DR. MONA JAY SHAH (NPI# 1659329308) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659329308 |
| Entity Type | Individual |
| Full Name | DR. MONA JAY SHAH |
| Credential | MD |
| Practice Address |
1361 13th Ave S Ste 270 Jacksonville Beach FL 32250-3258 |
| Mailing Address |
Po Box 43667 Jacksonville FL 32203-3667 |
| Practice Telephone | 9042417147 |
| Practice Fax Number | 9042415942 |
| Mailing Telephone | 9047200799 |
| Mailing Fax Number | 9042415942 |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2015-11-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
ME94951 | FL | Allopathic & Osteopathic Physicians |
| N | 207UN0901X |
Nuclear Medicine Specialization: Nuclear Cardiology |
ME94951 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | RAILROAD MEDICARE | P01133944 | 01 |
| FL | 275142900 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528107539 | Mona Shah | Pediatrics | 1401 William Street Se, Albuquerque, NM 87102 | 2007-02-06 |
| 1831799279 | Mona Shah | Pharmacist | 51 Silver Spring St, Providence, RI 02904-2554 | 2020-10-26 |
| 1083098206 | Mona Nandkishor Shah | Psychiatry & Neurology | 201 14th St Sw, Largo, FL 33770 | 2015-07-17 |
| 1588088033 | Mona Shah | Preventive Medicine | 205 Dr M L King St N, St Petersburg, FL 33701-3109 | 2014-02-04 |
| 1316187545 | Mona Shah | Physical Therapist | 554 Blossom Hill Rd, San Jose, CA 95123-3212 | 2009-02-27 |
| 1427208669 | Mona Ameet Shah | Internal Medicine | 8700 Beverly Blvd Rm 5512, West Hollywood, CA 90048-1804 | 2008-09-24 |
| 1750571352 | Mona Shah | Surgery | 3628 E Imperial Hwy, Suite 202, Lynwood, CA 90262-2643 | 2007-07-30 |
| 1669670253 | Mona D Shah | Pediatrics | 6701 Fannin St, Houston, TX 77030-2316 | 2007-07-05 |
| 1609087543 | Mona S Shah | Internal Medicine | 1600 S Gaffey St, San Pedro, CA 90731-4628 | 2007-05-24 |
| 1598821548 | Mona Rutesh Shah | Dietitian, Registered | 700 Lawrence Expy, Basement, Nutrition Svcs -dept B08, Santa Clara, CA 95051-5173 | 2006-12-27 |
| Street Address |
1361 13TH AVE S STE 270 |
| City | JACKSONVILLE BEACH |
| State | FL |
| Zip Code | 32250-3258 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639171044 | Carlos M Sotolongo | Internal Medicine | 1361 13th Ave S Ste 270, Jacksonville Beach, FL 32250-3258 | 2005-08-15 |
| 1245701002 | Samantha Nowakowski | Physician Assistant | 1361 13th Ave S Ste 270, Jacksonville Beach, FL 32250-3258 | 2018-12-05 |
| 1649721085 | Devon M Anthony | Physician Assistant | 1361 13th Ave S Ste 270, Jacksonville Beach, FL 32250-3258 | 2016-10-20 |
| 1548714728 | Kelly Bumgarner | Physician Assistant | 1361 13th Ave S Ste 270, Jacksonville Beach, FL 32250-3258 | 2016-08-05 |
| 1659548949 | Nicolas Charles Condrey | Physician Assistant | 1361 13th Ave S Ste 270, Credentialing Department, Jacksonville Beach, FL 32250-3258 | 2008-05-15 |
| 1235131657 | William Wainwright | Internal Medicine | 1361 13th Ave S Ste 270, Jacksonville Beach, FL 32250-3258 | 2005-08-15 |
| 1669474086 | Pamela Ramos Rama-depadua | Internal Medicine | 1361 13th Ave S Ste 270, Jacksonville Beach, FL 32250-3258 | 2005-08-15 |
| 1770585184 | Bernardo Manuel Utset | Internal Medicine | 1361 13th Ave S Ste 270, Jacksonville Beach, FL 32250-3258 | 2005-08-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386129591 | Kelsey Ilene Keimig | Audiologist | 3200 S 3rd Street, Ste 101, Jacksonville, FL 32250 | 2018-10-03 |
| 1225529696 | Turning Tides Eating Disorder Treatment Center, LLC. | Clinic/Center | 4300 Marsh Landings Blvd. #101, Jacksonville Beach, FL 32250 | 2018-05-22 |
| 1528578820 | Dianne Frances Gay | Dental Hygienist | 1144 14th Street North, Jacksonville Beach, FL 32250 | 2017-10-02 |
| 1801324280 | Kailo Nutrition | Dietitian, Registered | 353 B 6th Street South, Jacksonville, FL 32250 | 2017-05-30 |
| 1275985368 | Shankeertha Sundaralingam | Dentist | 3316 3rd St S Ste 101, Jacksonville Beach, FL 32250 | 2016-07-13 |
| 1851777494 | Brooke Worthington Davidson | Audiologist | 1370 13th Ave S Ste 115, Jacksonville Beach, FL 32250 | 2015-08-05 |
| 1689059115 | Jenna Levine | Speech-Language Pathologist | 779 10th Avenue South, Jacksonville Beach, FL 32250 | 2015-07-27 |
| 1790176824 | Olivia Ingram Caswell | Acupuncturist | 2902 Isabella Boulevard, Suite 50, Jacksonville Beach, FL 32250 | 2015-02-11 |
| 1467859033 | Colleen Freeman | Physical Therapist | 1537 Penman Rd, Jacksonville, FL 32250 | 2014-11-26 |
| 1356750012 | Madelyn Jones | Physical Therapist | 1320 Roberts Drive, Jacksonville Beach, FL 32250 | 2014-08-07 |
| Find all providers in zip 32250 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://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 |
|---|---|---|---|---|
| 1316949746 | Thomas Carens Hilton | Internal Medicine | 1361 13th Ave S, Ste 270, Jacksonville Beach, FL 32250 | 2005-08-15 |
| 1639171044 | Carlos M Sotolongo | Internal Medicine | 1361 13th Ave S Ste 270, Jacksonville Beach, FL 32250-3258 | 2005-08-15 |
| 1326311465 | Baptist Cardiology, Inc. | Internal Medicine | 1361 13th Ave S, Suite 270, Jacksonville Beach, FL 32250-3233 | 2012-02-21 |
| 1235131657 | William Wainwright | Internal Medicine | 1361 13th Ave S Ste 270, Jacksonville Beach, FL 32250-3258 | 2005-08-15 |
| 1669474086 | Pamela Ramos Rama-depadua | Internal Medicine | 1361 13th Ave S Ste 270, Jacksonville Beach, FL 32250-3258 | 2005-08-15 |
| 1770585184 | Bernardo Manuel Utset | Internal Medicine | 1361 13th Ave S Ste 270, Jacksonville Beach, FL 32250-3258 | 2005-08-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437765443 | Premier Cardiovascular Center, LLC | Internal Medicine | 450 W State Road 434 Ste 2010, Longwood, FL 32750-5187 | 2020-09-16 |
| 1679199236 | Tallahassee Memorial Healthcare Inc | Internal Medicine | 877 3rd St Ste 3, Chipley, FL 32428-1855 | 2020-06-19 |
| 1972123701 | Heart Clinic of Central Florida LLC | Internal Medicine | 52 Riley Rd # 429, Celebration, FL 34747-5420 | 2020-04-22 |
| 1205465440 | Cardiology Group Panel LLC | Internal Medicine | 201 Nw 82nd Ave Ste 405, Plantation, FL 33324-1883 | 2020-04-08 |
| 1346876745 | H & D Cardiology, Pa | Internal Medicine | 1879 Nightingale Ln Ste B2, Tavares, FL 32778-4363 | 2020-03-17 |
| 1427690775 | The Cardiac and Vascular Institute Ambulatory Surgery Center | Internal Medicine | 4645 Nw 8th Ave Ste 10, Gainesville, FL 32605-4688 | 2019-10-08 |
| 1487208922 | Heart and Vascular Center of Brandon, Pllc | Internal Medicine | 511 Medical Oaks Ave., Brandon, FL 33511 | 2019-08-01 |
| 1023660255 | Florida Medical Specialists LLC | Internal Medicine | 1250 S Tamiami Trl Ste 300, Sarasota, FL 34239-2221 | 2019-07-09 |
| 1962064493 | Ckk Medical LLC | Internal Medicine | 6600 Sw State Road 200 # 200, Ocala, FL 34476-5554 | 2019-07-04 |
| 1952968026 | Jose Miguel Simo | Internal Medicine | 3347 S State Road 7 Ste 205, Wellington, FL 33449-8148 | 2019-05-23 |
| Find all providers with the same taxonomy | ||||
| City | JACKSONVILLE BEACH |
| Zip Code | 32250 |
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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.