DR. JAY PRAVIN SHAH (NPI# 1871728907) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871728907 |
| Entity Type | Individual |
| Full Name | DR. JAY PRAVIN SHAH |
| Credential | M.D. |
| Practice Address |
3030 Waterview Pkwy Richardson TX 75080-1400 |
| Mailing Address |
Po Box 845347 Dallas TX 75284-5347 |
| Practice Telephone | 9726697101 |
| Practice Fax Number | 9726697017 |
| Mailing Telephone | 2142662600 |
| Mailing Fax Number | 2145902773 |
| Enumeration Date | 2009-05-19 |
| Last Update Date | 2017-05-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
036131055 | IL | Allopathic & Osteopathic Physicians |
| Y | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
P8731 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 348517902 | 05 | |
| TX | 348517901 | 05 | |
| TX | 348517903 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346656873 | Jay Shah | Radiology | 11327 N Daisy Rd, Dunlap, IL 61525-9436 | 2014-07-04 |
| 1538571997 | Jay Shah | Student in an Organized Health Care Education/Training Program | 41 Burlington Mall Rd, Burlington, MA 01805-3134 | 2014-05-20 |
| 1609134535 | Jay Shah | Anesthesiology | 8424 E Shea Blvd Ste 101, Scottsdale, AZ 85260-6662 | 2012-04-28 |
| 1215162318 | Jay Ajit Shah | Family Medicine | 29345 Sw Town Center Loop E Ste 110, Wilsonville, OR 97070 | 2009-05-19 |
| 1497989164 | Jay Naresh Shah | Orthopaedic Surgery | 100 Healthy Way Ste 1200, Anderson, SC 29621-7916 | 2009-05-11 |
| 1366632440 | Jay Shah | Family Medicine | 5541 Telegraph Road, #216, Saint Louis, MO 63129-3554 | 2007-07-26 |
| 1881665495 | Jay Pravin Shah | Obstetrics & Gynecology | 6650 Alton Pkwy # 2, Irvine, CA 92618-3734 | 2006-01-31 |
| 1457973133 | Jay Shah | Internal Medicine | 28050 Grand River Ave, Farmington Hills, MI 48336-5919 | 2020-05-15 |
| 1770111676 | Jay Shah | Family Medicine | 9555 S 52nd Ave, Oak Lawn, IL 60453-3054 | 2020-03-28 |
| 1154827970 | Jay Akshay Shah | Student in an Organized Health Care Education/Training Program | 450 Clarkson Ave # 59, Brooklyn, NY 11203-2012 | 2018-04-02 |
| Street Address |
3030 WATERVIEW PKWY |
| City | RICHARDSON |
| State | TX |
| Zip Code | 75080-1400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346333663 | Suzanne Cole | Internal Medicine | 3030 Waterview Pkwy, Richardson, TX 75080 | 2006-09-30 |
| 1386110500 | Lauren Elizabeth Bryan | Physical Therapist | 3030 Waterview Pkwy, Richardson, TX 75080-1400 | 2018-10-15 |
| 1356834451 | Richard J Gaeta | Physical Therapist | 3030 Waterview Pkwy, Richardson, TX 75080-1400 | 2018-06-13 |
| 1558889402 | Jessica Nita Herbst | Social Worker | 3030 Waterview Pkwy, Richardson, TX 75080-1400 | 2017-08-30 |
| 1356796155 | Bliss Puthenpurayil | Family Medicine | 3030 Waterview Pkwy, Richardson, TX 75080-1400 | 2016-04-29 |
| 1043691751 | Nicholas Andreas | Physical Therapist | 3030 Waterview Pkwy, Richardson, TX 75080-1400 | 2015-06-18 |
| 1437551447 | Nene Fortune Ugochukwu | Nurse Practitioner | 3030 Waterview Pkwy, Utsw Ambulatory Care Clinical Sevices, Richardson, TX 75080-1400 | 2014-09-22 |
| 1205235819 | Joshua Jay Nash | Physical Therapist | 3030 Waterview Pkwy, Richardson, TX 75080-1400 | 2014-08-19 |
| 1356759310 | Jonathan Heydrick | Specialist/Technologist | 3030 Waterview Pkwy, Richardson, TX 75080-1400 | 2014-07-23 |
| 1699112383 | Bryan Paul Morgan | Specialist/Technologist | 3030 Waterview Pkwy, Richardson, TX 75080-1400 | 2013-06-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629684717 | Ragan Jones Morales | Counselor | 1702 Gateway Blvd, Suite 349, Richardson, TX 75080 | 2020-09-23 |
| 1316556996 | Medex Diagnostic Services | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 811 South Central Expressway, Suite #516, Richardson, TX 75080 | 2020-07-29 |
| 1083109342 | Amy Viloria | Occupational Therapy Assistant | 417 W Arapaho Rd, Richardson, TX 75080 | 2018-06-28 |
| 1194228437 | Lesley Ellsworth Hall | Counselor | Thrive Clinical & Natural Therapeutics, Pllc, 2007 N. Collins Suite 301, Richardson, TX 75080 | 2018-03-13 |
| 1538686233 | Apex Imaging Inc | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 1701 N Collins Blvd Ste 230, Richardson, TX 75080 | 2017-08-24 |
| 1326565292 | Go Operations 6 LLC | Skilled Nursing Facility | 1610 Richardson Drive, Richardson, TX 75080 | 2017-08-23 |
| 1093231649 | Twitches Iom Pllc | Electrodiagnostic Medicine | 3400 Waterview Parkway, Suite 305, Richardson, TX 75080 | 2017-08-16 |
| 1639690340 | Faith Mbarathi | Technician, Other | 1702 North Collins Blvd, Suite 250, Richrdson, TX 75080 | 2017-07-03 |
| 1063933083 | Drew Marie Harvick | Technician, Other | 1702 North Collins Blvd Suite 250, Richardson, TX 75080 | 2017-06-29 |
| 1114447026 | Brenda Marie Fitzgerald | Massage Therapist | 100 S. Central Expressway, #43, Richardson, TX 75080 | 2017-06-21 |
| Find all providers in zip 75080 | ||||
| Taxonomy Code | 207XX0005X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Sports Medicine |
| An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton changed, source changed] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. ACGME Accredited Program Requirements: 1 year GME in the specialty + 5 years of Orthopaedic Surgery for a total of 6 years |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598861494 | Gayle V Voth Md Pa | Orthopaedic Surgery | 399 West Campbell, Suite 402, Richardson, TX 75080-3636 | 2006-09-16 |
| 1417052457 | Gayle V Voth | Orthopaedic Surgery | 399 W Campbell Rd Ste 402, Richardson, TX 75080-3636 | 2006-09-14 |
| 1669654398 | Comprehensive Orthopaedics & Rehabilitation, P.a. | Orthopaedic Surgery | 1120 W Campbell Rd, Suite 109, Richardson, TX 75080-2976 | 2007-12-05 |
| 1164489324 | Jeffrey Thomas Hamm | Orthopaedic Surgery | 399 W Campbell Rd, Suite 402, Richardson, TX 75080-3595 | 2006-04-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366007833 | Tmh Physician Associates Pllc | Orthopaedic Surgery | 2220 E. League City Parkway, Suite 200, League City, TX 77573 | 2019-05-09 |
| 1194223644 | James R. Bocell | Orthopaedic Surgery | 2639 Fenwood Rd, Houston, TX 77005-3435 | 2018-01-30 |
| 1437657624 | Advanced Spine Center | Orthopaedic Surgery | 1705 Ohio Drive, Suite 300, Plano, TX 75093 | 2018-01-23 |
| 1073039244 | Aa Orthopedics | Orthopaedic Surgery | 2302 Fannin St Ste 410, Houston, TX 77002-9135 | 2017-08-18 |
| 1598203580 | Tmh Physician Associates Pllc | Orthopaedic Surgery | 12211 Kirby Dr, Suite 200, Houston, TX 77045-4859 | 2017-02-09 |
| 1184162158 | Tmh Physician Associates Pllc | Orthopaedic Surgery | 1677 W Baker Road, Suite 1701, Baytown, TX 77521-2422 | 2017-02-09 |
| 1033657002 | Tmh Physician Associates Pllc | Orthopaedic Surgery | 5505 West Loop S Ste 100, Houston, TX 77081 | 2017-02-09 |
| 1831637800 | Tmh Physician Associates Pllc | Orthopaedic Surgery | 2220 E League City Parkway, Ste 200, League City, TX 77573 | 2017-02-09 |
| 1326453168 | Dushi Parameswaran, Md Pa | Orthopaedic Surgery | 481 S Katy Fort Bend Rd # 210, Katy, TX 77494-0815 | 2014-06-30 |
| 1407266844 | Mark R Rogers Md Pa | Orthopaedic Surgery | 12000 Richmond Ave Ste 370, Houston, TX 77082-2964 | 2014-05-07 |
| Find all providers with the same taxonomy | ||||
| City | RICHARDSON |
| Zip Code | 75080 |
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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.