DR. SHASHIREKHA SHETTY (NPI# 1700142007) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700142007 |
| Entity Type | Individual |
| Full Name | DR. SHASHIREKHA SHETTY |
| Credential | PHD |
| Practice Address |
9500 Euclid Ave Ll2-2 Cleveland OH 44195-0001 |
| Mailing Address |
10524 Euclid Ave Cleveland OH 44106-2205 |
| Practice Telephone | 2169831121 |
| Mailing Telephone | 2169831121 |
| Enumeration Date | 2012-04-11 |
| Last Update Date | 2016-08-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207SC0300X |
Medical Genetics Specialization: Clinical Cytogenetic |
SHETS1 | NY | Allopathic & Osteopathic Physicians |
| N | 247ZC0005X |
Pathology Specialization: Clinical Laboratory Director, Non-physician |
Technologists, Technicians & Other Technical Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760484414 | Shashirekha K Shetty | Pediatrics | 1155 Kennedy Dr, Ste 201d, Murfreesboro, TN 37129-3191 | 2005-08-12 |
| Street Address |
9500 EUCLID AVE LL2-2 |
| City | CLEVELAND |
| State | OH |
| Zip Code | 44195-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144223231 | Terence Lee Gutgsell | Internal Medicine | 9500 Euclid Ave, Cleveland, OH 44195-0001 | 2005-05-23 |
| 1376144469 | Michael Trompak | Registered Nurse | 9500 Euclid Ave, Cleveland, OH 44195-0002 | 2020-11-04 |
| 1932700465 | Larisa Sopka | Registered Nurse | 9500 Euclid Ave, Cleveland, OH 44195-0001 | 2020-11-02 |
| 1760082697 | Sherry Jones | Registered Nurse | 9500 Euclid Ave, Cleveland, OH 44195-0001 | 2020-10-29 |
| 1518566157 | Warren Kothrade | Nurse Practitioner | 9500 Euclid Ave, Cleveland, OH 44195-0001 | 2020-10-24 |
| 1962000364 | Ethan A Weist | Nurse Practitioner | 9500 Euclid Ave, Cleveland, OH 44195-0002 | 2020-10-16 |
| 1811595861 | Jennifer White | Nurse Practitioner | 9500 Euclid Ave, Cleveland, OH 44195-0001 | 2020-10-13 |
| 1306443668 | Maria Redden | Physical Therapist | 9500 Euclid Ave, Cleveland, OH 44195-0001 | 2020-10-08 |
| 1679170351 | Joelle Marie Williams | Social Worker | 9500 Euclid Ave, Cleveland, OH 44195-0001 | 2020-10-06 |
| 1649877259 | Benita Bryant | Social Worker | 9500 Euclid Ave, Cleveland, OH 44195-0001 | 2020-10-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265041107 | Rachael Kaplan | Nurse Practitioner | Cleveland Clinic Anesthesia Institute, 9500 Euclid Ave, Cleveland, OH 44195 | 2020-07-27 |
| 1831707967 | Sarah Mcgee | Genetic Counselor, MS | 9500 Euclid Ave R4, Cleveland, OH 44195 | 2020-07-15 |
| 1578192134 | Cassandra Garraud | Student in an Organized Health Care Education/Training Program | 9500 Euclid Avenue Na-23, Cleveland, OH 44195 | 2020-04-06 |
| 1184271520 | Moska Hamidi | Surgery | 9500 Euclid Ave F20, Cleveland, OH 44195 | 2019-08-21 |
| 1326527961 | Varinder Kaur Randhawa | Internal Medicine | Cleveland Clinic - Main Campus, 9500 Euclid Avenue, Cleveland, OH 44195 | 2018-08-13 |
| 1487148029 | Larissa Caitlin Combs | Anesthesiology | 9500 Euclid Avenue/na-23, Cleveland, OH 44195 | 2018-06-18 |
| 1306335237 | Sarah Elizabeth Mazzola | Genetic Counselor, MS | 9500 Euclid Ave Ne 50, Genomic Medicine Institute, Cleveland, OH 44195 | 2018-05-07 |
| 1841788593 | Yirka Vacca | Orthopaedic Surgery | Cleveland Clinic 9500 Euclid Avenue A-40, Cleveland, OH 44195 | 2018-04-27 |
| 1174010144 | Natalie W. Weigand | Nurse Practitioner | 9500 Euclid Avenue A81, Cleveland, OH 44195 | 2018-04-16 |
| 1164924114 | Baha'eddin Ahmad Ibrahim Muhsen | Neurological Surgery | 10201 Carnegie Ave, Ca Building, Cleveland, OH 44195 | 2018-03-06 |
| Find all providers in zip 44195 | ||||
| Taxonomy Code | 207SC0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Medical Genetics |
| Specialization | Clinical Cytogenetic |
| A clinical cytogeneticist demonstrates competence in providing laboratory diagnostic and clinical interpretive services dealing with cellular components, particularly chromosomes, associated with heredity. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Medical Genetics, 2007. http://www.abmg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Medical Genetics. A general certificate was first issued by the ABMS in 1982. ACGME Accredited Residency Program Requirements: None. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760458780 | Nyla A Heerema | Medical Genetics | 1645 Neil Ave, 167 Hamilton Hall, Columbus, OH 43210-1218 | 2006-02-28 |
| 1497734487 | Mark Anthony Micale | Medical Genetics | 2222 Cherry St, Toledo, OH 43608-2673 | 2006-01-10 |
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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.