DR. GAURAV S SHAH (NPI# 1962727453) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962727453 |
| Entity Type | Individual |
| Full Name | DR. GAURAV S SHAH |
| Credential | M.D. |
| Practice Address |
17240 Cortez Blvd Brooksville FL 34601-8921 |
| Mailing Address |
5616 W Norvell Bryant Hwy Crystal River FL 34429-7572 |
| Practice Telephone | 3527965111 |
| Mailing Telephone | 3527951999 |
| Mailing Fax Number | 3527952269 |
| Enumeration Date | 2010-03-29 |
| Last Update Date | 2020-03-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
ME126363 | FL | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1324 Lakeland Hills Blvd, Lakeland, FL 338054543 | 8636871321 | 8632841730 |
| 1600 Lakeland Hills Blvd, Lakeland, FL 338053019 | 8636807000 | 8662648519 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366938656 | Gaurav P. Shah | Dentist | 300 2nd Ave # S233, Long Branch, NJ 07740-6395 | 2018-07-10 |
| 1124472337 | Gaurav Mukesh Shah | Student in an Organized Health Care Education/Training Program | 625 19th St S, Birmingham, AL 35233-1900 | 2016-04-14 |
| 1508128380 | Gaurav Shah | Dentist | 3501 Terrace St, Pittsburgh, PA 15213-2523 | 2012-06-08 |
| 1780840207 | Gaurav Bipin Shah | Internal Medicine | 2088 Ogden Ave, Ste. 160, Aurora, IL 60504-4376 | 2008-08-04 |
| 1588839484 | Gaurav D Shah | Internal Medicine | 1275 York Ave, Department of Medicine, New York, NY 10065-6007 | 2008-04-23 |
| 1013029289 | Gaurav R Shah | Internal Medicine | 500 Se Osceola St, Ste 200, Stuart, FL 34994-2364 | 2006-08-31 |
| 1972502383 | Gaurav Shah | Ophthalmology | 17 The Boulevard Saint Louis, Saint Louis, MO 63117-1118 | 2005-07-18 |
| Street Address |
17240 CORTEZ BLVD |
| City | BROOKSVILLE |
| State | FL |
| Zip Code | 34601-8921 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295721496 | Rafael De La Riva | Anesthesiology | 17240 Cortez Blvd, Brooksville, FL 34601-8978 | 2005-09-22 |
| 1770100349 | Hernando Hma LLC | Medicare Defined Swing Bed Unit | 17240 Cortez Blvd, Brooksville, FL 34601-8921 | 2020-06-30 |
| 1699281881 | Jowell Monroe Hearn Iv | Registered Nurse | 17240 Cortez Blvd, Brooksville, FL 34601-8921 | 2017-12-25 |
| 1912449976 | W4p LLC | Emergency Medicine | 17240 Cortez Blvd, Brooksville, FL 34601-8921 | 2016-11-08 |
| 1881054047 | Indian River Emergency Group, LLC | Emergency Medicine | 17240 Cortez Blvd, Brooksville, FL 34601-8921 | 2016-03-02 |
| 1598138315 | Viking Emergency Physicians, LLC | Physician Assistant | 17240 Cortez Blvd, Brooksville, FL 34601-8921 | 2015-11-02 |
| 1265804173 | Anemone Emergency Physicians, LLC | Physician Assistant | 17240 Cortez Blvd, Brooksville, FL 34601-8921 | 2015-10-30 |
| 1649640665 | Mary Anne Flowers | Dietitian, Registered | 17240 Cortez Blvd, Brooksville, FL 34601-8921 | 2015-10-02 |
| 1295122786 | Jayar Banez | Clinical Nurse Specialist | 17240 Cortez Blvd, Brooksville, FL 34601-8921 | 2015-04-22 |
| 1922494962 | Franklin Albright Poff IIi | Emergency Medicine | 17240 Cortez Blvd, Brooksville, FL 34601 | 2015-04-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811526643 | Benzer Fl 39 LLC | Pharmacy | 80 Ponca De Leon Blvd, Brooksville, FL 34601 | 2020-04-03 |
| 1245868702 | Karon Elaine Stagg | Specialist/Technologist | 20158 Cortez Blvb, Brookesville, FL 34601 | 2020-03-31 |
| 1699253666 | Shedding Light Counseling 'llc' | Counselor | 24059 Cortez Blvd, Brooksville, FL 34601 | 2018-08-01 |
| 1265952162 | Tysheeca Deandrea Washington | Assistant Behavior Analyst | 1535 Greenbriar Villa Circle, Brooksville, FL 34601 | 2017-06-21 |
| 1386179836 | Andrew Bishay | Emergency Medical Technician, Intermediate | 7284 Broad St, Brooksville, FL 34601 | 2017-04-21 |
| 1265892152 | Ralph Vitola | Pharmacist | 218 S. Broad St., Brooksville, FL 34601 | 2016-03-04 |
| 1689018301 | Nic 4 The Grande Leasing LLC | Assisted Living Facility | 725 Desoto Avenue, Brooksville, FL 34601 | 2013-04-24 |
| 1023301496 | Gerald Warren Springstead | Dentist | 605 W. Jefferson St., Brooksville, FL 34601 | 2011-05-18 |
| 1417280330 | Growing Center Counseling | Counselor | 275 W. Jefferson St., Brooksville, FL 34601 | 2009-09-10 |
| 1073663118 | Jennifer Suiters | Social Worker | 706 Ponce De Leon Blvd, Brooksville, FL 34601 | 2007-01-11 |
| Find all providers in zip 34601 | ||||
| Taxonomy Code | 207RC0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Critical Care Medicine |
| An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962025429 | Raja C Singh Md Pllc | Internal Medicine | 5901 Colonial Dr Ste 102, Margate, FL 33063-5672 | 2020-05-19 |
| 1851920508 | Rolkin Petit Homme | Internal Medicine | 736 Dogwood Rd, West Palm Beach, FL 33409-6139 | 2020-04-05 |
| 1386274520 | Shawna Marie Garito | Internal Medicine | 9299 Coral Reef Dr Ste 203, Palmetto Bay, FL 33157-1776 | 2020-01-15 |
| 1710494000 | Jacksonville Lung Clinic Pllc | Internal Medicine | 2624 Atlantic Blvd Ste 6, Jacksonville, FL 32207-3633 | 2018-01-08 |
| 1699200295 | Intensivists United Inc. | Internal Medicine | 222 S Vernon Ave, Kissimmee, FL 34741-5667 | 2017-04-21 |
| 1164960969 | Mark Steven Cutler | Internal Medicine | 3350 Northeast 12th Avenue, Suite 23761, Fort Lauderdale, FL 33307-9997 | 2017-02-01 |
| 1871036236 | Treasure Coast Pulmonary Medicine, P.a. | Internal Medicine | 10380 Sw Village Center Dr, 319, Port St Lucie, FL 34987-1931 | 2016-12-02 |
| 1689055782 | Genesis Critical Care Associates, LLC | Internal Medicine | 5352 Linton Boulevard, Delray Beach, FL 33484 | 2015-06-15 |
| 1942691209 | Viral Patel | Internal Medicine | 1121 N Central Avenue, Kissimmee, FL 34741 | 2015-02-09 |
| 1093132292 | Sigmund Joseph Paczkowski | Internal Medicine | 7000 Sw 62nd Ave Ste 201, South Miami, FL 33143-4716 | 2014-03-25 |
| Find all providers with the same taxonomy | ||||
| City | BROOKSVILLE |
| Zip Code | 34601 |
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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.