SHUCHI SHAH (NPI# 1932309085) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932309085 |
| Entity Type | Individual |
| Full Name | SHUCHI SHAH |
| Credential | M.D. |
| Practice Address |
12220 Bruce B Downs Blvd Tampa FL 33612 |
| Mailing Address |
601 5th St S Ste 502 St Petersburg FL 33701-4804 |
| Practice Telephone | 8136315000 |
| Mailing Telephone | 7277673636 |
| Mailing Fax Number | 7277673638 |
| Enumeration Date | 2007-07-18 |
| Last Update Date | 2018-06-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0205X |
Pediatrics Specialization: Pediatric Endocrinology |
ME100787 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 000480500 | 05 | |
| FL | MEDICARE PTAN | BD011Z | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 601 5th St S Ste 502, St Petersburg, FL 337014804 | 7277673636 | 7277673638 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992244164 | Shuchi Shah | Internal Medicine | 250 S 21st St, Easton, PA 18042-3851 | 2017-02-21 |
| Street Address |
12220 BRUCE B DOWNS BLVD |
| City | TAMPA |
| State | FL |
| Zip Code | 33612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245280684 | Alison Shawn Hanks | Speech-Language Pathologist | 12220 Bruce B Downs Blvd, Tampa, FL 33612-9201 | 2006-05-10 |
| 1013451715 | Edthephanie Flores | Speech-Language Pathologist | 12220 Bruce B Downs Blvd, Tampa, FL 33612-9201 | 2016-12-14 |
| 1528443462 | Whitney Borchardt | Physical Therapy Assistant | 12220 Bruce B Downs Blvd, Tampa, FL 33612-9201 | 2015-07-21 |
| 1538415344 | Lindsey Lee Watson | Physical Therapist | 12220 Bruce B Downs Blvd, Tampa, FL 33612-9201 | 2012-07-30 |
| 1275818577 | Adrienne Lopez Karol | Occupational Therapist | 12220 Bruce B Downs Blvd, Tampa, FL 33612-9201 | 2011-10-18 |
| 1932481207 | Debbie Engala | Pharmacist | 12220 Bruce B Downs Blvd, Tampa, FL 33612-9201 | 2011-09-13 |
| 1861799595 | Jennifer Dawn Whitney | Speech-Language Pathologist | 12220 Bruce B Downs Blvd, Tampa, FL 33612-9201 | 2011-02-15 |
| 1659606606 | Carolyn M. Carey, Md, Pa | Psychiatry & Neurology | 12220 Bruce B Downs Blvd, Tampa, FL 33612-9201 | 2009-10-08 |
| 1114197126 | Advanced Pediatric Ophthalmology and Adult Strabismus | Ophthalmology | 12220 Bruce B Downs Blvd, Tampa, FL 33612-9201 | 2008-03-05 |
| 1154466464 | Jessica Erin Keller | Speech-Language Pathologist | 12220 Bruce B Downs Blvd, Tampa, FL 33612-9201 | 2007-02-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689286767 | Daniel Jimenez | Physical Therapist | 13000 Bruce B Downs Blvd, Tampa, Fl, Tampa, FL 33612 | 2020-08-19 |
| 1700426830 | Taz Stacy | Behavior Technician | 2701 University Square Drive, Tampa, FL 33612 | 2020-01-07 |
| 1841853215 | Eric Austen Keeler | Student in an Organized Health Care Education/Training Program | 12901 Bruce B Downs Blvd, Mdc5, Tampa, FL 33612 | 2019-04-20 |
| 1346700242 | Caitlyn Victoria Cartwright | Student in an Organized Health Care Education/Training Program | 12901 Bruce B. Downs Blvd., Mdc5, Tampa, FL 33612 | 2019-03-25 |
| 1720552953 | Marijo Bilitski | Student in an Organized Health Care Education/Training Program | 12901 Bruce B Downs Blvd # Blvd5, Tampa, FL 33612 | 2019-01-22 |
| 1790259190 | Belkis Aleman | Nurse Practitioner | 205 E Busch Blvd, Tampa, FL 33612 | 2019-01-18 |
| 1811469133 | Stephanie Stegner | Physician Assistant | 12901 Bruce B Downs Blvd Mdc 5, Tampa, FL 33612 | 2018-12-27 |
| 1053889857 | Alysia Heather Siegel | Psychologist | 1300 Bruce B. Downs Boulevard, 116b, Tampa, FL 33612 | 2018-11-09 |
| 1295202489 | Daisy Baby Pulinilkumkalayil | Nurse Practitioner | 1426 W. Bush Blvd. Suite #105, Suite #105, Tampa, FL 33612 | 2018-10-26 |
| 1649745258 | Rachel Rene Shelton | Specialist/Technologist | Orthopedics and Sports Medicine, 13330 Usf Laurel Drive, Tampa, FL 33612 | 2018-10-10 |
| Find all providers in zip 33612 | ||||
| Taxonomy Code | 2080P0205X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Endocrinology |
| A pediatrician who provides expert care to infants, children and adolescents who have diseases that result from an abnormality in the endocrine glands (glands which secrete hormones). These diseases include diabetes mellitus, growth failure, unusual size for age, early or late pubertal development, birth defects, the genital region and disorders of the thyroid, the adrenal and pituitary glands. |
| 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 Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760460992 | Tsu-hui Lin | Pediatrics | 3001 W Martin Luther King Boulevard, Tampa, FL 33607-6307 | 2006-01-06 |
| 1154564631 | Danielle Gomez Reynolds | Pediatrics | 2 Tampa General Cir, Tampa, FL 33606-3603 | 2009-04-13 |
| 1669667556 | Grace Castro Dougan | Pediatrics | 3001 W. Martin Luther King Jr. Blvd, 3rd Floor Medical Arts Building, Tampa, FL 33607 | 2007-09-13 |
| 1871700948 | Sureka Bollepalli | Pediatrics | 12901 Bruce B Downs Blvd, Usf Diabetes Center, Mdc 62, Tampa, FL 33612-4742 | 2007-05-17 |
| 1962434662 | Henry Rodriguez | Pediatrics | 13330 Usf Laurel Dr, Tampa, FL 33612-6601 | 2006-07-06 |
| 1962481127 | Terry Joe Declue | Pediatrics | 3001 W Dr Martin Luther King Jr Blvd, Tampa, FL 33607-6307 | 2006-01-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891359998 | Kids and Families Medical Clinic LLC | Pediatrics | 12086 Fort Caroline Rd Ste 404, Jacksonville, FL 32225-7640 | 2019-04-24 |
| 1942438767 | Lisa Erin Kenigsberg Fechter | Pediatrics | 9600 W Sample Rd Ste 505, Coral Springs, FL 33065-4037 | 2009-07-01 |
| 1063671212 | Miladys Miriam Palau Collazo | Pediatrics | 9401 Sw Discovery Way Ste 102, Port Saint Lucie, FL 34987-2381 | 2008-06-03 |
| 1043417421 | Omar Dean Hudson | Pediatrics | 1223 Gateway Dr Ste 1g, Melbourne, FL 32901-2607 | 2007-06-29 |
| 1790987964 | Konda Mohan Reddy | Pediatrics | 1801 Lee Rd Ste 170, Winter Park, FL 32789 | 2007-06-01 |
| 1477764207 | Sissi Cossio | Pediatrics | 7605 N State Rd 7, Parkland, FL 33067 | 2007-05-24 |
| 1588701379 | Samuel M Freedman | Pediatrics | 601 N Flamingo Rd Ste 207, Pembroke Pines, FL 33028-1009 | 2007-01-31 |
| 1326116443 | Kelly J Seiler | Pediatrics | 10383 Hagen Ranch Rd Ste 200, Boynton Beach, FL 33437-3782 | 2006-11-30 |
| 1447324744 | Luis E Gonzalez-mendoza | Pediatrics | 3100 Sw 62nd Ave Ste 122, Miami, FL 33155-3009 | 2006-11-20 |
| 1538240320 | Amid Habib | Pediatrics | 789 Douglas Ave, Suite 137, Altamonte Springs, FL 32714 | 2006-10-18 |
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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.