AMITA SADASHIV SHETTY (NPI# 1548267958) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548267958 |
| Entity Type | Individual |
| Full Name | AMITA SADASHIV SHETTY |
| Credential | M.D. |
| Practice Address |
3308 Melrose Rd Fayetteville NC 28304-1604 |
| Mailing Address |
1638 Owen Dr Attn: Managed Care Planning Fayetteville NC 28304-3424 |
| Practice Telephone | 9106153200 |
| Practice Fax Number | 9106153201 |
| Mailing Telephone | 9106156949 |
| Mailing Fax Number | 9106159761 |
| Enumeration Date | 2005-06-30 |
| Last Update Date | 2014-10-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 009700753 | NC | Allopathic & Osteopathic Physicians |
| Y | 207RS0012X |
Internal Medicine Specialization: Sleep Medicine |
9700753 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | BCBS | 1173E | 01 |
| NC | 891173E | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700956919 | Amita A Shetty | Psychiatry & Neurology | Mmc - Psyc. Observation Serv., 111 E. 210th Street, Bronx, NY 10467 | 2006-11-08 |
| Street Address |
3308 MELROSE RD |
| City | FAYETTEVILLE |
| State | NC |
| Zip Code | 28304-1604 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346243052 | James Erwin Johnson | Orthopaedic Surgery | 3308 Melrose Rd, Fayetteville, NC 28304-1604 | 2005-05-27 |
| 1821492893 | Sheila May Agustin-o'callaghan | Nurse Practitioner | 3308 Melrose Rd, Fayetteville, NC 28304 | 2014-10-20 |
| 1750318630 | Angie M Taylor | Specialist/Technologist | 3308 Melrose Rd, Fayetteville, NC 28304-1604 | 2006-06-27 |
| 1578552261 | Yvonne W Lewis | Physician Assistant | 3308 Melrose Rd, Fayetteville, NC 28304-1604 | 2005-10-17 |
| 1922009604 | Donald Mcleod | Physician Assistant | 3308 Melrose Rd, Fayetteville, NC 28304-1604 | 2005-08-03 |
| 1316941065 | Samuel Fleishman | Psychologist | 3308 Melrose Rd, Fayetteville, NC 28304-1604 | 2005-06-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598301061 | Coast To Coast Bilingual Counseling | Social Worker | 910 Hope Mills Road, Fayetteville, NC 28304 | 2019-11-20 |
| 1811530561 | Frances L. Hurst | Technician | 6732 Carloway Dr, Fayetteville, NC 28304 | 2019-10-25 |
| 1538717764 | Rose Mary A O'conner | Technician | 3530 Madison Ave, Fayetteville, NC 28304 | 2019-08-30 |
| 1932756087 | Sally Frances Jones | Technician | 2053 Mango Circle, Fayetteville, NC 28304 | 2019-08-23 |
| 1326528803 | Jeneen Yvette Townsend | Counselor | 2671 Adams Lake Dr Apt F, Fayetteville, NC 28304 | 2018-08-15 |
| 1780179580 | Ma Cornelia Villavicencio Leano | Nurse Practitioner | 3081 Stone Carriage Cir Apt Z, Fayetteville, NC 28304 | 2018-06-25 |
| 1861986267 | Pediatric After Hours Care of Fayetteville | Pediatrics | 556 Sandhurst Drive, Fayetteville, NC 28304 | 2018-06-19 |
| 1700386133 | Good Night Medical of Ohio, LLC | Durable Medical Equipment & Medical Supplies | 405 Owen Dr Ste 202, Fayetteville, NC 28304 | 2018-02-12 |
| 1003321365 | Valleygate Dental Surgery Center of Fayetteville, LLC | Dentist | 2038 Litho Place, Fayetteville, NC 28304 | 2017-12-08 |
| 1871004663 | The Salt Project | Marriage & Family Therapist | 1611-b Owen Dr., Fayetteville, NC 28304 | 2017-10-19 |
| Find all providers in zip 28304 | ||||
| Taxonomy Code | 207RS0012X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Sleep Medicine |
| An Internist who practices Sleep Medicine is certified in the subspecialty of sleep medicine and specializes in the clinical assessment, physiologic testing, diagnosis, management and prevention of sleep and circadian rhythm disorders. Sleep specialists treat patients of any age and use multidisciplinary approaches. Disorders managed by sleep specialists include, but are not limited to, sleep related breathing disorders, insomnia, hypersomnias, circadian rhythm sleep disorders, parasomnias and sleep related movement disorders. |
| Notes: Source: American Academy of Sleep Medicine, www.aasm.org [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205080314 | Lafayette Sleep Lab Pulmonology | Internal Medicine | 1746 Metromedical Dr, Fayetteville, NC 28304-3861 | 2008-11-17 |
| 1982127023 | Cumberland County Health System Inc | Internal Medicine | 1201 Walter Reed Rd, Fayetteville, NC 28304-4437 | 2017-07-20 |
| 1780816561 | Sandeep Goplani | Internal Medicine | 3336 N Futrall Dr, Fayetteville, AR 72703-4057 | 2009-08-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508499286 | Nations Sleep Disorders Center of North Carolina LLC | Internal Medicine | 658 N Spence Ave, Goldsboro, NC 27534-4233 | 2020-02-20 |
| 1437782109 | Nations Sleep Disorders Center of The Carolinas LLC | Internal Medicine | 715 Gum Branch Rd Ste 8, Jacksonville, NC 28540-6427 | 2020-02-20 |
| 1205177045 | Novant Medical Group Inc | Internal Medicine | 11840 Southmore Dr Ste 201, Charlotte, NC 28277-0785 | 2013-03-04 |
| 1235414830 | Cleveland Health Ventures LLC | Internal Medicine | 823 E. King Street, Kings Mountain, NC 28086-3186 | 2011-10-14 |
| 1861795916 | Cleveland Health Ventures LLC | Internal Medicine | 802 N Lafayette St, Shelby, NC 28150-3831 | 2010-12-13 |
| 1043545056 | Mid Atlantic Neurology & Sleep Medicine, P.a. | Internal Medicine | 34 Office Park Dr Ste 100, Jacksonville, NC 28546-3221 | 2009-10-08 |
| 1306061551 | Benjamin P Graef | Internal Medicine | 212 Le Phillip Ct Ne, Suite 105, Concord, NC 28025-2984 | 2007-04-14 |
| 1700958238 | Carolina Pulmonary and Comprehensive Sleep Center | Internal Medicine | 1198 Wyke Rd, Shelby, NC 28150-4259 | 2006-11-13 |
| 1508876418 | Glenn W Burris | Internal Medicine | 270 Pine Mountain Road, Suite 1, Hudson, NC 28638 | 2006-08-09 |
| 1154375202 | Wilson Sleep Disorders Center, Pa | Internal Medicine | 110 Brentwood Center Ln N, Wilson, NC 27896-1710 | 2006-05-22 |
| Find all providers with the same taxonomy | ||||
| City | FAYETTEVILLE |
| Zip Code | 28304 |
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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.