DR. SHIVAM MITAL (NPI# 1689045684) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689045684 |
| Entity Type | Individual |
| Full Name | DR. SHIVAM MITAL |
| Credential | M.D. |
| Practice Address |
100 North Academy Ave Danville PA 17822-4903 |
| Practice Telephone | 5702147327 |
| Mailing Telephone | 5702147327 |
| Enumeration Date | 2015-10-15 |
| Last Update Date | 2018-11-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208M00000X | Hospitalist | MD464391 | PA | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 254 Easton Ave, New Brunswick, NJ 089011766 | 7327458600 |
| Street Address |
100 NORTH ACADEMY AVE |
| City | DANVILLE |
| State | PA |
| Zip Code | 17822-4903 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225022858 | Charles Nicholas Burns Jr. | Specialist | 100 North Academy Ave, Danville, PA 17822-4903 | 2005-09-09 |
| 1609250596 | Umair Iqbal | Hospitalist | 100 North Academy Ave, Danville, PA 17822 | 2015-07-10 |
| 1841689601 | Joseph Thomas | Registered Nurse | 100 North Academy Ave, Danville, PA 17822-2025 | 2015-01-16 |
| 1588070346 | Olatunde Bosu | Family Medicine | 100 North Academy Ave, Danville, PA 17822 | 2014-07-01 |
| 1871904862 | Irfan Ahsan | Internal Medicine | 100 North Academy Ave, Danville, PA 17822-2019 | 2014-05-13 |
| 1144665977 | Michelle Cornacchia | Internal Medicine | 100 North Academy Ave, Danville, PA 17822-1401 | 2013-05-07 |
| 1104168533 | Christopher James Whiting | Psychiatry & Neurology | 100 North Academy Ave, Danville, PA 17822-1405 | 2013-03-24 |
| 1407101991 | Arsalan Rafiq | Internal Medicine | 100 North Academy Ave, Danville, PA 17822 | 2012-07-20 |
| 1396090940 | Rafael Antonio Ching Companioni | Internal Medicine | 100 North Academy Ave, Danville, PA 17822-2111 | 2012-07-19 |
| 1639434616 | Sean Odell | Counselor | 100 North Academy Ave, Danville, PA 17822-1335 | 2012-07-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366062895 | Staci Lee Benoit | Student in an Organized Health Care Education/Training Program | 100 North Academy Avenue Geisinger Medical Center, Danville, PA 17822 | 2020-04-24 |
| 1275162018 | Kristena Yossef | Student in an Organized Health Care Education/Training Program | Geisinger Medical Center, 100 North Academy Avenue, Da, Danville, PA 17822 | 2020-04-03 |
| 1003470444 | Intekhab Askari Syed Ahmad Raza | Student in an Organized Health Care Education/Training Program | 100 North Academy Avenue, Geisinger Medical Center, Danville, PA 17822 | 2019-04-30 |
| 1841766334 | Sarah Louise Dearment | Counselor | Geisinger Medical Center: Department of Psychiatry, 100 N. Academy Avenue, Danville, PA 17822 | 2018-10-23 |
| 1548753908 | Josie Pervola | Genetic Counselor, MS | 100 N Academy Ave Mc-26-20, Danville, PA 17822 | 2018-06-11 |
| 1477059350 | Martha Niemiec | Counselor | Geisinger Medical Center Department of Psychiatry, 100 North Academy Avenue, Danville, PA 17822 | 2018-04-01 |
| 1730625450 | Nir Shimony | Neurological Surgery | 100 N. Academy Ave., Geisinger Medical Center, Neurosurgery Department, Danville, PA 17822 | 2017-01-19 |
| 1164877197 | Britta Hunter | Speech-Language Pathologist | 100 N. Academy Ave., Danville, PA 17822 | 2016-04-27 |
| 1891180725 | Zach Rottmann | Internal Medicine | Geisinger Medical Center, 100 North Academy Avenue, Danville, PA 17822 | 2015-03-30 |
| 1891063251 | John D Chakan | Pharmacist | 1000 S Second St, Sunbury, PA 17822 | 2011-12-13 |
| Find all providers in zip 17822 | ||||
| Taxonomy Code | 208M00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Hospitalist |
| Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients. |
| Notes: Source: American Society of Hospital Medicine, 2007. http://www.hospitalmedicine.org/ [7/1/2009: definition aded] Additional Resources: Hospitalist is a recognized fellowship specialty program offered by many medical institutions. There is no board certification for the specialty at this point. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366979072 | Michelle Xchail Brown | Hospitalist | 100 N Academy Ave, Danville, PA 17822-1904 | 2017-05-12 |
| 1487187001 | Brock Davis | Hospitalist | 100 N Academy Ave, Danville, PA 17822-9800 | 2017-04-10 |
| 1003349176 | Jose Eduardo Rivera | Hospitalist | 100 N Academy Ave, Danville, PA 17822-0001 | 2017-04-06 |
| 1740729318 | John Harris Samies | Hospitalist | 100 N Academy Ave, Danville, PA 17822-0001 | 2017-02-15 |
| 1124564968 | Select Specialty Hospital - Lexington, Inc. | Hospitalist | 217 S 3rd St Fl 4, Danville, KY 40422-1823 | 2017-01-18 |
| 1861844177 | Leyla Bille Warsame | Hospitalist | 100 N Academy Ave, Danville, PA 17822-1802 | 2016-07-11 |
| 1063863181 | Manjul Bhandari | Hospitalist | 100 N Academy Ave, Danville, PA 17822-1122 | 2016-06-30 |
| 1265894489 | Matthew Jonathan Wesley | Hospitalist | 100 N Academy Ave, Danville, PA 17822-1000 | 2016-03-26 |
| 1407215767 | Jamie Hood | Hospitalist | 100 N Academy Ave, Danville, PA 17822-9800 | 2016-02-15 |
| 1356700702 | Alexandria Jilg | Hospitalist | 100 N Academy Ave, Danville, PA 17822-9800 | 2016-02-14 |
| Find all providers in DANVILLE | ||||
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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.