KETAN SHAH


Address: 1000 Eleven S, Ste 4f, Columbia, IL 62236-1080
Phone: 6186280715

KETAN SHAH (NPI# 1841306693) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1841306693
Entity Type Individual
Full Name KETAN SHAH
Credential M.D.
Practice Address 1000 Eleven S
Ste 4f
Columbia
IL 62236-1080
Practice Telephone 6186280715
Practice Fax Number 8883714468
Mailing Telephone 6186280715
Mailing Fax Number 8883714468
Enumeration Date 2006-08-22
Last Update Date 2020-05-18
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Y00000X Otolaryngology 036-101869 IL Allopathic & Osteopathic Physicians

Other Providers KETAN SHAH

NPI Name Taxonomy Address Enumeration
1689959900 Ketan Mahendra Shah Nurse Practitioner 422 N Prospect St, Wheaton, IL 60187-5839 2011-10-18
1407137102 Ketan H Shah Pharmacist 153 Wood Ave, Edison, NJ 08820-3504 2011-09-08
1609822360 Ketan D. Shah Podiatrist 9234 Kennedy Blvd, North Bergen, NJ 07047-5312 2006-05-25
1144575788 Ketan Yogesh Shah Internal Medicine 5841 S Maryland Ave, Chicago, IL 60637-1447 2012-07-19
1922390210 Ketan R Shah Nurse Anesthetist, Certified Registered 3200 Tyre Neck Rd, Suite 101, Portsmouth, VA 23703-3329 2011-05-05
1790001535 Ketan Vikrambhai Shah Internal Medicine 300 Highland Ave, Hanover, PA 17331-2297 2010-04-19
1629244652 Ketan K Shah Internal Medicine 24221 Calle De La Louisa, Suite 300, Laguna Hills, CA 92653-7638 2008-04-30
1871507053 Ketan Shah Internal Medicine 5500 Armstrong Rd, Battle Creek, MI 49015-1014 2006-07-27
1528098134 Ketan Shah Internal Medicine 2211 E Franklin Blvd, Ste 100, Gastonia, NC 28054-4985 2006-07-03
1083664023 Ketan S. Shah Internal Medicine 3120 Governors Place Blvd, Dayton, OH 45409-1328 2006-05-11

Office Location

Street Address 1000 ELEVEN S
STE 4F
City COLUMBIA
State IL
Zip Code 62236-1080

Providers in the same location

NPI Name Taxonomy Address Enumeration
1477088292 Jordan Priebe Nurse Practitioner 1000 Eleven S, Suite 1a, Columbia, IL 62236-1077 2017-04-30

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1962937300 Assoicated Physicians Group Ltd Nurse Practitioner 1011 South, Suite 3b, Columbia, IL 62236 2017-04-24
1316284854 Robert Siekerka Pharmacist 1412 N Evergreen Ln, Columbia, IL 62236 2013-01-03
1972874352 Jennifer Harlin Wilhelm Veterinarian 1400 Columbia Center Drive, Bellson Animal Hospital, Columbia, IL 62236 2012-01-18
1912275314 Synergy Therapeutics, PC Dentist 1000 Eleven South, Suite 3f, Columbia, IL 62236 2011-12-13
1134455991 Julie Williams Skilled Nursing Facility 3 Eagle Crest Court, Columbia, IL 62236 2009-10-28
1831311158 Lifetime Dental Care of Illinois, PC Dentist 240 Southwoods Centre Drive, Columbia, IL 62236 2007-05-03
1730301268 Affordable Dentistry Today, PC Dentist 242 Southwoods Centre Drive, Columbia, IL 62236 2007-05-03
1710109616 Jason Clay King Chiropractor 117 West Cedar Street, Columbia, IL 62236 2007-05-02
1184704900 Mitan Pediatric Therapy Inc Occupational Therapist 891 Meadowview Lane, Columbia, IL 62236 2006-10-16
1265528368 Kathryn Ann Mager Counselor 9273 Coach Stop Road, Columbia, IL 62236 2006-10-05
Find all providers in zip 62236

Taxonomy Information

Taxonomy Code 207Y00000X
Grouping Allopathic & Osteopathic Physicians
Classification Otolaryngology

Taxonomy Definition

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1407207319 Jesse Schmid Otolaryngology One Hosital Dr Ma314, Columbia, MO 65212 2016-06-22
1023419405 Arya W Namin Otolaryngology One Hospital Dr Ma314, Columbia, MO 65212 2014-09-04
1144562356 Robert Morgan Thomas Otolaryngology 2219 Danforth Ct, Columbia, MO 65201-6228 2013-03-26
1972737237 Jason C Goodwin Otolaryngology 1 Hospital Dr # Ma314, Columbia, MO 65212-5276 2009-05-14
1134327067 Elizabeth Lai Otolaryngology 1 Hospital Dr # Ma202f, Columbia, MO 65212-0001 2007-07-03
1093936395 Ear, Nose & Throat Institute of Southern Illinois Ltd. Otolaryngology 4325 Ee Rd, Suite 205, Columbia, IL 62236-3445 2007-05-02
1821177916 Midwest Sinus Allergy Specialists, Inc Otolaryngology 1701 E Broadway Suite 304, Columbia, MO 65201 2006-11-02
1194755314 Chad B Gunnlaugsson Otolaryngology 1040 Pinnacle Point Dr, Columbia, SC 29223-5735 2006-07-04
1821025529 Anna L Bouknight Otolaryngology 2801 Devine St Ste 101, Columbia, SC 29205-2511 2006-06-27
1669421814 Shaun C Corbin Otolaryngology 927 N James Campbell Blvd, Ste 101, Columbia, TN 38401-6436 2006-05-08
Find all providers in COLUMBIA

Competitor

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City COLUMBIA
Zip Code 62236

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Dataset Information

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.

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