DR. SHREE JAYENDRA SHAH (NPI# 1588688782) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588688782 |
| Entity Type | Individual |
| Full Name | DR. SHREE JAYENDRA SHAH |
| Credential | MD |
| Practice Address |
1700 S Tamiami Trl Sarasota FL 34239-3509 |
| Mailing Address |
Po Box 4930 Dept. 102 Houston TX 77210-4930 |
| Practice Telephone | 9419171668 |
| Practice Fax Number | 9419174232 |
| Mailing Telephone | 9419171668 |
| Mailing Fax Number | 9419174273 |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2012-06-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
95952 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | SMH RR MEDICARE | P00360870 | 01 |
| FL | 276110600 | 05 | |
| FL | BLUE CROSS OF FLORIDA | 56438 | 01 |
| Street Address |
1700 S TAMIAMI TRL |
| City | SARASOTA |
| State | FL |
| Zip Code | 34239-3509 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588661185 | Wayne S Blake | Internal Medicine | 1700 S Tamiami Trl, Sarasota, FL 34239 | 2005-06-28 |
| 1386244937 | Bradley Bramante Inzalaco | Registered Nurse | 1700 S Tamiami Trl, Sarasota, FL 34239-3555 | 2020-10-31 |
| 1235739293 | Kevin Lekawa | Nurse Practitioner | 1700 S Tamiami Trl, Sarasota, FL 34239-3509 | 2020-10-29 |
| 1295334449 | Sarah Spivey Stephenson | Surgery | 1700 S Tamiami Trl, Sarasota, FL 34239-3555 | 2020-10-20 |
| 1043829435 | Samer Bassam Taher Khader | Internal Medicine | 1700 S Tamiami Trl, Sarasota, FL 34239-3555 | 2020-07-30 |
| 1578172623 | Martin Dean Faile | Pharmacist | 1700 S Tamiami Trl, Sarasota, FL 34239-3509 | 2020-07-24 |
| 1194333674 | Dana Devine Gau | Nurse Practitioner | 1700 S Tamiami Trl, Sarasota, FL 34239-3509 | 2020-07-21 |
| 1063020121 | Erica Warkus | Student in an Organized Health Care Education/Training Program | 1700 S Tamiami Trl, Sarasota, FL 34239-3509 | 2020-07-15 |
| 1336767904 | Kevin Gil | Student in an Organized Health Care Education/Training Program | 1700 S Tamiami Trl, Sarasota, FL 34239-3509 | 2020-07-10 |
| 1558989103 | Stephanie Murphy | Student in an Organized Health Care Education/Training Program | 1700 S Tamiami Trl, Sarasota, FL 34239-3509 | 2020-07-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588203327 | All-in-one Medical Clinic | Chiropractor | 3436 Bee Ridge Road, Sarasota, FL 34239 | 2019-12-26 |
| 1134782295 | Kafayat Adebukola Busari | Student in an Organized Health Care Education/Training Program | Florida State University/ Sarasota Memorial Hospital, 1700 South Tamiami Trail, Sarasota, FL 34239 | 2019-04-15 |
| 1235600495 | Karen Andrea Gonzalez | Speech-Language Pathologist | 1524 East Ave South, Sarasota, FL 34239 | 2018-12-16 |
| 1659852101 | Tori Alexandra Phelps | Behavioral Analyst | 2324 Prospect Street, Sarasota, FL 34239 | 2018-08-23 |
| 1518450519 | Love To Care4u Homecare | Adult Companion | 3800 Tamiami Trail Ste 105, Sarasota, FL 34239 | 2018-06-13 |
| 1881119691 | Life Awaits Acupuncture | Acupuncturist | 3030 S Tamiami Trail, Sarasota, FL 34239 | 2017-08-14 |
| 1275084600 | Srq Acupuncture & Massage | Acupuncturist | 1810 South Tuttle Ave, Sarasota, FL 34239 | 2016-10-20 |
| 1609253178 | Sumeet Bhanot Md Pa | Otolaryngology | 2038 Bee Ridge Road, Suite A, Sarasota, FL 34239 | 2015-05-04 |
| 1407246093 | Rhett Ethan Bogacz | Chiropractor | 3400 Bee Ridge Rd Ste 100, Sarasota, FL 34239 | 2015-02-03 |
| 1023436136 | Sarah J. Somer | Obstetrics & Gynecology | 1921 Waldemere St Ste 307, Sarasota, FL 34239 | 2014-04-04 |
| Find all providers in zip 34239 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790050847 | Key Radiology Associates LLC | Radiology | 5832 Tidewood Ave, Sarasota, FL 34231-3132 | 2012-03-21 |
| 1386845733 | Midtown Diagnostics LLC | Radiology | 1215 S East Ave South, Ste 207, Sarasota, FL 34239-2342 | 2007-05-31 |
| 1346362506 | Stewart Braunstein | Radiology | 1257 Treebay Lane, Sarasota, FL 34242 | 2007-04-06 |
| 1255404646 | Robert Wilcox | Radiology | 4563 Windsor Park, Sarasota, FL 34235-2602 | 2006-11-16 |
| 1922027994 | Udayan Agrawal | Radiology | 4909 Sabal Lake Cir, Sarasota, FL 34238-4459 | 2006-07-19 |
| 1750322699 | New Century Radiologists LLC | Radiology | 4411 Bee Ridge Rd, #357, Sarasota, FL 34233 | 2006-06-10 |
| 1285673293 | Christopher Sage Lawton | Radiology | 5320 Anthony Lane, Sarasota, FL 34233-1033 | 2006-06-05 |
| 1366407553 | Ernest Wollin | Radiology | 1524 Pine Bay Dr, Sarasota, FL 34231-3550 | 2006-04-19 |
| 1093774556 | Cynthia R. Bloom | Radiology | 1700 South Tamiami Trail, Sarasota, FL 34239 | 2006-03-22 |
| 1669455218 | Melissa Glantz Protigal | Radiology | 5215 Siesta Cove Dr, Sarasota, FL 34242-1708 | 2005-11-28 |
| Find all providers in SARASOTA | ||||
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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.