1598371320 | Jonathan Byron Lively | Physician Assistant | 1000 Blythe Blvd Fl 3, Charlotte, NC 28203-5812 | 2020-09-17 |
| 1902415532 | Jacqueline Ellen Leyrer | Physician Assistant | 2630 E 7th St Ste 200, Charlotte, NC 28204-4319 | 2020-07-29 |
| 1750908380 | Whitney Debroy | Physician Assistant | 125 W Tremont Ave Unit 726, Charlotte, NC 28203-5551 | 2020-06-30 |
| 1972129302 | Ashley Nicole Short | Physician Assistant | 1022 E Worthington Ave, Charlotte, NC 28203-5760 | 2020-06-22 |
| 1558985176 | Courtney Claugus | Physician Assistant | 300 E Park Ave Unit 7, Charlotte, NC 28203-4774 | 2020-05-29 |
| 1467071738 | Patrick James Quinn | Physician Assistant | 2036 Millerton Ave Apt 4311, Charlotte, NC 28208-5290 | 2020-04-15 |
| 1225660301 | Sunil Ranchhod Ghodasara | Physician Assistant | 1001 Blythe Blvd Ste 403, Charlotte, NC 28203-5863 | 2020-02-06 |
| 1225668601 | Emily Rebecca Markey | Physician Assistant | 355 W Mlk Blvd Apt 1112, Charlotte, NC 28202-0043 | 2020-01-24 |
| 1639719586 | Abosede Elizabeth Adamson | Physician Assistant | 3101 Amesbury Hill Dr, Charlotte, NC 28269-8951 | 2020-01-08 |
| Find all providers in CHARLOTTE | ||||
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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.