SHAH FOOT & ANKLE LLC (NPI# 1790137685) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790137685 |
| Entity Type | Organization |
| Organization Name | SHAH FOOT & ANKLE LLC |
| Other Organization Name | SEEBER FOOT & ANKLE LTD |
| Practice Address |
3851 N Mulford Rd Rockford IL 61114-5603 |
| Practice Telephone | 8472545939 |
| Mailing Telephone | 8472545939 |
| Enumeration Date | 2016-07-05 |
| Last Update Date | 2016-07-05 |
| Authorized Official Name | DR. BIREN SHAH (OWNER / CEO) |
| Authorized Official Telephone | 8472545939 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
016.005692 | IL | Podiatric Medicine & Surgery Service Providers |
| Other Name | Type Code |
|---|---|
| Seeber Foot & Ankle Ltd | Doing Business As Name - Organization |
| Street Address |
3851 N MULFORD RD |
| City | ROCKFORD |
| State | IL |
| Zip Code | 61114-5603 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366064560 | Caleb Ifeoluwa Oluwadamisi | Student in an Organized Health Care Education/Training Program | Mercy Health Javon Bea Hospital, 8201 East Riverside Boulevard, Rockford, IL 61114 | 2020-05-11 |
| 1811525959 | Seifeldin Eid | Student in an Organized Health Care Education/Training Program | Mercyhealthjavon Bea Hospital, 8201, East Riversideboulevard, IL 61114 | 2020-04-01 |
| 1073167664 | Swedishamerican Hospital | Internal Medicine | 3505 N Bell School Road, Rockford, IL 61114 | 2019-07-31 |
| 1154980076 | Anurag Gill | Student in an Organized Health Care Education/Training Program | 8201 East Riverside Boulevard, Mercy Health Javon Bea Hospital, Rockford, IL 61114 | 2019-06-13 |
| 1578121943 | Sona Najafi | Student in an Organized Health Care Education/Training Program | Mercyhealth Javon Bea Hospital, 8201 East Riverside Blvd, Rockford, IL 61114 | 2019-05-31 |
| 1760045744 | Julianna Jones | Counselor | 6653 Weaver Rd Ste 115, Rockford, IL 61114 | 2019-04-16 |
| 1952869943 | Angela Marie Hawkins | Nurse Practitioner | 8201 E. Riverside Blvd, Pediatric Neurology, Rockford, IL 61114 | 2019-03-08 |
| 1376029231 | Meghan Beth Teske | Chiropractor | 3779 N. Alpine Rd., Rockfod, IL 61114 | 2018-07-13 |
| 1811401284 | Summit Radiology, LLC | Clinic/Center | 3849 N. Perryville Road, Rockford, IL 61114 | 2017-11-21 |
| 1548704299 | Rockford Orthopedic Associates, Ltd | Durable Medical Equipment & Medical Supplies | 5929 E Riverside Blvd, Rockford, IL 61114 | 2016-12-15 |
| Find all providers in zip 61114 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528455565 | Biren Shah | Podiatrist | 6090 Strathmoor Dr Ste 6, Rockford, IL 61107-5200 | 2015-04-16 |
| 1821481755 | Rps Surgical Ltd | Podiatrist | 1617 Temple Ln, Rockford, IL 61112-1045 | 2015-03-17 |
| 1598985939 | Tina Renee Entwistle | Podiatrist | 6778 Mill Rd, Suite 100, Rockford, IL 61108-2502 | 2007-04-26 |
| 1578658506 | Joseph Thomas Fanara | Podiatrist | 1617 Temple Lane, Rockford, IL 61112-1045 | 2006-10-04 |
| 1427059237 | Flavio Cordano | Podiatrist | 534 Roxbury Rd, Rockford, IL 61107-5076 | 2005-08-02 |
| 1952306045 | Dinesh C Pandya | Podiatrist | 5695 Strathmoor Dr, Ste 1, Rockford, IL 61107-5192 | 2005-06-16 |
| 1992298822 | Joshua Mark Hendricks | Podiatrist | 5666 E State St, Rockford, IL 61108-2425 | 2018-06-14 |
| 1255852877 | Brittany Nicole Wojnicki | Podiatrist | 5666 E State St, Rockford, IL 61108-2425 | 2017-07-05 |
| 1376921072 | Templin & Associates Podiatry P.C. | Podiatrist | 5695 Strathmoor Dr, Suite 1, Rockford, IL 61107-5192 | 2015-05-13 |
| 1205198157 | Kyle V Templin | Podiatrist | 5695 Strathmoor Dr, Ste 1, Rockford, IL 61107-5192 | 2012-06-15 |
| Find all providers in ROCKFORD | ||||
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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.