MS. KANTA C SHAH (NPI# 1770556656) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770556656 |
| Entity Type | Individual |
| Full Name | MS. KANTA C SHAH |
| Credential | M.D. |
| Practice Address |
4600 4th Street North St Petersburg FL 33703-3802 |
| Mailing Address |
4600 4th Street North All Florida Orthopaedic Associates St Petersburg FL 33703-3802 |
| Practice Telephone | 7275275272 |
| Practice Fax Number | 7275227412 |
| Mailing Telephone | 7275275272 |
| Mailing Fax Number | 7275227412 |
| Enumeration Date | 2006-02-10 |
| Last Update Date | 2011-10-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
MD0037424 | FL | Allopathic & Osteopathic Physicians |
| N | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
ME37424 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 066075200 | 05 |
| Street Address |
4600 4TH STREET NORTH |
| City | ST PETERSBURG |
| State | FL |
| Zip Code | 33703-3802 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619954336 | Robert L Swiggett Jr. | Orthopaedic Surgery | 4600 4th Street North, St Petersburg, FL 33703-3802 | 2005-12-22 |
| 1114075983 | See Wai Elsie Lo | Physician Assistant | 4600 4th Street North, St Petersburg, FL 33703-3802 | 2007-01-08 |
| 1063467819 | Peggy A. Kulpaca | Physician Assistant | 4600 4th Street North, St Petersburg, FL 33703-3802 | 2006-05-23 |
| 1871547737 | Stephen Carl Anderson | Radiology | 4600 4th Street North, St Petersburg, FL 33703-3802 | 2006-05-22 |
| 1194799098 | Paul R. Russo | Registered Nurse | 4600 4th Street North, St Petersburg, FL 33703-3802 | 2006-02-15 |
| 1134193667 | Brett R Bolhofner | Orthopaedic Surgery | 4600 4th Street North, St Petersburg, FL 33703-3802 | 2006-02-13 |
| 1942274485 | George H Canizares | Orthopaedic Surgery | 4600 4th Street North, St Petersburg, FL 33703-3802 | 2006-02-13 |
| 1922072461 | Jorge A Rodriguez | Orthopaedic Surgery | 4600 4th Street North, St Petersburg, FL 33703-3802 | 2006-02-13 |
| 1629042163 | William E Lowry | Orthopaedic Surgery | 4600 4th Street North, St Petersburg, FL 33703-3802 | 2006-02-13 |
| 1043283948 | Clinton Bertrand Davis II | Orthopaedic Surgery | 4600 4th Street North, St Petersburg, FL 33703-3802 | 2006-02-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376150276 | Stephanie Gayle Barnes | Rehabilitation Practitioner | 610 47th Ave N, St Petersburg, FL 33703 | 2020-09-25 |
| 1366945099 | St. Petersburg Free Clinic | General Practice | 5501 - 4th Street North, St. Petersburg, FL 33703 | 2018-03-08 |
| 1306381363 | Dominique Timothee | Behavioral Analyst | 4301 16th Street N, St Petersburg, FL 33703 | 2016-12-30 |
| 1962849455 | Bobbie Vaughn | Behavioral Analyst | 880 6th St. South, St. Petersburg, FL 33703 | 2013-05-24 |
| 1255672796 | Mary Paige Bourbeau | Nurse Practitioner | 5500 9th St N., St Petersburg, FL 33703 | 2013-03-07 |
| 1437435237 | Lynn Bonner-nelson | Counselor | 6161 Dr. Mlk Jr Street N. #204, Saint Petersburg, FL 33703 | 2011-10-25 |
| 1245545953 | Patricia Reynolds | Speech-Language Pathologist | 3950 3rd Street North, Suite D, Community Rehab Associates, St. Petersburg, Fl, FL 33703 | 2010-08-18 |
| 1326367145 | Sigurd T Rutkis | Occupational Therapist | 3835 1st Street Northeast, St. Petersburg, FL 33703 | 2010-05-18 |
| 1922338136 | Christy Carr | Mechanotherapist | 5560 Kelly Dr N, Saint Petersburg, FL 33703 | 2010-01-11 |
| 1871730317 | Ronald H Copenhaver Dmd Pa | Dentist | 4338 1st Street N, Suite C, St. Petersburg, FL 33703 | 2009-01-20 |
| Find all providers in zip 33703 | ||||
| Taxonomy Code | 2081P2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Specialization | Pain Medicine |
| A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed] Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. A subspecialty certificate was approved by the ABMS in 1999. ACGME Accredited Residency Program Requirements: Proposal under development. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023306206 | Ricky P. Lockett, D.o, Pa | Physical Medicine & Rehabilitation | 1501 5th Ave N, St Petersburg, FL 33705-2008 | 2011-07-21 |
| 1538483102 | Darlene Lynette Jones Do LLC | Physical Medicine & Rehabilitation | 1501 5th Ave N, St Petersburg, FL 33705-2008 | 2010-03-25 |
| 1376521807 | Amitabh P Gupta | Physical Medicine & Rehabilitation | 5800 49th St N, Suite S 205, St Petersburg, FL 33709-2146 | 2006-01-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477161214 | Radius Medical Center LLC | Physical Medicine & Rehabilitation | 2425 E Commercial Blvd Ste 203, Fort Lauderdale, FL 33308-4062 | 2020-07-17 |
| 1912460874 | Lags Spine and Sportscare Medical Centers, Inc. | Physical Medicine & Rehabilitation | 5701 21st Ave W Ste 3, Bradenton, FL 34209-5605 | 2019-04-08 |
| 1508320342 | Grigory Pogrebinsky Md Pa | Physical Medicine & Rehabilitation | 12450 Tamiami Trl S Unit E, North Port, FL 34287-1473 | 2019-01-25 |
| 1235611815 | Peter Danger Molina | Physical Medicine & Rehabilitation | 1190 Nw 95th St Ste 200, Miami, FL 33150-2064 | 2018-08-30 |
| 1497246540 | Restore Medical Partners Pllc | Physical Medicine & Rehabilitation | 333 Tamiami Trl S Ste 101, Venice, FL 34285-2425 | 2018-05-24 |
| 1568952240 | South Florida Physical Medicine and Rehabilitation Center LLC | Physical Medicine & Rehabilitation | 1200 S Main St Ste 200, Belle Glade, FL 33430-7808 | 2018-05-17 |
| 1235641655 | Boca Pain Care, Inc | Physical Medicine & Rehabilitation | 851 Meadows Rd Ste 213, Boca Raton, FL 33486-2348 | 2017-10-25 |
| 1558870477 | Pain Control Solutions II LLC | Physical Medicine & Rehabilitation | 8323 Nw 12th Street, Suite 115, Miami, FL 33126 | 2017-09-22 |
| 1245759851 | Chelsea Hakeem | Physical Medicine & Rehabilitation | 8936 77th Terrace East, Suit 101, Lakewood Ranch, FL 34202 | 2017-09-14 |
| 1508384165 | Destiny Therapy Center Inc | Physical Medicine & Rehabilitation | 7480 Fairway Dr., Suite 101, Miami Lakes, FL 33014 | 2017-09-05 |
| Find all providers with the same taxonomy | ||||
| City | ST PETERSBURG |
| Zip Code | 33703 |
Please comment or provide details below to improve the information on MS. KANTA C 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.