ANDREA SHAH (NPI# 1518279702) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1518279702 |
Entity Type | Individual |
Full Name | ANDREA SHAH |
Credential | DMD |
Practice Address |
6 Essex Center Dr Suite 110 Peabody MA 01960-2904 |
Mailing Address |
18 Rose Ave Marblehead MA 01945-1822 |
Practice Telephone | 9785320500 |
Mailing Telephone | 7816391747 |
Enumeration Date | 2010-07-05 |
Last Update Date | 2016-09-22 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223E0200X |
Dentist Specialization: Endodontics |
DN1855404 | MA | Dental Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033200530 | Andrea Crosby Shah | Nurse Practitioner | 1001 Potrero Ave Unit 6m, San Francisco, CA 94110-3518 | 2006-09-27 |
1487987491 | Andrea Ellen Clark Shah | Pediatrics | 14810 Old Saint Augustine Rd Ste 106, Jacksonville, FL 32258-2558 | 2009-09-09 |
Street Address |
6 ESSEX CENTER DR SUITE 110 |
City | PEABODY |
State | MA |
Zip Code | 01960-2904 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831198217 | Peabody Obgyn, LLC | Obstetrics & Gynecology | 6 Essex Center Dr, Suite 206, Peabody, MA 01960-2910 | 2005-07-19 |
1194270413 | St Marys Internal Medicine PC | Clinic/Center | 6 Essex Center Dr, Suite 304, Peabody, MA 01960-2904 | 2016-08-16 |
1427434083 | Salem Peabody Oral Surgery Inc. | Clinic/Center | 6 Essex Center Dr, Suite 112a, Peabody, MA 01960-2904 | 2015-08-06 |
1003208216 | Essex Neurological Associates | Psychiatry & Neurology | 6 Essex Center Dr, Suite 307, Peabody, MA 01960-2904 | 2015-02-25 |
1770992794 | Marguerite Cycz | Registered Nurse | 6 Essex Center Dr, Peabody, MA 01960-2904 | 2014-08-04 |
1245642834 | Samantha Synenberg | Dentist | 6 Essex Center Dr, Suite 110, Peabody, MA 01960-2904 | 2014-05-29 |
1639426315 | North Shore Dental Center | Dentist | 6 Essex Center Dr, Ste. 302, Peabody, MA 01960-2904 | 2012-08-13 |
1427367101 | North Shore Neurological Associates, Inc. | Internal Medicine | 6 Essex Center Dr, Suite 303, Peabody, MA 01960-2963 | 2010-09-29 |
1821329111 | Joanne G Brown | Social Worker | 6 Essex Center Dr, Suite 107, Peabody, MA 01960-2904 | 2010-01-26 |
1548490014 | Pratima Ghimire | Internal Medicine | 6 Essex Center Dr, Peabody, MA 01960-2904 | 2009-07-19 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962020321 | Kathleen Marie Cliffe | Nurse Practitioner | 15 Sandra Rd, Peabody, MA 01960 | 2020-07-10 |
1801398102 | Janis Melanson | Counselor | Higgins Middle School, 85 Perkins Street, Peabody, MA 01960 | 2018-03-02 |
1679082036 | Kelsey Ann Lima | Social Worker | 9 Centennial Drive, Suite 202, Peabody, MA 01960 | 2017-09-28 |
1609394485 | Victoria Jade Olechowski | Specialist/Technologist | 1002 Crane Brook Way, Peabody, MA 01960 | 2017-08-31 |
1841715711 | Alexandra Lee Chasse | Counselor | 9 Cenntenial Drive, Suit 202, Peabody, MA 01960 | 2017-08-11 |
1275982936 | Miguel A Roque | Dentist | 6 Essex Center Drive Suite 110, Peabody, MA 01960 | 2016-06-03 |
1528412061 | Kabamedicalcorporation | Durable Medical Equipment & Medical Supplies | 484lowell Street, Peabody, MA 01960 | 2016-04-21 |
1437510815 | Ana Tereza T. Wescott | Dentist | 89 Foster Street, Peabody Family Health Center, Peabody, MA 01960 | 2016-03-14 |
1225496474 | Ashley Motta | Counselor | 24 Jennifer Lane, Peabody, MA 01960 | 2016-02-03 |
1578942645 | Cerebral Palsy of Eastern Mass Incorporated | Early Intervention Provider Agency | 6 Stratis Way, Peabody, MA 01960 | 2015-05-22 |
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Taxonomy Code | 1223E0200X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Endodontics |
The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
Notes: Source: Council on Dental Education and Licensure, American Dental Association |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275982936 | Miguel A Roque | Dentist | 6 Essex Center Drive Suite 110, Peabody, MA 01960 | 2016-06-03 |
1477709640 | Advanced Endodontic Associates, PC | Dentist | 39 Cross St Ste 304, Peabody, MA 01960-1666 | 2008-08-07 |
1770594905 | Richard Francis Traversy Jr. | Dentist | 125 Main St., Peabody, MA 01960 | 2006-08-11 |
1245642834 | Samantha Synenberg | Dentist | 6 Essex Center Dr, Suite 110, Peabody, MA 01960-2904 | 2014-05-29 |
1164436390 | Peter A Morgan | Dentist | 6 Essex Center Dr, 110, Peabody, MA 01960-2910 | 2006-07-27 |
1821002015 | Brian Po-jen Chuang | Dentist | 6 Essex Center Dr, 110, Peabody, MA 01960-2910 | 2006-07-27 |
1962416156 | Robert Rosenkranz | Dentist | 6 Essex Center Dr, 110, Peabody, MA 01960-2910 | 2006-07-27 |
1114931383 | Paul Talkov | Dentist | 6 Essex Center Dr, 110, Peabody, MA 01960-2910 | 2006-07-27 |
1699789842 | Harold J Levin | Dentist | 6 Essex Center Dr, 110, Peabody, MA 01960-2910 | 2006-07-27 |
1902829104 | Yuri Shamritsky | Dentist | 6 Essex Center Dr, 110, Peabody, MA 01960-2910 | 2006-07-26 |
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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.