DR. KEVIN J SHAH (NPI# 1740417252) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740417252 |
| Entity Type | Individual |
| Full Name | DR. KEVIN J SHAH |
| Credential | MD |
| Practice Address |
1 Granite Point Dr Ste 100 Wyomissing PA 19610-1992 |
| Practice Telephone | 6103781344 |
| Practice Fax Number | 6103785169 |
| Mailing Telephone | 6103781344 |
| Mailing Fax Number | 6103785169 |
| Enumeration Date | 2009-06-11 |
| Last Update Date | 2020-09-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207W00000X | Ophthalmology | MD457586 | PA | Allopathic & Osteopathic Physicians |
| Y | 207WX0120X |
Ophthalmology Specialization: Cornea and External Diseases Specialist |
MD457586 | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 103116450 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 100 Schuylkill Medical Plz Ste 100, Pottsville, PA 179013636 | 5706215690 | 5706229285 |
| 770 Norman Dr, Lebanon, PA 170427495 | 7172722161 | 7172700301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467816983 | Kevin Shah | Student in an Organized Health Care Education/Training Program | 5015 Chattam Ln, Tampa, FL 33624-2524 | 2016-04-11 |
| 1861757544 | Kevin Shah | Internal Medicine | 200 W Arbor Dr # 8422, San Diego, CA 92103-1911 | 2012-07-10 |
| 1104117191 | Kevin Shah | Internal Medicine | 234 Crooked Creek Pkwy Ste 200, Durham, NC 27713-8506 | 2011-04-25 |
| 1780147934 | Kevin Shah | Student in an Organized Health Care Education/Training Program | 1161 21st Ave. South, D-3100 Medical Center North, Nashville, TN 37232 | 2019-04-12 |
| 1023578697 | Kevin Pankaj Shah | Student in an Organized Health Care Education/Training Program | 49 Jesse Hill Jr Dr Se, Atlanta, GA 30303-3049 | 2019-03-20 |
| 1023575990 | Kevin Shah | Pharmacist | 205 Vineyard Rd, Edison, NJ 08817-4785 | 2019-02-26 |
| 1255508107 | Kevin Naresh Shah | Surgery | 20 Duke Medicine Cir, Durham, NC 27710-2000 | 2008-05-09 |
| Street Address |
1 GRANITE POINT DR STE 100 |
| City | WYOMISSING |
| State | PA |
| Zip Code | 19610-1992 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487634143 | Adam J Altman | Ophthalmology | 1 Granite Point Dr Ste 100, Wyomissing, PA 19610-1992 | 2006-01-19 |
| 1548894082 | Christine Majida Gieringer | Optometrist | 1 Granite Point Dr Ste 100, Wyomissing, PA 19610-1992 | 2020-02-24 |
| 1184286973 | Lucinda Ann Kauffman | Optometrist | 1 Granite Point Dr Ste 100, Wyomissing, PA 19610-1992 | 2019-07-02 |
| 1740693373 | Christina Marie Lippe | Ophthalmology | 1 Granite Point Dr Ste 100, Wyomissing, PA 19610-1992 | 2014-06-11 |
| 1851686331 | Anastasia Traband | Ophthalmology | 1 Granite Point Dr Ste 100, Wyomissing, PA 19610-1992 | 2011-06-13 |
| 1538491311 | Michael P Smith | Ophthalmology | 1 Granite Point Dr Ste 100, Wyomissing, PA 19610-1992 | 2010-02-04 |
| 1619204112 | Jennifer H Cho | Optometrist | 1 Granite Point Dr Ste 100, Wyomissing, PA 19610-1992 | 2009-11-04 |
| 1720219454 | Abhishek Kumar Nemani | Ophthalmology | 1 Granite Point Dr Ste 100, Wyomissing, PA 19610-1992 | 2009-07-29 |
| 1073774774 | Mehul Harish Nagarsheth | Ophthalmology | 1 Granite Point Dr Ste 100, Wyomissing, PA 19610-1992 | 2008-06-24 |
| 1245376755 | Yun Katherine Hu | Ophthalmology | 1 Granite Point Dr Ste 100, Wyomissing, PA 19610-1992 | 2007-01-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154944486 | Fresenius Medical Care Wyomissing, LLC | Clinic/Center | 656 Berkshire Blvd, Wyomissing, PA 19610 | 2020-05-21 |
| 1235779943 | Stacey Oberhauser | Urology | Center for Urologic Care of Berks County, 1320 Broadcasting Road, Suite 200, Wyomissing, PA 19610 | 2020-01-10 |
| 1932742772 | Kristin Marie Lapp | Social Worker | 1120-c Hobart Ave, Wyomissing, PA 19610 | 2019-10-24 |
| 1396302410 | Susan Cohick | Occupational Therapy Assistant | The Center for Pediatric Therapy Inc, 9 Bristol Ct, Wyomissing, PA 19610 | 2019-05-23 |
| 1518475953 | Safe Care Express Pllc | Clinic/Center | 1802 State Hill Rd, Wyomissing, PA 19610 | 2018-01-19 |
| 1346779733 | Eric Angstadt | Dentist | 85 Commerce Drive, Wyomissing, PW 19610 | 2017-06-08 |
| 1497209761 | Keystone Orthopaedic Specialists,llc | Durable Medical Equipment & Medical Supplies | 2607 Keiser Blvd # 200, Wyomissing, PA 19610 | 2016-08-04 |
| 1104270875 | Heather Claudette Meyer | Hearing Instrument Specialist | 50 Berkshire Ct Ste 250, Wyomissing, PA 19610 | 2016-04-19 |
| 1396125050 | Courtney B. Pursell | Counselor | 716 N. Park Rd., Wyomissing, PA 19610 | 2015-06-08 |
| 1760892012 | Nicole M Robb | Counselor | 17 Evans Ave, Wyomissing, PA 19610 | 2014-05-07 |
| Find all providers in zip 19610 | ||||
| Taxonomy Code | 207WX0120X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| Specialization | Cornea and External Diseases Specialist |
| An ophthalmologist who specializes in diseases of the cornea, sclera, eyelids, conjunctiva, and anterior segment of the eye. |
| Notes: Source: American Academy of Ophthalmology, www.aao.org [1/1/2018: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477997682 | Stuart Brian Carter Jr. | Ophthalmology | 400 N 17th St Ste 101, Allentown, PA 18104 | 2013-04-18 |
| 1417508961 | Gaurav Prakash | Ophthalmology | 203 Lothrop St Ste 820, Pittsburgh, PA 15213-2548 | 2019-09-26 |
| 1033557368 | Lara Rosenwasser Newman | Ophthalmology | 825 Fishburn Rd, Hershey, PA 17033 | 2013-06-09 |
| City | WYOMISSING |
| Zip Code | 19610 |
Please comment or provide details below to improve the information on DR. KEVIN J SHAH.
| 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.