DR. HAIDER RAZA SHAH (NPI# 1376860890) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376860890 |
| Entity Type | Individual |
| Full Name | DR. HAIDER RAZA SHAH |
| Credential | MD |
| Practice Address |
701 E County Line Rd Suite 101 Greenwood IN 46143-1072 |
| Mailing Address |
701 E County Line Rd Suite 101 Greenwood IN 46143-1070 |
| Practice Telephone | 3178852860 |
| Practice Fax Number | 3178852869 |
| Mailing Telephone | 3178852860 |
| Mailing Fax Number | 3178852869 |
| Enumeration Date | 2010-04-23 |
| Last Update Date | 2016-10-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 01068115A | IN | Allopathic & Osteopathic Physicians |
| Y | 208M00000X | Hospitalist | 01068115A | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200985130 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497384374 | Haider Hussain Shah | Student in an Organized Health Care Education/Training Program | 4777 E. Galbraith Road, The Jewish Hospital, Cincinnati, OH 45236 | 2020-04-03 |
| Street Address |
701 E COUNTY LINE RD SUITE 101 |
| City | GREENWOOD |
| State | IN |
| Zip Code | 46143-1072 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679570956 | Andrew David Dick | Family Medicine | 701 E County Line Rd, Suite 101, Greenwood, IN 46143-1070 | 2005-07-01 |
| 1073044954 | Caitlin Elizabeth Luebcke | Nurse Practitioner | 701 E County Line Rd, #101, Greenwood, IN 46143-1072 | 2017-03-23 |
| 1043759319 | Hannah E Mason | Nurse Practitioner | 701 E County Line Rd, Suite 101, Greenwood, IN 46143-1070 | 2017-02-19 |
| 1750829230 | Altus Direct, LLC | Psychiatry & Neurology | 701 E County Line Rd, Suite 210, Greenwood, IN 46143-1072 | 2017-02-06 |
| 1205382801 | Gwendolyn Whitis | Nurse Practitioner | 701 E County Line Rd, Suite 101, Greenwood, IN 46143-1072 | 2016-09-01 |
| 1215385174 | Erika Leigh Felt | Physician Assistant | 701 E County Line Rd, Suite 201, Greenwood, IN 46143-1072 | 2016-06-01 |
| 1124487145 | Rebecca E Pullyard | Registered Nurse | 701 E County Line Rd, Greenwood, IN 46143-1072 | 2016-02-18 |
| 1487013025 | Teena Nichole Mulholland | Nurse Practitioner | 701 E County Line Rd, Suite 101, Greenwood, IN 46143-1072 | 2016-02-10 |
| 1821456765 | Juli Davette White | Nurse Practitioner | 701 E County Line Rd, Suite 101, Greenwood, IN 46143-1072 | 2016-02-07 |
| 1083090021 | Kristen Mounce | Nurse Practitioner | 701 E County Line Rd, Suite 101, Greenwood, IN 46143-1072 | 2015-07-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891395299 | Tiffany Smirat | Pharmacist | 882 S Sr 135, Greenwood, IN 46143 | 2020-10-27 |
| 1083250138 | Benajmin Thomas Nyboer | Pharmacist | 5961 North State Road 135, Kroger Pharmacy, Greenwood, IN 46143 | 2019-11-25 |
| 1609417260 | Orthopaedics-indianapolis, Inc | Orthopaedic Surgery | 1579 Olive Branch Parke Lane, Suite 130, Greenwood, IN 46143 | 2019-10-04 |
| 1194282525 | Homebased Mental Health Service | Case Management | 2244 Blossom Dr, Greenwood, IN 46143 | 2019-02-21 |
| 1710478078 | Anne E Packard | Pharmacist | 333 E County Line Rd # 101, Greenwood, IN 46143 | 2018-05-22 |
| 1033607924 | Ez Clinic Inc. | Nurse Practitioner | 494 S Emerson Ave Ste I, Greenwood, IN 46143 | 2018-04-25 |
| 1891246633 | Kroger Limited Partnership I | Durable Medical Equipment & Medical Supplies | 5961 N Sr 135, Greenwood, IN 46143 | 2016-10-17 |
| 1477919637 | Ourhealth Physicians Group, LLC | Clinic/Center | 1273 N Emerson Ave Ste H, Greenwood, IN 46143 | 2016-01-04 |
| 1003212655 | American Health Network of Indiana, LLC | Non-Pharmacy Dispensing Site | 2355 Endress Place St A, Healthy Measures Wellness Clinic, Greenwood, IN 46143 | 2014-11-10 |
| 1265831366 | Katie D'agosto | Counselor | 3000 S State Road 135 Ste 230, Greenwood, IN 46143 | 2014-08-14 |
| Find all providers in zip 46143 | ||||
| Taxonomy Code | 208M00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Hospitalist |
| Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients. |
| Notes: Source: American Society of Hospital Medicine, 2007. http://www.hospitalmedicine.org/ [7/1/2009: definition aded] Additional Resources: Hospitalist is a recognized fellowship specialty program offered by many medical institutions. There is no board certification for the specialty at this point. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215391354 | Roderick S Brown | Hospitalist | 1401 River Rd Rm 442, Greenwood, MS 38930-4030 | 2016-04-05 |
| 1881923365 | Knd Development 59 LLC | Hospitalist | 607 Greenwood Springs Dr, Greenwood, IN 46143-6377 | 2009-12-14 |
| 1073840856 | Self Medical Group | Hospitalist | 1325 Spring Street, Hospital Medicine Specialists of Self Medical Group, Greenwood, SC 29646-3860 | 2009-11-16 |
| 1548422017 | Ahmad Rateb Alawneh | Hospitalist | 701 E County Line Rd, Suite 101, Greenwood, IN 46143-1070 | 2008-06-26 |
| 1720048440 | Greenwood Leflore Hospital | Hospitalist | 1401 River Rd, Greenwood, MS 38930 | 2006-03-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447865159 | Nichole Renee Sebesky | Hospitalist | 629 Park Dr, Franklin, IN 46131-7685 | 2020-09-10 |
| 1407239114 | Thomas Ryan Cervone | Hospitalist | Tristar Southern Hills Medical, 391 Wallace Road, Nashville, IN 37211 | 2015-06-30 |
| 1104194547 | Select Specialty Hospital - Evansville, LLC | Hospitalist | 400 Se 4th St, Evansville, IN 47713-1206 | 2011-12-13 |
| 1073826780 | Indiana University Health Starke Hospital LLC | Hospitalist | 102 East Culver Road, Knox, IN 46534-2216 | 2010-07-22 |
| 1295863199 | Jason S. Henderson | Hospitalist | 6404 Cotton Bay Dr N, Indianapolis, IN 46254-4528 | 2007-03-01 |
| 1619087707 | Shelene S. Ruggio | Hospitalist | 503 Steeplechase Dr, Auburn, IN 46706-9127 | 2006-08-30 |
| 1427161801 | Krishna Datta | Hospitalist | 2520 E. Dupont Road, Fort Wayne, IN 46825 | 2006-08-17 |
| 1003884404 | Srinivasu Kesa | Hospitalist | 3471 Muirfield Way, Carmel, IN 46032 | 2006-03-10 |
| 1154321099 | Johnson Memorial Hospital | Hospitalist | 1155 W Jefferson St, Ste 202, Franklin, IN 46131-2732 | 2005-07-21 |
| 1598387250 | Dana Oberg | Hospitalist | 1915 Lake Ave, Plymouth, IN 46563-9366 | 2020-05-15 |
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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.