Organization Active NPI

Yogesh H Shah MD PA

  • Medical Specialty Clinic/Center
  • New Smyrna Beach, FL
National Provider Identifier
1225376700
Registry record updated Jan 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
ME61678 Issued in FL
Legal business name
YOGESH H SHAH MD PA
Practice address
501 Live Oak St
Suite a
New Smyrna Beach, FL 32168-7312
Phone
(386) 426-2060
Fax
(386) 426-6533
NPI assigned
Jan 17, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2013

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

Authorized official

Name
Dr. Yogesh H Shah, M.D.
Title
Cardiologist/Owner
Phone
(386) 426-2060

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X ME61678 FL Primary

Addresses

Primary practice location

501 Live Oak St
Suite a
New Smyrna Beach, FL 32168-7312

Mailing address

501 Live Oak St
Suite a
New Smyrna Beach, FL 32168-7312
Phone (386) 426-2060

National Provider Directory

National Provider Directory

Locations

501 Live Oak St
Ste A
New Smyrna Beach, FL 32168
Phone (386) 426-2060

NPI Registry JSON

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

{
    "created_epoch": "1358380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358380800000",
    "number": "1225376700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 LIVE OAK ST",
            "address_2": "SUITE A",
            "city": "NEW SMYRNA BEACH",
            "state": "FL",
            "postal_code": "321687312",
            "telephone_number": "386-426-2060",
            "fax_number": "386-426-6533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 LIVE OAK ST",
            "address_2": "SUITE A",
            "city": "NEW SMYRNA BEACH",
            "state": "FL",
            "postal_code": "321687312",
            "telephone_number": "386-426-2060",
            "fax_number": "386-426-6533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOGESH H SHAH MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-17",
        "last_updated": "2013-01-17",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "YOGESH",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "CARDIOLOGIST/OWNER",
        "authorized_official_telephone_number": "386-426-2060",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "FL",
            "license": "ME61678",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Smyrna Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2013; 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.