DR. JUI SHAH (NPI# 1790122216) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790122216 |
| Entity Type | Individual |
| Full Name | DR. JUI SHAH |
| Credential | M.D. |
| Practice Address |
86 W Underwood St Suite 202 Orlando FL 32806-1110 |
| Practice Telephone | 4076496876 |
| Practice Fax Number | 4078720544 |
| Mailing Telephone | 4076496876 |
| Mailing Fax Number | 4078720544 |
| Enumeration Date | 2013-05-23 |
| Last Update Date | 2019-08-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0203X |
Pediatrics Specialization: Pediatric Critical Care Medicine |
A157776 | CA | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | TRN18738 | FL | Student, Health Care |
| Street Address |
86 W UNDERWOOD ST SUITE 202 |
| City | ORLANDO |
| State | FL |
| Zip Code | 32806-1110 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649262395 | Jahely Marrero | Internal Medicine | 86 W Underwood St, Suite 102, Orlando, FL 32806-1110 | 2005-08-18 |
| 1730797713 | Joseph Richard Lavallee II | Nurse Practitioner | 86 W Underwood St, Orlando, FL 32806-1110 | 2020-07-16 |
| 1073153888 | Kamilah Nicole Mix | Nurse Practitioner | 86 W Underwood St, Orlando, FL 32806-1110 | 2020-01-09 |
| 1134772528 | Andrena Patrice Wright | Nurse Practitioner | 86 W Underwood St, Orlando, FL 32806-1110 | 2019-07-24 |
| 1124688502 | Melinda L Galloway | Nurse Practitioner | 86 W Underwood St, Orlando, FL 32806-1110 | 2019-06-18 |
| 1770040230 | Erica Kristin Nathanson | Nurse Practitioner | 86 W Underwood St, Orlando, FL 32806-1110 | 2019-02-20 |
| 1407342942 | Lucille Woodley | Student in an Organized Health Care Education/Training Program | 86 W Underwood St, Orlando, FL 32806 | 2018-07-09 |
| 1306332168 | Bryce Lambert | Student in an Organized Health Care Education/Training Program | 86 W Underwood St, Orlando, FL 32806-1110 | 2018-07-05 |
| 1386130375 | Jason Barbour Miller | Student in an Organized Health Care Education/Training Program | 86 W Underwood St, Orlando, FL 32806-1110 | 2018-07-03 |
| 1215422522 | Ana Segura | Student in an Organized Health Care Education/Training Program | 86 W Underwood St, Orlando, FL 32806-1110 | 2018-06-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710585674 | Erika Williams | Pharmacist | 2715 South Orlando Ave, Orlando, FL 32806 | 2020-10-13 |
| 1013545664 | Johanna Yadira Cook | Registered Nurse | Orlando Health Orlando Regional Medical Center, 52 W. Underwood St, Orlando, FL 32806 | 2020-03-30 |
| 1396372306 | Warren Andrew Williams | Student in an Organized Health Care Education/Training Program | 1222 S. Orange Ave., 5th Fl, Mp# 43, Orlando, FL 32806 | 2020-03-27 |
| 1225665433 | Astrid Helen Casin | Student in an Organized Health Care Education/Training Program | 1222 S. Orange Avenue, 5th Fl., Mp#43, Orland, FL 32806 | 2020-03-26 |
| 1508404211 | Hidden Potential Florida LLC | Assistant Behavior Analyst | 2857 South Bumby Avenue, Orlando, FL 32806 | 2019-12-12 |
| 1720639883 | Cynthia Lee Kling | Clinical Nurse Specialist | Arnold Palmer Hospital, 92 W. Miller St., Orlando, FL 32806 | 2019-09-20 |
| 1033769930 | Darleen Ann Williams | Clinical Nurse Specialist | 52 W. Underwood, Orlando, FL 32806 | 2019-09-13 |
| 1508412644 | Trischaday Kimberley Demetrius | Nurse Practitioner | Orlando Epilepsy Center, 226 W Michigan Street, Orlando, FL 32806 | 2019-08-14 |
| 1962964809 | Ajc Software Inc | Prosthetic/Orthotic Supplier | 1405 South Orange Avenue Suite 308, Orlando, FL 32806 | 2019-04-01 |
| 1598232852 | Sodo Smiles Dentistry, Pa | Dentist | 3123 S. Orange Ave., Suite 107, Orlando, FL 32806 | 2018-10-25 |
| Find all providers in zip 32806 | ||||
| Taxonomy Code | 2080P0203X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Critical Care Medicine |
| A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. ACGME Accredited Residency Program Requirements: 2 years of training with 3 years Pediatrics plus 1 year Pediatric Critical Care for certification for a total of 6 years. ABMS Approved Subspecialty Certificate (Pediatrics) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861577256 | Mark Swanson | Pediatrics | 92 West Miller Street, Orlando, FL 32806 | 2006-10-26 |
| 1013024785 | Mary Farrell | Pediatrics | 1814 Lucerne Terrace, Suite C, Orlando, FL 32806 | 2006-08-25 |
| 1003885104 | Adalberto Torres | Pediatrics | 1717 S Orange St, Ste 100, Nemours Childrens Clinic, Orlando, FL 32806-2946 | 2006-03-14 |
| 1700496171 | Meghan Alexandra Moberly | Pediatrics | 6535 Nemours Pkwy, Orlando, FL 32827-7884 | 2020-07-31 |
| 1457993933 | Britni Norris | Pediatrics | 92 W Miller St, Orlando, FL 32806-2036 | 2019-10-16 |
| 1881119667 | Tammy J Bectel | Pediatrics | 2501 N Orange Ave Ste 310, Orlando, FL 32804-4642 | 2017-08-14 |
| 1932503349 | Alberto Marante | Pediatrics | 601 E Rollins St, Orlando, FL 32803-1248 | 2014-10-14 |
| 1104246545 | Shannon Renee Faulkinberry | Pediatrics | 92 W Miller St, Orlando, FL 32806-2032 | 2014-04-24 |
| 1891127965 | Jose Alfonso Decamps-solano | Pediatrics | 92 W Miller St, Orlando, FL 32806-2032 | 2013-07-31 |
| 1033485248 | Adam Jay Kaplan | Pediatrics | 601 E Rollins St, Orlando, FL 32803-1248 | 2012-04-02 |
| Find all providers in ORLANDO | ||||
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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.