SHAH DERMATOLOGY LLC (NPI# 1669818845) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669818845 |
| Entity Type | Organization |
| Organization Name | SHAH DERMATOLOGY LLC |
| Practice Address |
201 Hilda St Suite 38 Kissimmee FL 34741-2320 |
| Practice Telephone | 4076298865 |
| Practice Fax Number | 4076298932 |
| Mailing Telephone | 4076298865 |
| Mailing Fax Number | 4076298932 |
| Enumeration Date | 2013-05-15 |
| Last Update Date | 2013-05-15 |
| Authorized Official Name | AYYAZ M SHAH (PRESIDENT) |
| Authorized Official Telephone | 4076298865 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | OS10163 | FL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760873194 | Shah Dermatology LLC | Dermatology | 24035 Three Notch Rd, Hollywood, MD 20636-4871 | 2015-02-06 |
| Street Address |
201 HILDA ST SUITE 38 |
| City | KISSIMMEE |
| State | FL |
| Zip Code | 34741-2320 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215935200 | Joseph San Juan Layson | Surgery | 201 Hilda St, Suite 204, Kissimmee, FL 34741-2320 | 2005-07-13 |
| 1528583838 | Brunella Ocasio | Physical Therapist | 201 Hilda St, Kissimmee, FL 34741-2320 | 2017-08-08 |
| 1407306988 | Edriana Isabel Bougrat Fermin | Physical Therapist | 201 Hilda St, Suite 12, Kissimmee, FL 34741 | 2016-10-10 |
| 1053796995 | Cris Oncology, LLC | Internal Medicine | 201 Hilda St, Suite 33, Kissimmee, FL 34741-2320 | 2015-07-21 |
| 1841553765 | Florida Infectious Disease Specialists Inc. | Internal Medicine | 201 Hilda St, Ste 22, Kissimmee, FL 34741-2320 | 2012-06-18 |
| 1881952653 | Juan Javier Omana | Surgery | 201 Hilda St, Suite 24, Kissimmee, FL 34741-2320 | 2012-04-30 |
| 1063706521 | Florida Adult & Child Psychiatry, Inc | Clinic/Center | 201 Hilda St, Suite # 22, Kissimmee, FL 34741-2320 | 2011-06-01 |
| 1801112438 | Charles D Bisogno Do Pa | Internal Medicine | 201 Hilda St, Suite 14, Kissimmee, FL 34741-2320 | 2010-04-07 |
| 1497086896 | Asis K Saha M D P A | Internal Medicine | 201 Hilda St, Suite 10, Kissimmee, FL 34741-2320 | 2010-01-25 |
| 1053641845 | James E. Oglesby, M.d. P.a. | Specialist | 201 Hilda St, Ste 30, Kissimmee, FL 34741-2320 | 2009-12-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083239834 | Kathia I Torres Cintron | Occupational Therapy Assistant | 201 Park Place Blvd Kissimmee Fl 347, Kissimmee, FL 34741 | 2020-06-08 |
| 1992340046 | Zynia Spencer | Marriage & Family Therapist | 345 W. Oak St., Kissimmee, FL 34741 | 2019-11-13 |
| 1225597784 | Leila Rosado | Counselor | All Family, 120 Broadway Suite 204, Kissimmee, FL 34741 | 2019-03-14 |
| 1235610312 | Yashirah Castillo | Behavior Technician | 230 Country Blvd, Apt 6, Kissimmee, FL 34741 | 2018-08-27 |
| 1376021352 | Julio Cesar Castellanos | Nurse Practitioner | 1050 W Carroll St Apt 149, Kissimmee, FL 34741 | 2018-08-01 |
| 1245724715 | Sonia Teresa Rodriguez | Counselor | 3438 W. Vine Street, Kissimmee, FL 34741 | 2018-06-19 |
| 1700376316 | Jessica Mateo | Social Worker | 111 E Monument Ave Unit 412, Kissimmee, FL 34741 | 2018-05-18 |
| 1306340880 | George Gianakakos | Psychiatry & Neurology | 720 W. Oak St., Suite 360, Kissimmee, FL 34741 | 2018-03-20 |
| 1154825693 | Mary Catherine Slome | Student in an Organized Health Care Education/Training Program | 720 W. Oat Street, Ste. 201, Kissimmee, FL 34741 | 2018-03-20 |
| 1457855991 | Sherwin Zachariah Thomas | Student in an Organized Health Care Education/Training Program | 720 W. Oak St., Ste 201, Kissimmee, FL 34741 | 2018-03-20 |
| Find all providers in zip 34741 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184940777 | Joanna L Mcgetrick | Dermatology | 3288 Greenwald Way N, Kissimmee, FL 34741-0728 | 2010-04-08 |
| 1134389364 | Neil Sandhu | Dermatology | 4545 Pleasant Hill Rd, Suite 110, Kissimmee, FL 34759-3400 | 2008-06-11 |
| 1134205297 | Mary Anne Villegas | Dermatology | 725 E Oak Street, Associates In Dermatology, Kissimmee, FL 34744 | 2006-10-31 |
| 1669444113 | Ferdinand Christopher Manlio | Dermatology | 903 N Central Ave, Kissimmee, FL 34741-5029 | 2006-02-07 |
| 1619967189 | William A Steele | Dermatology | 725 E Oak St, Kissimmee, FL 34744-4591 | 2005-10-26 |
| 1134473325 | F. Christopher Manlio, Do, Pa | Dermatology | 903 N Central Ave, Kissimmee, FL 34741-5029 | 2012-11-09 |
| 1710173661 | Sharon A. Stokes Md Pa | Dermatology | 3276 Greenwald Way N, Kissimmee, FL 34741-0728 | 2007-09-24 |
| 1376751305 | Clifford W. Lober Md Pa | Dermatology | 505 W Oak St, Suite 201, Kissimmee, FL 34741-4986 | 2007-05-21 |
| 1114939709 | Sharon A Stokes | Dermatology | 3276 Greenwald Way N, Kissimmee, FL 34741-0728 | 2006-08-12 |
| 1598755043 | James D Gordon | Dermatology | 725 E Oak St, Kissimmee, FL 34744-4591 | 2005-10-26 |
| Find all providers in KISSIMMEE | ||||
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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.