NEENAD MAHENDRA SHAH (NPI# 1922000751) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922000751 |
| Entity Type | Individual |
| Full Name | NEENAD MAHENDRA SHAH |
| Credential | MD |
| Practice Address |
300 Health Park Blvd Suite 1008 St Augustine FL 32086-3707 |
| Mailing Address |
2234 Colonial Blvd Attn: Payer Contracting & Relations Dept. Fort Myers FL 33907-1412 |
| Practice Telephone | 9048245189 |
| Practice Fax Number | 9048249109 |
| Mailing Telephone | 2399317342 |
| Mailing Fax Number | 2399317385 |
| Enumeration Date | 2005-08-11 |
| Last Update Date | 2016-05-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
ME90197 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | AETNA | 7633639 | 01 |
| FL | WELLCARE | 1098377 | 01 |
| FL | WELLCARE | 1193468 | 01 |
| FL | RR MEDICARE | P01451923 | 01 |
| FL | CIGNA | 3625970 | 01 |
| FL | CARE PLUS | 1115825 | 01 |
| FL | 269981800 | 05 | |
| FL | RR MEDICARE | P015696540 | 01 |
| FL | BCBS | 44111 | 01 |
| FL | AVMED | 299017 | 01 |
| Street Address |
300 HEALTH PARK BLVD SUITE 1008 |
| City | ST AUGUSTINE |
| State | FL |
| Zip Code | 32086-3707 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568464774 | Derek D Muehrcke | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 300 Health Park Blvd, Ste 5000, St Augustine, FL 32086-3705 | 2005-06-01 |
| 1366801052 | Elizabeth Arnett | Advanced Practice Midwife | 300 Health Park Blvd, Suite 3002, St Augustine, FL 32086-3707 | 2016-02-23 |
| 1932521200 | Kerry Hannifin Latka | Nurse Practitioner | 300 Health Park Blvd, Suite 4000, St Augustine, FL 32086-3707 | 2014-01-06 |
| 1083951024 | Lorraine M Searle | Advanced Practice Midwife | 300 Health Park Blvd, Suite 3002, St Augustine, FL 32086-3707 | 2013-01-10 |
| 1467722025 | First Coast Endocrinology, P.a. | Internal Medicine | 300 Health Park Blvd, Suite 3008, St Augustine, FL 32086-3707 | 2012-01-12 |
| 1194011908 | Faisal Usman | Internal Medicine | 300 Health Park Blvd, Ste 4000, St Augustine, FL 32086-3707 | 2011-06-21 |
| 1336446525 | Florida Woman Care LLC | Obstetrics & Gynecology | 300 Health Park Blvd, #3002, St Augustine, FL 32086-3703 | 2011-02-24 |
| 1588987747 | Gerard M. Gerling M.d., P.a. | Psychiatry & Neurology | 300 Health Park Blvd, Suite 4002, St Augustine, FL 32086-3707 | 2010-03-02 |
| 1528206968 | Michele Griffin Rogero | Advanced Practice Midwife | 300 Health Park Blvd, Suite 3002, St Augustine, FL 32086-3707 | 2009-01-22 |
| 1992967541 | Elizabeth H Meadows | Advanced Practice Midwife | 300 Health Park Blvd, Suite 3002, St Augustine, FL 32086-3707 | 2008-06-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225670037 | Ramonica Flagler | Nurse Practitioner | 3574 Us-1 South, St. Augustine, FL 32086 | 2019-10-14 |
| 1518522648 | Marissa Marie Lynch | Physician Assistant | 100 Whetstone Pl Ste 102, St Augustine, FL 32086 | 2019-05-03 |
| 1346706991 | Castillo Transportation | Non-emergency Medical Transport (VAN) | 295 North Hidden Tree Dr, Saint Augustine, FL 32086 | 2019-02-19 |
| 1790255842 | Michelle Moore | In Home Supportive Care | 135 Jenkins St. Suite 105b #265, St.augustine, FL 32086 | 2018-12-03 |
| 1649740200 | Paul James Lietz IIi | Physical Therapist | One Orthopedic Place, Saint Augustine, FL 32086 | 2018-11-27 |
| 1548764707 | Oceanside Endodontics Od St. Augustine | Dentist | 2510 U.S. 1 South, Suite B, St. Augustine, FL 32086 | 2018-03-22 |
| 1023538329 | Joseph R Edwards | Physical Therapist | 968 Espinado Avenue, St Augustine, FL 32086 | 2017-06-27 |
| 1235662032 | Jennifer L Csenge | Dentist | 4327 Us Highway 1 S, St Augustine, FL 32086 | 2017-04-07 |
| 1336683663 | Lisa Brice | Social Worker | 248 Southpark Circle East, Saint Augustine, FL 32086 | 2016-12-06 |
| 1558813303 | Bio-medical Applications of Florida, Inc. | Clinic/Center | 65 Whitehall Drive, Saint Augustine, FL 32086 | 2016-10-27 |
| Find all providers in zip 32086 | ||||
| Taxonomy Code | 2085R0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Radiation Oncology |
| A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861427155 | Integrated Community Oncology Network LLC | Radiology | 300 Health Park Blvd, Suite 1008, St Augustine, FL 32086-3707 | 2006-07-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114539079 | Mydoctoreb LLC | Radiology | 17407 Lotino Pl, Lutz, FL 33548-4815 | 2020-08-20 |
| 1417516600 | Arthur J. Iglesias, M.d. P.a. | Radiology | 1100 N.w. 95th Street, Cancer Center, Miami, FL 33150 | 2019-06-11 |
| 1962970111 | William A Assad, M.d. | Radiology | 3202 Henderson Blvd Ste 204a, Tampa, FL 33609-3043 | 2018-11-06 |
| 1508361361 | Marian Ingram | Radiology | 350 Nw 84th Ave Ste 102, Plantation, FL 33324-1820 | 2018-03-26 |
| 1376051870 | Indian River Health Services Inc | Radiology | 3555 10th Ct Ste 101, Vero Beach, FL 32960-5013 | 2018-01-18 |
| 1417492497 | Flagler Hospital, Inc. | Radiology | 97 Health Park Blvd, Saint Augustine, FL 32086-5777 | 2016-12-29 |
| 1447614441 | Benjamin Spieler | Radiology | 1475 Nw 12th Ave # Sccc1500, Miami, FL 33136-1002 | 2016-04-06 |
| 1629461371 | Florida Oncology Tavares, LLC | Radiology | 2010 Nightingale Ln, Tavares, FL 32778-4361 | 2015-03-05 |
| 1285042036 | Gulf Region Radiation Oncology Centers | Radiology | 1545 Airport Blvd Ste 1000, Pensacola, FL 32504-8615 | 2014-07-24 |
| 1962812917 | Florida Oncology Partners LLC | Radiology | 1100 N.w. 95 Street, Cancer Center, Miami, FL 33150-2038 | 2014-04-29 |
| Find all providers with the same taxonomy | ||||
| City | ST AUGUSTINE |
| Zip Code | 32086 |
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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.