SHYAM BHAKTA (NPI# 1417094780) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417094780 |
| Entity Type | Individual |
| Full Name | SHYAM BHAKTA |
| Credential | MD |
| Practice Address |
830 Amherst Rd Ne Ste 205 Massillon OH 44646-8518 |
| Practice Telephone | (330) 830-1645 |
| Practice Fax Number | 3308344758 |
| Mailing Telephone | (330) 830-1645 |
| Mailing Fax Number | 3308344758 |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
35089165 | OH | Allopathic & Osteopathic Physicians |
| Y | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
35089165 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | PARTNERS PHYSICIAN GROUP MEDICAID GROUP # | 2551671 | 01 |
| OH | PARTNERS PHYSICIAN GROUP TYPE 2 NPI # | 1841239274 | 01 |
| OH | 2762498 | 05 | |
| OH | AETNA | 9691080 | 01 |
| OH | PARTNERS PHYSICIAN GROUP MEDICARE GROUP # | 9338635 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 224 W Exchange St, Akron, OH 443021704 | 3303441200 | 3307612492 |
| Street Address |
830 AMHERST RD NE STE 205 |
| City | MASSILLON |
| State | OH |
| Zip Code | 44646-8518 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063027498 | Tiarra Q Mccole | Home Health Aide | 879 Walnut Rd Se, Massillon, OH 44646 | 2020-09-11 |
| 1083268536 | Jenna Peters | Speech-Language Pathologist | 8036 Daytona St Nw, Massillan, OH 44646 | 2019-08-01 |
| 1063998342 | Erin Lindsay Baters | Nurse Practitioner | 2037 Wales Rd, Suite #110, Massillon, OH 44646 | 2018-07-19 |
| 1275036261 | Sarah Nichols | Licensed Practical Nurse | 1428 David Dodson Drive, Massillon, OH 44646 | 2018-03-15 |
| 1295233054 | Ohio Treatment Center, LLC | Clinic/Center | 2520 Wales Ave. Nw, Suite 100, Massillon, OH 44646 | 2018-01-26 |
| 1861901019 | Mrs Transport Services LLC | Non-emergency Medical Transport (VAN) | 2514 List St Nw, Massillon, OH 44646 | 2017-09-20 |
| 1386162899 | Brandy Marie Townsend | Home Health | 306 2nd St Sw, Massillon, OH 44646 | 2017-09-05 |
| 1861875007 | Josiah Wagler | Student in an Organized Health Care Education/Training Program | 875 Eigth Street Ne, Massillon, OH 44646 | 2015-07-07 |
| 1205215647 | Michelle Avril Burch | Psychologist | 1 Paul E. Brown Drive, Se, Massillon, OH 44646 | 2015-05-19 |
| 1275940371 | Anthony Tedesco | Orthopaedic Surgery | 875 8th St. Ne, Massillon, OH 44646 | 2014-07-21 |
| Find all providers in zip 44646 | ||||
| Taxonomy Code | 207RI0011X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Interventional Cardiology |
| An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/ Board Certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. ACGME Accredited Residency Program Requirements: 1 year of training plus a prerequisite of 3 years Internal Medicine, 3 years Cardiovascular Disease for a total of 7 years. ABMS Approved Subspecialty Certificate (Internal Medicine) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730799347 | Warren Endovascular Associates LLC | Internal Medicine | 1950 Niles Cortland Rd Ne Ste 12, Warren, OH 44484-1077 | 2020-08-07 |
| 1821570128 | Rishi Puri | Internal Medicine | 9500 Euclid Ave # J2-208, Cleveland, OH 44195-0001 | 2018-09-04 |
| 1760980049 | Cardiac Cin of Columbus LLC | Internal Medicine | 175 S 3rd St Ste 200-248, Columbus, OH 43215-5134 | 2018-01-31 |
| 1316445695 | Cardiac Cin of Cincinnati LLC | Internal Medicine | 9435 Waterstone Blvd Ste 140-302, Cincinnati, OH 45249-8226 | 2018-01-31 |
| 1720462591 | Midwest Access Services LLC | Internal Medicine | 7335 Yankee Rd Ste 101, Liberty Township, OH 45044-0008 | 2015-07-12 |
| 1306878863 | Medcentral Professional Association Inc. | Internal Medicine | 308 Glessner Ave, Mansfield, OH 44903-2225 | 2006-07-07 |
| 1629077961 | Gregory J Wood | Internal Medicine | 7200 Mentor Ave, Mentor, OH 44060-7522 | 2005-07-19 |
| 1508865213 | Joseph Michael Surmitis | Internal Medicine | 4082 Fulton Dr Nw, Canton, OH 44718-2866 | 2005-07-15 |
| 1851396428 | Puvi N Seshiah | Internal Medicine | 3219 Clifton Ave, Suite 400, Cincinnati, OH 45220-3027 | 2005-06-20 |
| 1669474839 | David G Bichsel | Internal Medicine | 745 W State St, Ste 750, Columbus, OH 43222-1515 | 2005-06-01 |
| 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.