Shashi B. Gupta, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

35076216G Issued in OH

Practice address

51339 National Rd E
Suite 12
Saint Clairsville, OH 43950-9119

Phone

(740) 695-1210

Fax

(740) 695-4344

NPI assigned

Dec 23, 2005

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1135296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1235347200000",
    "number": "1275510901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51339 NATIONAL RD E",
            "address_2": "SUITE 12",
            "city": "SAINT CLAIRSVILLE",
            "state": "OH",
            "postal_code": "439509119",
            "telephone_number": "740-695-1210",
            "fax_number": "740-695-4344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51339 NATIONAL RD E",
            "address_2": "SUITE 12",
            "city": "SAINT CLAIRSVILLE",
            "state": "OH",
            "postal_code": "439509119",
            "telephone_number": "740-695-1210",
            "fax_number": "740-695-4344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUPTA",
        "first_name": "SHASHI",
        "middle_name": "B.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-12-23",
        "last_updated": "2009-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35076216G",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WV",
            "license": "19728",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2117417",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0003247000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carrie Anne Greenwood, R.N.
• Scott G Gretchen
• Martha Carol Grimes
• Jordan Grimm, BS
• Dana Gunter
• Gurmeet Singh, MD
• Nicole Haas, R.N.
• Ryder Hagan
• Alyssa Lee Hager
• Amanda Nicole Hall

• Internal Medicine Physician in Saint Clairsville, OH
• Providers in Saint Clairsville, OH by specialty
• Internal Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 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.