DR. ADIT SHAH (NPI# 1447778642) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447778642 |
| Entity Type | Individual |
| Full Name | DR. ADIT SHAH |
| Credential | MD |
| Practice Address |
8 Doctors Park Rd Mount Vernon IL 62864-6224 |
| Mailing Address |
1441 Eastlake Ave Ste 7416 Los Angeles CA 90089-0112 |
| Practice Telephone | 6182445500 |
| Enumeration Date | 2017-09-07 |
| Last Update Date | 2020-08-14 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | 036.153636 | IL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093340382 | Adit Shah | Student in an Organized Health Care Education/Training Program | 620 John Paul Jones Cir, Portsmouth, VA 23708-2111 | 2020-03-06 |
| Street Address |
8 DOCTORS PARK RD |
| City | MOUNT VERNON |
| State | IL |
| Zip Code | 62864-6224 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194729517 | James E. Probst Jr. | Anesthesiology | 8 Doctors Park Rd, Mount Vernon, IL 62864-6224 | 2005-06-13 |
| 1194351668 | Justin L Northcutt | Physician Assistant | 8 Doctors Park Rd, Mount Vernon, IL 62864-6224 | 2020-03-17 |
| 1437719093 | Vincent Coty Compton | Nurse Anesthetist, Certified Registered | 8 Doctors Park Rd, Mount Vernon, IL 62864-6224 | 2019-06-17 |
| 1457824690 | Tyler Andrew Rueter | Nurse Practitioner | 8 Doctors Park Rd, Mount Vernon, IL 62864-6224 | 2019-01-10 |
| 1518391200 | National Radiology Group At Mt Vernon LLC | Radiology | 8 Doctors Park Rd, Mount Vernon, IL 62864-6224 | 2013-08-29 |
| 1972878460 | Anesthesia Associates of Southern Illinois, LLC | Anesthesiology | 8 Doctors Park Rd, Mount Vernon, IL 62864-6224 | 2012-03-15 |
| 1922333806 | Deborah M Kessler | Occupational Therapist | 8 Doctors Park Rd, Mount Vernon, IL 62864-6224 | 2009-10-09 |
| 1083803852 | Rend Emergency Physicians | Emergency Medicine | 8 Doctors Park Rd, Mount Vernon, IL 62864-6224 | 2007-10-17 |
| 1467668152 | B J Gee | Respiratory Therapist, Registered | 8 Doctors Park Rd, Mount Vernon, IL 62864-6224 | 2007-05-16 |
| 1063630820 | National Healthcare of Mt Vernon Inc | Emergency Medicine | 8 Doctors Park Rd, Mount Vernon, IL 62864-6224 | 2007-04-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619438892 | Melissa Pryer | Dietitian, Registered | 2020 Broadway, Suite 1, Mt. Vernon, IL 62864 | 2019-03-28 |
| 1487145454 | Chiropractic Wellness Center of Mt Vernon, LLC. | Chiropractor | 1009 S 42nd St Ste 5, Mount Vernon, IL 62864 | 2018-05-24 |
| 1851889208 | Kimberly Tate | Counselor | 4110 North Water Place, Mt. Vernon, IL 62864 | 2018-05-01 |
| 1871907790 | University Hematology Oncology Inc | Specialist | #11 Cusumano Professional Plaza, Mount Vernon, IL 62864 | 2014-06-18 |
| 1457771677 | Dynamic Counseling and Consultation Services | Social Worker | 3600 S Water Tower Pl, Mt Vernon, IL 62864 | 2014-04-27 |
| 1619239431 | Judith C Morgan | Counselor | 16338 N Illinois Hwy 37, Mount Vernon, IL 62864 | 2012-06-08 |
| 1073888624 | James Brian Verges | Counselor | 16338 N. Illinois Hwy 37, Mount Vernon, IL 62864 | 2012-03-15 |
| 1720352271 | Lucinda M. Holdren | Counselor | 16338 North Illinois Highway 37, Mount Vernon, IL 62864 | 2012-03-01 |
| 1780978627 | Jamie M Orange | Physical Therapy Assistant | 19958 Fairfield Rd, Mt. Vernon, IL 62864 | 2011-06-08 |
| 1780978791 | Wendy Marie Claytor | Speech-Language Pathologist | 600 E Il Hwy 15, Mount Vernon, IL 62864 | 2011-06-07 |
| Find all providers in zip 62864 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750631891 | Marc Janis Md Pllc | Urology | 150 Stevens Ave, Suite 109, Mount Vernon, NY 10550-2596 | 2012-09-17 |
| 1578755211 | Cooper Urology, Inc. Ps | Urology | 1611 Buck Way, Mount Vernon, WA 98273-2596 | 2007-08-16 |
| 1104842103 | Laurence M. Lee | Urology | 1311 E. Division Street, Mount Vernon, WA 98274 | 2006-07-14 |
| 1407841562 | Northwest Urology Clinic Inc | Urology | 1311 E Division St, Mount Vernon, WA 98274-4134 | 2005-09-14 |
| 1881699908 | David R Knowles | Urology | 4109 S Water Tower Pl, Mount Vernon, IL 62864-6293 | 2005-06-15 |
| 1457693244 | Richard Von Ho | Urology | 1400 E Kincaid St, Mount Vernon, WA 98274-4127 | 2013-03-20 |
| 1104085588 | Commonweath Urology Psc | Urology | 145 Newcomb Ave, Mount Vernon, KY 40456-2728 | 2008-06-02 |
| 1003937947 | Sandra Jane Hadjinian | Urology | 1400 E Kincaid St, Mount Vernon, WA 98274-4127 | 2007-04-02 |
| 1720166812 | Eugene Kee Hong | Urology | 1400 E. Kincaid Street, Skagit Regional Clinics-urology, Mount Vernon, WA 98274 | 2006-11-02 |
| 1821183856 | Amy M. Arisco | Urology | 1311 E. Division Street, Mount Vernon, WA 98274 | 2006-10-04 |
| Find all providers in MOUNT VERNON | ||||
| City | MOUNT VERNON |
| Zip Code | 62864 |
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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.