SHAH MEDICAL ASSOCIATES LLC (NPI# 1609821008) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609821008 |
| Entity Type | Organization |
| Organization Name | SHAH MEDICAL ASSOCIATES LLC |
| Practice Address |
2560 Hauser Ross Dr Suite 450 Sycamore IL 60178-3150 |
| Practice Telephone | 8157480315 |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2008-07-16 |
| Authorized Official Name | ASAD SHAH (OWNER / PHYSICIAN) |
| Authorized Official Telephone | 8157480315 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | BCBS | 0001932052 | 01 |
| Street Address |
2560 HAUSER ROSS DR SUITE 450 |
| City | SYCAMORE |
| State | IL |
| Zip Code | 60178-3150 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184614760 | Jamison D Allen | Family Medicine | 2560 Hauser Ross Dr, Suite 450, Sycamore, IL 60178-3150 | 2005-10-25 |
| 1629439815 | Julie Caley | Nurse Practitioner | 2560 Hauser Ross Dr, Sycamore, IL 60178-3150 | 2016-03-15 |
| 1770916777 | Sycamore Medical Associates LLC | Internal Medicine | 2560 Hauser Ross Dr, Suite 450, Sycamore, IL 60178-3150 | 2013-08-13 |
| 1962724864 | Gateway Physical Therapy, LLC | Physical Therapist | 2560 Hauser Ross Dr, Suite 400, Sycamore, IL 60178-3150 | 2010-02-18 |
| 1992941124 | Tina Starkweather Dpm & Assocaites, PC | Podiatrist | 2560 Hauser Ross Dr, Suite 400, Sycamore, IL 60178-3150 | 2008-12-17 |
| 1821270752 | Amy J Schroeder-whipp | Podiatrist | 2560 Hauser Ross Dr, Suite 400, Sycamore, IL 60178-3150 | 2007-12-03 |
| 1659326049 | Jamison Allen Do LLC | Internal Medicine | 2560 Hauser Ross Dr, Suite 450, Sycamore, IL 60178-3150 | 2006-05-23 |
| 1215986849 | George Gonnella Do LLC | Internal Medicine | 2560 Hauser Ross Dr, Suite 450, Sycamore, IL 60178-3150 | 2006-05-10 |
| 1588631378 | Asad Shah | Internal Medicine | 2560 Hauser Ross Dr, Suite 450, Sycamore, IL 60178-3150 | 2006-03-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578113387 | Susanne Dewey | Technician | 2158 W. Vance St., Sycamore, IL 60178 | 2019-09-13 |
| 1730745332 | Nan Chinratana Phillips | Registered Nurse | 427 Spartan Trail Shs Nurse Office, Sycamore, IL 60178 | 2019-05-20 |
| 1427517846 | Association for Individual Development | Clinic/Center | 180 E. Exchange St., #202a, Sycamore, IL 60178 | 2019-03-15 |
| 1528508884 | Mary Elizabeth Kelley | Counselor | 920 S Prairie Dr., F, Sycamore, IL 60178 | 2017-03-06 |
| 1366824005 | Dekalb Hearing Services, LLC | Audiologist | 1630 Gateway Drive, Sycamore, IL 60178 | 2015-06-18 |
| 1629458625 | Friedrichs Eye Ltd. | Ophthalmology | 2670 Dekalb Avenue, Sycamore, IL 60178 | 2015-06-04 |
| 1275912057 | Sara Haug | Counselor | 324 E. Exchange St, Sycamore, IL 60178 | 2015-05-26 |
| 1144607862 | Dekalb Surgical Services, LLC | Clinic/Center | 2515 Klein Road, Sycamore, IL 60178 | 2015-05-01 |
| 1720476963 | Jennifer Calderala | Registered Nurse | 165 E. Plank Road, Sycamore, IL 60178 | 2014-12-22 |
| 1114262656 | Teresa Kay Farris | Nurse Practitioner | 1850 Gateway Drive, Sycamore, IL 60178 | 2012-12-11 |
| Find all providers in zip 60178 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588832810 | Manav K. Salwan Md Sc | Internal Medicine | 2540 Hauser-ross Drive, Suite 275, Sycamore, IL 60178-3178 | 2008-02-20 |
| 1457424301 | Manav K Salwan | Internal Medicine | 2540 Hauser Ross Dr, Suite 275, Sycamore, IL 60178-3148 | 2006-11-16 |
| 1235237082 | Periakaruppan Ramanathan | Internal Medicine | 2535 Bethany Road, #110, Sycamore, IL 60178 | 2006-09-20 |
| 1770916777 | Sycamore Medical Associates LLC | Internal Medicine | 2560 Hauser Ross Dr, Suite 450, Sycamore, IL 60178-3150 | 2013-08-13 |
| 1891969549 | Dekalb Medical Clinic,inc | Internal Medicine | 2128 Midlands Ct, Suite 106, Sycamore, IL 60178-3199 | 2008-04-14 |
| 1568651974 | Kishwaukee Internist Sc | Internal Medicine | 2535 Bethany Rd, Suite 201, Sycamore, IL 60178-3126 | 2007-10-22 |
| 1023230851 | Mohammad Taghi Takhtehchian | Internal Medicine | 225 Edward St, Sycamore, IL 60178-2137 | 2007-05-02 |
| 1871718551 | Prairie Health Care, Ltd | Internal Medicine | 954 West State Street, Sycamore, IL 60118 | 2007-04-16 |
| 1770668527 | Christopher John Berry | Internal Medicine | 1850 Gateway Dr, Sycamore, IL 60178-3192 | 2006-10-27 |
| 1720090871 | Dhaval N Thakkar | Internal Medicine | 1850 Gateway Dr, Sycamore, IL 60178-3192 | 2006-08-13 |
| Find all providers in SYCAMORE | ||||
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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.