DR. BIREN SHAH (NPI# 1528455565) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528455565 |
| Entity Type | Individual |
| Full Name | DR. BIREN SHAH |
| Credential | DPM |
| Practice Address |
6090 Strathmoor Dr Ste 6 Rockford IL 61107-5200 |
| Mailing Address |
6090 Strathmoor Dr Ste 6 Rockford IL 61107-5200 |
| Practice Telephone | 8152828145 |
| Practice Fax Number | 8152822602 |
| Mailing Telephone | 8152828145 |
| Mailing Fax Number | 8152822602 |
| Enumeration Date | 2015-04-16 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
016.005692 | IL | Podiatric Medicine & Surgery Service Providers |
| N | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
PO 3727 | FL | Podiatric Medicine & Surgery Service Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | FL | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2039 Little Rd Ste A, Trinity, FL 346554421 | 8472545939 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740280114 | Biren P Shah | Obstetrics & Gynecology | 17901 Governors Hwy, Homewood, IL 60430-1144 | 2005-07-28 |
| 1033490016 | Biren Shah | Pharmacist | 3301 Glenview Rd, Glenview, IL 60025-2545 | 2011-09-02 |
| 1710086533 | Biren Shah | Family Medicine | 955 W Imperial Hwy Ste 200, Brea, CA 92821-3812 | 2006-09-21 |
| 1619936424 | Biren R. Shah | Radiology | 3400 N Center Rd, Suite 400, Saginaw, MI 48603-7919 | 2006-03-21 |
| 1952371429 | Biren A. Shah | Radiology | 1250 E Marshall St, Dept. of Radiology, Richmond, VA 23298-5051 | 2006-01-25 |
| Street Address |
6090 STRATHMOOR DR STE 6 |
| City | ROCKFORD |
| State | IL |
| Zip Code | 61107-5200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356952139 | Jessica Marie Tamayo Fernandez | Pharmacist | 1145 Alpine Rd, Rockford, IL 61107 | 2020-08-13 |
| 1467092379 | Unknown Safa Fatima | Student in an Organized Health Care Education/Training Program | Mercyhealth Mulford Clinic, 5970 Churchview Drive, Rockford, IL 61107 | 2020-01-08 |
| 1194367912 | Matt J Kriebs | Nurse Practitioner | 1235 N Mulford Rd Suite 103, Rockford, IL 61107 | 2019-10-14 |
| 1265962336 | Mary Golembeck | Nurse Practitioner | 7290 Argus Dr, Rockford, IL 61107 | 2017-06-12 |
| 1831644749 | Tessa Lee | Occupational Therapist | 3422 Lauderdale Ln, Rockford, IL 61107 | 2016-08-20 |
| 1942626965 | Elevated Health Essentials, LLC | Chiropractor | 124 N Water St Ste 204e, Rockford, IL 61107 | 2014-03-14 |
| 1093139909 | Swedishamerican Hospital | Surgery | 1639 N Alpine Rd Ste 400, Rockford, IL 61107 | 2014-02-12 |
| 1346676582 | Christopher Anthony Ziganto | Pharmacist | 494 Bienterra Trail #2, Rockford, IL 61107 | 2013-09-19 |
| 1023358272 | Lavanya Durairajan | Physical Therapist | 7358 Shiligton Dr, Rockford, IL 61107 | 2013-02-26 |
| 1851523146 | Great Smiles of Rockford | Durable Medical Equipment & Medical Supplies | 780 N. Mulfrord Road, Rockford, IL 61107 | 2009-08-20 |
| Find all providers in zip 61107 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790137685 | Shah Foot & Ankle LLC | Podiatrist | 3851 N Mulford Rd, Rockford, IL 61114-5603 | 2016-07-05 |
| 1821481755 | Rps Surgical Ltd | Podiatrist | 1617 Temple Ln, Rockford, IL 61112-1045 | 2015-03-17 |
| 1598985939 | Tina Renee Entwistle | Podiatrist | 6778 Mill Rd, Suite 100, Rockford, IL 61108-2502 | 2007-04-26 |
| 1578658506 | Joseph Thomas Fanara | Podiatrist | 1617 Temple Lane, Rockford, IL 61112-1045 | 2006-10-04 |
| 1427059237 | Flavio Cordano | Podiatrist | 534 Roxbury Rd, Rockford, IL 61107-5076 | 2005-08-02 |
| 1952306045 | Dinesh C Pandya | Podiatrist | 5695 Strathmoor Dr, Ste 1, Rockford, IL 61107-5192 | 2005-06-16 |
| 1992298822 | Joshua Mark Hendricks | Podiatrist | 5666 E State St, Rockford, IL 61108-2425 | 2018-06-14 |
| 1255852877 | Brittany Nicole Wojnicki | Podiatrist | 5666 E State St, Rockford, IL 61108-2425 | 2017-07-05 |
| 1376921072 | Templin & Associates Podiatry P.C. | Podiatrist | 5695 Strathmoor Dr, Suite 1, Rockford, IL 61107-5192 | 2015-05-13 |
| 1205198157 | Kyle V Templin | Podiatrist | 5695 Strathmoor Dr, Ste 1, Rockford, IL 61107-5192 | 2012-06-15 |
| Find all providers in ROCKFORD | ||||
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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.