Organization Active NPI

Tara P Shah ,MD , PC

  • Obstetrics & Gynecology Physician
  • Rochester Hills, MI
National Provider Identifier
1013174382
Registry record updated Mar 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
TS036111 Issued in MI
Legal business name
TARA P SHAH ,MD , PC
Practice address
2950 Crooks Road
Rochester Hills, MI 48309-2950
Phone
(248) 853-5093
NPI assigned
May 22, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Tara P Shah, M.D
Title
President
Phone
(248) 853-5093

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X TS036111 MI Primary

Addresses

Primary practice location

2950 Crooks Road
Rochester Hills, MI 48309-2950

Mailing address

2950 Crooks Road
Rochester Hills, MI 48309-2950
Phone (248) 853-5093

Other identifiers 1

IdentifierTypeStateIssuer
2094060 MIMedicaidMI

National Provider Directory

National Provider Directory

Locations

2950 Crooks Rd
Rochester Hills, MI 48309
Phone (248) 844-9733

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1211414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236038400000",
    "number": "1013174382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2950 CROOKS ROAD",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483092950",
            "telephone_number": "248-853-5093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2950 CROOKS ROAD",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483092950",
            "telephone_number": "248-853-5093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TARA P SHAH ,MD , PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-22",
        "last_updated": "2009-03-03",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "TARA",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-853-5093",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "MI",
            "license": "TS036111",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2094060 MI",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.