NPIMap

Individual provider Active NPI

Jodi Shainberg, MD

  • Geriatric Medicine (Internal Medicine) Physician
  • Asheville, NC
National Provider Identifier
1205881745
Registry record updated Jul 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
9501092 Issued in NC
Practice address
90 Southside Ave
Suite 300
Asheville, NC 28801-4100
Phone
(828) 277-4810
Fax
(828) 277-4847
NPI assigned
May 23, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2012

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 9501092 NC
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 9501092 NC Primary
General Practice Physician 208D00000X 9501092 NC

Addresses

Primary practice location

90 Southside Ave
Suite 300
Asheville, NC 28801-4100

Mailing address

PO Box 890291
Charlotte, NC 28289-0291
Phone (828) 277-4810

Other identifiers 2

IdentifierTypeStateIssuer
8976010MedicaidNC
76010OtherNCBLUE CROSS

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
9501092NCMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
TST Medical, P.a. PastSince Oct 12, 2012 Accepting new patients
Extended Care Physicians - Mountain, PA Geriatric Medicine Past Accepting new patients
Park Ridge Hospital Past Accepting new patients
Fletcher Emergency Services, LLC Emergency Medicine Past Accepting new patients
Clyde Emergency Solutions LLC Emergency Medicine Past Accepting new patients
Emergency Coverage, LLC Emergency Medicine Past Accepting new patients
Phoenix Emergency Solutions of Fletcher PLLC Emergency Medicine Past Accepting new patients
Sterling Emergency Services of the Southeast, Inc Emergency Medicine Past Accepting new patients
Emergency Coverage Services, PC Past Accepting new patients
Highland Emergency Physicians, PLLC Emergency Medicine Past Accepting new patients

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341532800000",
    "number": "1205881745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 890291",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282890291",
            "telephone_number": "828-277-4810",
            "fax_number": "828-277-4847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 SOUTHSIDE AVE",
            "address_2": "SUITE 300",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288014100",
            "telephone_number": "828-277-4810",
            "fax_number": "828-277-4847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAINBERG",
        "first_name": "JODI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-23",
        "last_updated": "2012-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NC",
            "license": "9501092",
            "primary": false
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "NC",
            "license": "9501092",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NC",
            "license": "9501092",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8976010",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "76010",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Asheville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2012; 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.