DR. SHUBHRA M SHETTY (NPI# 1649264532) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649264532 |
| Entity Type | Individual |
| Full Name | DR. SHUBHRA M SHETTY |
| Credential | M.D. |
| Practice Address |
640 Madison Ave Scranton PA 18510-1607 |
| Mailing Address |
746 Jefferson Ave Scranton PA 18510-1624 |
| Practice Telephone | 5709615670 |
| Practice Fax Number | 5709615991 |
| Mailing Telephone | 5703432383 |
| Mailing Fax Number | 5709636133 |
| Enumeration Date | 2005-09-07 |
| Last Update Date | 2011-04-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RI0200X |
Internal Medicine Specialization: Infectious Disease |
MD 059969L | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 1758578 | 05 |
| Street Address |
640 MADISON AVE |
| City | SCRANTON |
| State | PA |
| Zip Code | 18510-1607 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790303535 | Lori Ryder | Social Worker | 640 Madison Ave, Scranton, PA 18510-1631 | 2020-07-08 |
| 1053977454 | Nakita Shaffer | Registered Nurse | 640 Madison Ave, Scranton, PA 18510-1631 | 2019-05-13 |
| 1013472760 | Sara R Wargo | Social Worker | 640 Madison Ave, Scranton, PA 18510-1631 | 2019-02-07 |
| 1013487016 | Mary A Amico | Registered Nurse | 640 Madison Ave, Scranton, PA 18510-1631 | 2018-12-03 |
| 1740669530 | Maternal & Family Health Services Inc | Clinic/Center | 640 Madison Ave, Scranton, PA 18510-1631 | 2015-05-26 |
| 1720419591 | Maternal & Family Health Services Inc | Dietitian, Registered | 640 Madison Ave, Scranton, PA 18510-1631 | 2013-12-04 |
| 1730519521 | Yurii Harden | Social Worker | 640 Madison Ave, Scranton, PA 18510-1631 | 2013-11-15 |
| 1992137616 | Barbara C. Kennedy | Dietitian, Registered | 640 Madison Ave, Scranton, PA 18510-1631 | 2013-08-05 |
| 1326480377 | Vijaya Sena Reddy Dendi | Internal Medicine | 640 Madison Ave, Scranton, PA 18510-1631 | 2013-07-18 |
| 1215274659 | Laurie Ellen Waskovich | Dietitian, Registered | 640 Madison Ave, Scranton, PA 18510-1631 | 2013-01-04 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427432335 | Marla Osborne Dempsey | Family Medicine | 1141 Clay Ave Ste 1, Dunmore, PA 18510 | 2015-07-10 |
| 1669620043 | Mary Jane Miskovsky | Nurse Practitioner | 800 Linden Street, University of Scranton Student Health Service, Scranton, PA 18510 | 2008-08-28 |
| 1427174739 | Cheryl Friedman | Registered Nurse | 1710 Mulberry Street, Scranton, PA 18510 | 2007-03-21 |
| 1619092970 | Susan Rudalavage | Dietitian, Registered | 640 Madison Avenue, Scranton, PA 18510 | 2007-03-19 |
| 1851469738 | Lackawanna Surgery Center LLC | Clinic/Center | 415 Adams Avenue, Scranton, PA 18510 | 2006-12-01 |
| 1679666150 | Nicholas M. Rocco | Nurse Anesthetist, Certified Registered | 700 Quincy Ave., Scranton, PA 18510 | 2006-10-02 |
| 1710927587 | Care Plus Oxygen, Inc. | Durable Medical Equipment & Medical Supplies | 1000 Jefferson Ave, Scranton, PA 18510 | 2006-06-08 |
| 1619934189 | James M Haggerty | Podiatrist | 521 Ash Street, Dunmore, PA 18510 | 2006-04-28 |
| 1962461145 | Kevin G Madden | Psychiatry & Neurology | 802 Jefferson Avenue, Scranton, PA 18510 | 2006-03-17 |
| 1720058795 | Mark Trently | Nurse Anesthetist, Certified Registered | 1822 Jmulberry St, Scranton, PA 18510 | 2006-01-24 |
| Find all providers in zip 18510 | ||||
| Taxonomy Code | 207RI0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Infectious Disease |
| An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine. |
| 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 |
|---|---|---|---|---|
| 1245506260 | Maria Nagori | Internal Medicine | 1800 Mulberry St, Scranton, PA 18510-2369 | 2012-03-23 |
| 1639442528 | Pragya Dhaubhadel | Internal Medicine | 1800 Mulberry Street, Scranton, PA 18510-6800 | 2012-02-23 |
| 1528345931 | Scranton Quincy Clinic Company LLC | Internal Medicine | 748 Quincy Ave, Suite 1a, Scranton, PA 18510-1739 | 2011-11-14 |
| 1639461288 | Amit Munshi Sharma | Internal Medicine | 1800 Mulberry St., Scranton, PA 18510-6800 | 2011-05-13 |
| 1689976730 | Physicians Health Alliance Inc | Internal Medicine | 748 Quincy Ave, 1a, Scranton, PA 18510-1739 | 2010-11-23 |
| 1215967294 | Rodger E Fagerburg | Internal Medicine | 743 Jefferson Ave Ste 104, Scranton, PA 18510-1636 | 2006-07-04 |
| 1700816782 | Pancoast & Fagerburg Associates | Internal Medicine | 748 Quincy Ave, Suite 301b, Scranton, PA 18510-1739 | 2006-07-04 |
| 1508850488 | Stephen J Pancoast | Internal Medicine | 743 Jefferson Ave Ste 104, Scranton, PA 18510-1636 | 2005-09-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831730324 | M. Pia De Girolamo | Internal Medicine | 624 Woodbrook Dr, Ambler, PA 19002-1828 | 2019-10-05 |
| 1922659051 | Norberto Soto | Internal Medicine | 6 Shakespeare Ct, Ivyland, PA 18974-2338 | 2019-09-20 |
| 1447776729 | Mercy Management of Sepa | Internal Medicine | 1501 Lansdowne Ave Ste 302, Darby, PA 19023-1333 | 2017-08-17 |
| 1033576384 | Roger J. Pomerantz | Internal Medicine | 711 Harvest Hill Dr, Chalfont, PA 18914-1526 | 2016-01-18 |
| 1013381011 | Paul Axelsen | Internal Medicine | 928 Ivycroft Rd, Wayne, PA 19087-2014 | 2015-11-15 |
| 1801281340 | Erica Weinstein | Internal Medicine | 3801 Filbert St Ste 103a, Philadelphia, PA 19104 | 2015-04-01 |
| 1609273119 | Margaret Trexler Hessen | Internal Medicine | 3940 Darby Rd, Bryn Mawr, PA 19010-2014 | 2014-11-26 |
| 1457761082 | Qi Quan Leong | Internal Medicine | 501 S 54th St Ste 128, Philadelphia, PA 19143 | 2014-05-05 |
| 1114346186 | Cassandra Oehler | Internal Medicine | 1307 Federal St Ste B110, Pittsburgh, PA 15212-4773 | 2014-04-07 |
| 1477970309 | Peter Volpe | Internal Medicine | 3601 Fifth Ave Suite 5b, Pittburgh, PA 15213-1716 | 2014-03-28 |
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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.