Samir Shah

Primary specialty

Legal MedicineTaxonomy code 173000000X

License

MD050641L Issued in PA

Legal business name

SAMIR SHAH

Practice address

401 Pine Hill Rd
Kittanning, PA 16201-4433

Phone

(724) 545-3417

Fax

(724) 543-3744

NPI assigned

Apr 20, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Samir J. Shah, M.D.

Title

Proprietor

Phone

(724) 545-3417

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Samirkumar Shah, M.D.

  • Legal Medicine
  • Kittanning, PA
  • NPI 1790753739
  NPD (past)

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

{
    "created_epoch": "1177027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291939200000",
    "number": "1245458801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 PINE HILL RD",
            "city": "KITTANNING",
            "state": "PA",
            "postal_code": "162014433",
            "telephone_number": "724-545-3417",
            "fax_number": "724-543-3744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 PINE HILL RD",
            "city": "KITTANNING",
            "state": "PA",
            "postal_code": "162014433",
            "telephone_number": "724-545-3417",
            "fax_number": "724-543-3744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMIR SHAH",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-20",
        "last_updated": "2010-12-10",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "SAMIR",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PROPRIETOR",
        "authorized_official_telephone_number": "724-545-3417",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Legal Medicine",
            "state": "PA",
            "license": "MD050641L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GATEWAY",
            "identifier": "1035606",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TYPE 1 NPI",
            "identifier": "1790753739",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anne Brady Romaniw
• Doree Lyn Rossey, PHDHP
• Amy Rugaber
• Bethany Rusnak, MS, RD, LDN
• Nicki Lee Russo, RN
• Ramon D Santos, MD
• Erin Saxion
• Natalie Rose Scelsi, OTD, OTR/L
• Breanna Nicole Scheller, PH.D., AU.D.
• Tiffany Rachelle Schmidt, LPN

• Legal Medicine in Kittanning, PA
• Providers in Kittanning, PA by specialty
• Legal Medicine in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2010; 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.