PANKAJ SHAH (NPI# 1891844981) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891844981 |
| Entity Type | Individual |
| Full Name | PANKAJ SHAH |
| Credential | MD |
| Practice Address |
1250 Hancock St Ob/gyn Dept Quincy MA 02169-4339 |
| Mailing Address |
147 Milk St Provider Enrollment - 9th Floor Boston MA 02109-4806 |
| Practice Telephone | 6177740940 |
| Practice Fax Number | 6177700526 |
| Mailing Telephone | 6174216540 |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2011-07-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 43346 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | BCBS | E05073 | 01 |
| MA | TUFTS | 043346 | 01 |
| MA | CIGNA | 7148258-001 | 01 |
| MA | HPHC | G105 | 01 |
| MA | NHP | 0014772 | 01 |
| MA | 3189805 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629024815 | Pankaj S Shah | Specialist | 10035 Lincoln Trl, Fairview Heights, IL 62208-1847 | 2006-05-26 |
| 1710981113 | Pankaj K Shah | Internal Medicine | 8200 Wednesbury Ln, Ste 300, Houston, TX 77074-2932 | 2005-06-13 |
| 1841318672 | Pankaj Shah | Contractor | 2333 Whitehorse Mercerville Rd, Suite A, Trenton, NJ 08619-1946 | 2007-03-27 |
| 1417081993 | Pankaj H Shah | Dentist | 275 Hobart St, Perth Amboy, NJ 08861-3396 | 2007-03-15 |
| 1659476588 | Pankaj Shah | Internal Medicine | 200 1st St Sw, Rochester, MN 55905-0001 | 2006-09-14 |
| 1518969559 | Pankaj D Shah | Anesthesiology | 11100 Euclid Ave, Cleveland, OH 44106 | 2005-08-10 |
| Street Address |
1250 HANCOCK ST OB/GYN DEPT |
| City | QUINCY |
| State | MA |
| Zip Code | 02169-4339 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780683276 | Mirza Baig | Internal Medicine | 1250 Hancock St, Quincy, MA 02169-4339 | 2005-07-18 |
| 1881241925 | Laura Jarvi | Nurse Practitioner | 1250 Hancock St, Quincy, MA 02169-4339 | 2019-08-22 |
| 1700320686 | Jillian Fiori | Speech-Language Pathologist | 1250 Hancock St, Quincy, MA 02169-4339 | 2016-12-12 |
| 1740734623 | Megan Flicker | Registered Nurse | 1250 Hancock St, Quincy, MA 02169-4339 | 2016-08-09 |
| 1790135556 | Jennie Krasker | Obstetrics & Gynecology | 1250 Hancock St, Quincy, MA 02169-4339 | 2016-06-13 |
| 1104206861 | Juan Qu | Optometrist | 1250 Hancock St, Quincy, MA 02169 | 2015-06-08 |
| 1568877447 | Dermcare Experts LLC | Dermatology | 1250 Hancock St, Suite 505s, Quincy, MA 02169-4339 | 2014-06-30 |
| 1104266154 | Aviva S. Wilcox | Psychologist | 1250 Hancock St, Harvard Vanguard Medical Associates - Behavioral Health, Quincy, MA 02169-4339 | 2013-07-03 |
| 1659636496 | William Eugene Fitzgerald | Counselor | 1250 Hancock St, Quincy, MA 02169-4339 | 2012-07-09 |
| 1467713602 | Erica Thrower | Counselor | 1250 Hancock St, Quincy, MA 02169-4339 | 2012-06-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902427933 | Trinasia Jones | Counselor | 80 Quarry Street, 3, Quincy, MA 02169 | 2020-04-30 |
| 1164060778 | Bid-milton Physician Associates Inc | Clinic/Center | 100 Walter J. Hannon Pkwy, Quincy, MA 02169 | 2019-12-13 |
| 1669028064 | Renee Yvette Belisle | Occupational Therapist | 1266 Furnance Brook Parkway, Suite #100b, Quincy, MA 02169 | 2019-08-13 |
| 1952953713 | Phuc Thi Diem Ho | Registered Nurse | 18 Rustic Place, Quincy, MA 02169 | 2019-07-11 |
| 1518451939 | Lucille Jordan | Social Worker | 1175 Sea St, Quincy, MA 02169 | 2018-06-19 |
| 1326567447 | Tara Barney | Counselor | 290 Quarry Street Apt. 112, Quincy, MA 02169 | 2017-09-11 |
| 1295251007 | Iona Dental, P.C. (parent Organization) | Dentist | 10 Granite Street, Unit - 4c, Quincy, MA 02169 | 2017-08-15 |
| 1730610247 | Amy S. Chung | Family Medicine | 100 Walter J. Hannon Parkway, Quincy, MA 02169 | 2017-03-26 |
| 1205377314 | Wing Man Ting | Counselor | 2 Moon Island Road, Quincy, MA 02169 | 2017-03-09 |
| 1740726223 | Cameron James Dumas | Pharmacist | 21 23 Stanhope Street, Boston, MA 02169 | 2017-01-09 |
| Find all providers in zip 02169 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| 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 Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437348638 | Richard S Underkofler | Obstetrics & Gynecology | 1600 Crown Colony Drive, Harvard Pilgrim Healthcare, Quincy, MA 02169 | 2007-10-24 |
| 1407914708 | Christine Curley Skiadas | Obstetrics & Gynecology | 1250 Hancock Street, Harvard Vanguard Medical Associates, Quincy, MA 02169 | 2006-12-05 |
| 1396810891 | Robin A Fischer | Obstetrics & Gynecology | Bcbs of Ma, One Enterprise Drive, Quincy, MA 02171 | 2006-11-21 |
| 1619902202 | Jill Kristine Satorie | Obstetrics & Gynecology | 300 Congress St Ste 102, Quincy, MA 02169-0907 | 2006-07-11 |
| 1790135556 | Jennie Krasker | Obstetrics & Gynecology | 1250 Hancock St, Quincy, MA 02169-4339 | 2016-06-13 |
| 1356751366 | Katy Marie Wand | Obstetrics & Gynecology | 1118 Hampshire St, Quincy, IL 62301-3027 | 2014-04-29 |
| 1811333420 | Sarah Marie Fryc | Obstetrics & Gynecology | 300 Congress St Ste 102, Quincy, MA 02169-0907 | 2013-05-22 |
| 1487924239 | Crown Obstetrics and Gynecology | Obstetrics & Gynecology | 300 Congress St, Suite 102, Quincy, MA 02169-0907 | 2012-01-11 |
| 1467741355 | Jessica Whitney Curry | Obstetrics & Gynecology | 927 Broadway St, Quincy, IL 62301-2719 | 2011-03-31 |
| 1215179155 | Obioma Nnene Maduakor | Obstetrics & Gynecology | 1118 Hampshire St, Quincy, IL 62301-3027 | 2009-03-24 |
| Find all providers in QUINCY | ||||
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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.