Active NPI
Saad Paul Shaheen II, MD
- Anatomic Pathology & Clinical Pathology Physician
- Louisville, KY
National Provider Identifier
1124130885
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- J5477
- Practice address
- 800 Zorn Ave
Pathology & Lab Medicine (113)
Louisville, KY 40206-1433 - Phone
- (502) 287-5534
- Fax
- (502) 287-6265
- NPI assigned
- Aug 31, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | J5477 | TX | Primary |
Addresses
Primary practice location
800 Zorn Ave
Pathology & Lab Medicine (113)
Louisville, KY 40206-1433
Mailing address
5510 Meadow Bluff Dr
Crestwood, KY 40014-8548
Phone (502) 290-6572
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| J5477 | TX | MD | Anatomic Pathology & Clinical Pathology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1124130885",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5510 MEADOW BLUFF DR",
"city": "CRESTWOOD",
"state": "KY",
"postal_code": "400148548",
"telephone_number": "502-290-6572",
"fax_number": "502-287-6265"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 ZORN AVE",
"address_2": "PATHOLOGY & LAB MEDICINE (113)",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402061433",
"telephone_number": "502-287-5534",
"fax_number": "502-287-6265"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAHEEN",
"first_name": "SAAD",
"middle_name": "PAUL",
"name_prefix": "Dr.",
"name_suffix": "II",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-31",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "TX",
"license": "J5477",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.