JAY SHAH (NPI# 1346656873) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346656873 |
| Entity Type | Individual |
| Full Name | JAY SHAH |
| Credential | MD |
| Practice Address |
11327 N Daisy Rd Dunlap IL 61525-9436 |
| Practice Telephone | 3072772487 |
| Enumeration Date | 2014-07-04 |
| Last Update Date | 2020-07-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
70616-20 | WI | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538571997 | Jay Shah | Student in an Organized Health Care Education/Training Program | 41 Burlington Mall Rd, Burlington, MA 01805-3134 | 2014-05-20 |
| 1609134535 | Jay Shah | Anesthesiology | 8424 E Shea Blvd Ste 101, Scottsdale, AZ 85260-6662 | 2012-04-28 |
| 1215162318 | Jay Ajit Shah | Family Medicine | 29345 Sw Town Center Loop E Ste 110, Wilsonville, OR 97070 | 2009-05-19 |
| 1497989164 | Jay Naresh Shah | Orthopaedic Surgery | 100 Healthy Way Ste 1200, Anderson, SC 29621-7916 | 2009-05-11 |
| 1366632440 | Jay Shah | Family Medicine | 5541 Telegraph Road, #216, Saint Louis, MO 63129-3554 | 2007-07-26 |
| 1881665495 | Jay Pravin Shah | Obstetrics & Gynecology | 6650 Alton Pkwy # 2, Irvine, CA 92618-3734 | 2006-01-31 |
| 1457973133 | Jay Shah | Internal Medicine | 28050 Grand River Ave, Farmington Hills, MI 48336-5919 | 2020-05-15 |
| 1770111676 | Jay Shah | Family Medicine | 9555 S 52nd Ave, Oak Lawn, IL 60453-3054 | 2020-03-28 |
| 1154827970 | Jay Akshay Shah | Student in an Organized Health Care Education/Training Program | 450 Clarkson Ave # 59, Brooklyn, NY 11203-2012 | 2018-04-02 |
| 1003346354 | Jay Shah | Student in an Organized Health Care Education/Training Program | 355 Grand St, Jersey City, NJ 07302-4321 | 2017-06-19 |
| Street Address |
11327 N DAISY RD |
| City | DUNLAP |
| State | IL |
| Zip Code | 61525-9436 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821512674 | Kids Thrive Therapy, LLC | Speech-Language Pathologist | 11221 N Blackstone Court, Dunlap, IL 61525 | 2017-08-02 |
| 1679857536 | Manish Patel | Pharmacist | 1700 W. Hickory Grove Rd, Apt 3-209, Dunlap, IL 61525 | 2011-10-10 |
| 1134302839 | Thomas Rickey | Pharmacist | 10424 N Osage Ct, Dunlap, IL 61525 | 2007-12-17 |
| 1427116854 | Maple Shade Dental Group | Dentist | 11825 N Knoxville Ave, Dunlap, IL 61525 | 2006-12-05 |
| 1407213796 | Tommy Bohannan | Durable Medical Equipment & Medical Supplies | 11417 N Boulder Creek Ct, Dunlap, IL 61525-1500 | 2016-01-19 |
| 1225499080 | Bohannan Medical Dist., LLC | Durable Medical Equipment & Medical Supplies | 11417 N Boulder Creek Ct, Dunlap, IL 61525-1500 | 2016-03-08 |
| 1437770872 | Laurie Michelle Kaplan | Dietitian, Registered | 12603 N. Feucht Rd, Dunlap, IL 61525-6152 | 2020-04-27 |
| 1255859575 | Kay Lynn Trilikis | Speech-Language Pathologist | 11230 N Greenview Ln, Dunlap, IL 61525-7542 | 2017-09-07 |
| 1891944864 | Naby Nature's Hand Inc | Massage Therapist | 307 S 4th St, Dunlap, IL 61525-8025 | 2008-09-15 |
| 1891820312 | Mapleshade Vision Center Inc. | Optometrist | 11825 State Route 40, Suite 101, Dunlap, IL 61525-8842 | 2007-02-23 |
| Find all providers in zip 61525 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376196220 | Parvathamma Imaging Services, LLC | Radiology | 7431 S East End Ave Ste 2, Chicago, IL 60649-3611 | 2019-07-19 |
| 1730652017 | Diaspora Radiology, Sc | Radiology | 2602 Mulberry Ln, Northbrook, IL 60062-5937 | 2019-01-09 |
| 1225516842 | Tyler Jonathan Hinkel | Radiology | 33 W Ontario St Apt 46f, Chicago, IL 60654 | 2018-08-06 |
| 1043796543 | Quantum Medical Radiology of California, P.C. | Radiology | 374 W Seminary Ave, Wheaton, IL 60187-5002 | 2018-07-17 |
| 1215429501 | The Open Mri Center | Radiology | 3123 Williamson County Pkwy, Marion, IL 62959-5235 | 2018-06-01 |
| 1649769746 | Envision Medical Imaging, LLC | Radiology | 915 National Pkwy Ste 915-20, Schaumburg, IL 60173-5160 | 2018-05-03 |
| 1831687250 | Michael Patrick Murphy | Radiology | 807 Davis St. Unit 707, Evanston, IL 60201 | 2018-05-01 |
| 1366976631 | Ali Mostafa Serhal | Radiology | 240 E. Huron St, Suite 1-203, Chicago, IL 60617 | 2017-04-13 |
| 1710427737 | Dorothea A Nazos | Radiology | 1810 Parkside Dr, Shorewood, IL 60404-0684 | 2017-02-24 |
| 1194275941 | Florida United Radiology, Lc | Radiology | 7 Pear Tree Ct, Charleston, IL 61920-4415 | 2016-10-05 |
| 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.