ANISH U SHAH (NPI# 1528092657) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528092657 |
| Entity Type | Individual |
| Full Name | ANISH U SHAH |
| Credential | MD |
| Practice Address |
79 Wawecus St Suite 105 Norwich CT 06360 |
| Mailing Address |
79 Wawecus Street Suite 105 Norwich CT 06360 |
| Practice Telephone | 8608860161 |
| Practice Fax Number | 8608895999 |
| Mailing Telephone | 8608860161 |
| Mailing Fax Number | 8608895999 |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2009-11-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | 038917 | CT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UNITED HEALTHCARE | 0804947 | 01 | |
| PREFERRED ONE | 190466 | 01 | |
| CT | 001389172 | 05 | |
| AETNA | 2435963 | 01 | |
| CONNECTICARE | 772141 | 01 | |
| CT | HEALTH NET | OV7949 | 01 |
| CIGNA | 1531207002 | 01 | |
| CT | BCS | 010038917CT01 | 01 |
| OXFORD | P2130992 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790205201 | Anish Jayesh Shah | Student in an Organized Health Care Education/Training Program | 703 Main St # A1403, Paterson, NJ 07503-2621 | 2017-06-26 |
| 1164615589 | Anish Sunderrajan Shah | Psychiatry & Neurology | 480 Tesconi Cir Ste B, Santa Rosa, CA 95401-4691 | 2007-08-20 |
| 1437504131 | Anish Shah | Internal Medicine | 1364 Clifton Rd Ne, 404-727-5658, Atlanta, GA 30322-1059 | 2016-05-01 |
| 1770970600 | Anish A Shah | Surgery | 517 Moye Blvd, Greenville, NC 27834-2849 | 2015-04-17 |
| 1265845986 | Anish Nitish Shah | Family Medicine | 2401 W University Ave, Muncie, IN 47303-3428 | 2014-06-10 |
| 1629202957 | Anish Kaushik Shah | Urology | 2123 Auburn Ave, Cincinnati, OH 45219 | 2009-05-14 |
| 1447411608 | Anish M Shah | Internal Medicine | 2350 Freedom Way, Suite 200, York, PA 17402-8200 | 2008-06-20 |
| 1376718767 | Anish Anilkumar Shah | Obstetrics & Gynecology | 9030 Stony Point Pkwy Ste 450, Richmond, VA 23235-1941 | 2008-04-25 |
| 1699790436 | Anish P Shah | Internal Medicine | 14085 Crown Ct, Woodbridge, VA 22193-1458 | 2006-07-13 |
| 1265487375 | Anish P Shah | Internal Medicine | 7000 North Mopac, Suite 420, Austin, TX 78731 | 2006-05-24 |
| Street Address |
79 WAWECUS ST SUITE 105 |
| City | NORWICH |
| State | CT |
| Zip Code | 06360 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184620064 | Jeffrey P Seltzer | Internal Medicine | 79 Wawecus St, Suite 106, Norwich, CT 06360-2160 | 2005-06-24 |
| 1043697352 | Carl Kammerer | Technician/Technologist | 79 Wawecus St, Suite 105, Norwich, CT 06360-2178 | 2015-05-06 |
| 1407255375 | Patricia Varma | Nurse Practitioner | 79 Wawecus St, Norwich, CT 06360-2160 | 2014-08-17 |
| 1649679697 | Jade Paradis | Nurse Practitioner | 79 Wawecus St, Norwich, CT 06360-2160 | 2014-08-15 |
| 1396151858 | Kristen Farrell | Nurse Practitioner | 79 Wawecus St, Ste. 101, Norwich, CT 06360-2173 | 2014-07-05 |
| 1316280803 | Sang and Sridhar Digestive Disease Consultants LLC | Internal Medicine | 79 Wawecus St, Suite 102, Norwich, CT 06360-2160 | 2013-04-03 |
| 1760790612 | Leslie N Brown | Physician Assistant | 79 Wawecus St, Ste. 101, Norwich, CT 06360-2160 | 2010-09-14 |
| 1316264286 | Sunita Sidhu-buonocore | Internal Medicine | 79 Wawecus St, Suite 101, Norwich, CT 06360-2160 | 2010-04-30 |
| 1356500532 | Shivani Sood | Internal Medicine | 79 Wawecus St, Suite 101, Norwich, CT 06360-2160 | 2008-06-03 |
| 1689846511 | Natalee Simone Sansone | Internal Medicine | 79 Wawecus St, Suite 101, Norwich, CT 06360-2160 | 2008-04-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003417452 | Mafe Duyan Rato | Nurse Practitioner | 624 W West Main St, St 140, Norwich, CT 06360 | 2020-11-03 |
| 1255961561 | Holly M. Renstrom | Driver | 17 Annadell Rd, Norwich, CT 06360 | 2020-01-26 |
| 1609335397 | Chanel Justice | Social Worker | 2 Clinic Drive, Outpatient Clinic for Children, Norwich, CT 06360 | 2019-03-13 |
| 1457700189 | Michelle Pressler | Pharmacist | 634 West Main St, Norwich, CT 06360 | 2016-06-03 |
| 1265895726 | Katie Johnson | Social Worker | 18 Oneco Street, Norwich, CT 06360 | 2016-04-01 |
| 1871956623 | Lori Deslandes-paz | Pharmacist | 372 West Main Street, Norwich, CT 06360 | 2016-03-30 |
| 1336526193 | Keep An Open Mind, LLC | Marriage & Family Therapist | 12 Cass Street, Suite 202, Norwich, DC 06360 | 2015-04-30 |
| 1588084446 | Kinneri Kothari | Ophthalmology | 79 Wawecus St Ste 105, Norwich, CT 06360 | 2014-04-18 |
| 1962746537 | Robin B Smith | Social Worker | 401 W. Thames St, Bldg 301, Southeastern Mental Health Authority, Norwich, CT 06360 | 2012-11-20 |
| 1063766400 | Colleen Ellen Phillips-white | Social Worker | 401 West Thames St, Bldg 301, Southeastern Mental Health Authority, Norwich, CT 06360 | 2012-11-07 |
| Find all providers in zip 06360 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578940813 | Ajay Jurangal | Ophthalmology | Chenango Eye Associates Physicians & Surgeons, P.C., 194 Grandview Lane, Norwich, NY 13815-3331 | 2015-05-06 |
| 1588084446 | Kinneri Kothari | Ophthalmology | 79 Wawecus St Ste 105, Norwich, CT 06360 | 2014-04-18 |
| 1306840764 | Paul J Orioli | Ophthalmology | 194 Grandview Ln, Norwich, NY 13815-3331 | 2005-06-13 |
| 1447438924 | Norwich Ophthalmology Group, P.C. | Ophthalmology | 79 Wawecus St, Suite 105, Norwich, CT 06360-2160 | 2008-02-06 |
| 1699893545 | Ronald Slocumb | Ophthalmology | 79 Wawecus St, Suite 105, Norwich, CT 06360-2160 | 2007-03-27 |
| 1508890633 | David E Oakley | Ophthalmology | 79 Wawecus Street, Suite 105, Norwich, CT 06360 | 2006-07-11 |
| 1235163361 | Peter S Mckay | Ophthalmology | 79 Wawecus St, Suite 105, Norwich, CT 06360 | 2006-07-11 |
| 1942233614 | Neil Pastel | Ophthalmology | 79 Wawecus St, Suite 105, Norwich, CT 06360 | 2006-07-08 |
| 1881623486 | Jeffrey A Hertz | Ophthalmology | 79 Wawecus St, Ste 105, Norwich, CT 06360 | 2006-07-03 |
| 1790740934 | Kevin Burke Cranmer | Ophthalmology | 79 Wawecus St, Suite 105, Norwich, CT 06360-2160 | 2006-04-19 |
| Find all providers in NORWICH | ||||
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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.