MR. KETAN R SHAH (NPI# 1922390210) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922390210 |
| Entity Type | Individual |
| Full Name | MR. KETAN R SHAH |
| Credential | CRNA |
| Practice Address |
3200 Tyre Neck Rd Suite 101 Portsmouth VA 23703-3329 |
| Practice Telephone | 7573997451 |
| Practice Fax Number | 7573991158 |
| Mailing Telephone | 7573997451 |
| Mailing Fax Number | 7573991158 |
| Enumeration Date | 2011-05-05 |
| Last Update Date | 2011-05-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 0024169375 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| 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 |
| 1841306693 | Ketan Shah | Otolaryngology | 1000 Eleven S, Ste 4f, Columbia, IL 62236-1080 | 2006-08-22 |
| 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 |
| 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 |
| Street Address |
3200 TYRE NECK RD SUITE 101 |
| City | PORTSMOUTH |
| State | VA |
| Zip Code | 23703-3329 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053391839 | John Edward Lenahan | Nurse Anesthetist, Certified Registered | 3200 Tyre Neck Rd, Suite101, Portsmouth, VA 23703-3329 | 2006-01-18 |
| 1417344359 | Ebony Samoan Mcneal | Nurse Anesthetist, Certified Registered | 3200 Tyre Neck Rd, Suite 101, Portsmouth, VA 23703-3329 | 2015-04-17 |
| 1528331311 | Amanda Lynn Fenn | Nurse Anesthetist, Certified Registered | 3200 Tyre Neck Rd, Suite 101, Portsmouth, VA 23703-3329 | 2012-02-09 |
| 1508026675 | Curt Cunningham | Nurse Anesthetist, Certified Registered | 3200 Tyre Neck Rd, Suite 101, Portsmouth, VA 23703-3329 | 2008-06-12 |
| 1073795837 | Ian M Condon | Anesthesiology | 3200 Tyre Neck Rd, Suite 101, Portsmouth, VA 23703-3329 | 2007-12-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174037444 | Kelly Foster | Massage Therapist | 3108 Tyre Neck Rd Ste D, Portsmouth, VA 23703 | 2017-11-25 |
| 1578072104 | Katherine Armstrong Wise | Behavior Technician | 3120 Verne Ave, Portsmouth, VA 23703 | 2017-09-27 |
| 1891223913 | Ashley Rebecca Anderson | Dentist | 5915 High Street W, Portsmouth, VA 23703 | 2017-06-02 |
| 1881126019 | Anas Elmahdi | Specialist | 5205 Sweetbriar C., 5205 Sweetbriar C., Portsmouth, VA 23703 | 2017-03-28 |
| 1578003554 | Elyse Buttery | Nurse Practitioner | Mast One 1040 University Blvd, Suite 200, Portsmouth, VA 23703 | 2017-02-24 |
| 1376948349 | Charles Douglas Knight | Military Health Care Provider | Uss Maryland Ssbn 738, Fpo, AA 23703 | 2014-11-03 |
| 1689929382 | Positive Connections, Inc | Community/Behavioral Health | 3823d Meherrin River Reach, Portsmouth, VA 23703 | 2012-07-18 |
| 1225319874 | Sanaz Namin | Pharmacist | 5601 High Street, Porstmouth, VA 23703 | 2011-09-08 |
| 1295029767 | Maggie Jackson | Dental Hygienist | 4000 Coast Guard Blvd., Portsmouth, VA 23703 | 2011-06-02 |
| 1679804892 | Amy Kathleenn Gaspar | Specialist/Technologist, Other | 4113 Pendleton Rd, Portsmouth, VA 23703 | 2010-01-28 |
| Find all providers in zip 23703 | ||||
| Taxonomy Code | 367500000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Anesthetist, Certified Registered |
| (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. |
| Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730129628 | Olivia Annette Brown | Nurse Anesthetist, Certified Registered | 3636 High Street, Maryview Medical Center, Portsmouth, VA 23707 | 2006-06-07 |
| 1053391839 | John Edward Lenahan | Nurse Anesthetist, Certified Registered | 3200 Tyre Neck Rd, Suite101, Portsmouth, VA 23703-3329 | 2006-01-18 |
| 1316932411 | Aimee Marie Darling | Nurse Anesthetist, Certified Registered | 3115 Riveredge Dr, Portsmouth, VA 23703-4307 | 2005-09-14 |
| 1427676279 | Edwiin D Parra Munoz | Nurse Anesthetist, Certified Registered | 1805 27th St, Portsmouth, OH 45662-2640 | 2020-07-08 |
| 1386262251 | Charles Richard Roberts IIi | Nurse Anesthetist, Certified Registered | 1805 27th St, Portsmouth, OH 45662-2640 | 2020-07-08 |
| 1518582188 | Angelo Ambridge | Nurse Anesthetist, Certified Registered | 3636 High St, Portsmouth, VA 23707-3236 | 2020-06-10 |
| 1790308252 | Larry C Beasley Jr. | Nurse Anesthetist, Certified Registered | 620 John Paul Jones Cir, Portsmouth, VA 23708-2111 | 2020-05-19 |
| 1063035673 | Keenart Tio | Nurse Anesthetist, Certified Registered | 620 John Paul Jones Cir, Portsmouth, VA 23708-2111 | 2020-05-19 |
| 1215550835 | Julia C Camp | Nurse Anesthetist, Certified Registered | 620 John Paul Jones Cir, Portsmouth, VA 23708-2111 | 2020-05-19 |
| 1003439548 | Kristen Evette Brown | Nurse Anesthetist, Certified Registered | 3636 High St, Portsmouth, VA 23707-3236 | 2020-05-19 |
| Find all providers in PORTSMOUTH | ||||
| City | PORTSMOUTH |
| Zip Code | 23703 |
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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.