Shah Enterprises LLC

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

License

MO104020 Issued in MO

Legal business name

SHAH ENTERPRISES LLC

Doing business as

true care medical center

Practice address

10640 Highway 21
Hillsboro, MO 63050

Phone

(636) 797-2330

Fax

(636) 212-9200

NPI assigned

Sep 12, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Sudhirkumar P Shah, M.D.

Title

Medical Director

Phone

(636) 797-2330

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• true care medical center Doing business as

Locations

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

{
    "created_epoch": "1189555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460937600000",
    "number": "1275728305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10640 BUSINESS 21",
            "address_2": "SUITE 5",
            "city": "HILLSBORO",
            "state": "MO",
            "postal_code": "630505039",
            "telephone_number": "636-797-2330",
            "fax_number": "636-212-9200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10640 HIGHWAY 21",
            "city": "HILLSBORO",
            "state": "MO",
            "postal_code": "63050",
            "telephone_number": "636-797-2330",
            "fax_number": "636-212-9200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAH ENTERPRISES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-12",
        "last_updated": "2016-04-18",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "SUDHIRKUMAR",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "636-797-2330",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "MO",
            "license": "MO104020",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "205262546",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "true care medical center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mackenzie Lynn Roth, PA
• Amy Marie Saak, FNP-C
• Ashley Elizabeth Scaglione, PA-C
• Chastity L Scott
• Stuart J Scott, DDS
• Kathryn Sharp, BCBA, LBA
• Megan Skiera-Novotny
• Ashley Sneed
• Mary Ellen Sparks, RN, CBN, NC-BC
• Special Services Cooperative of Jefferson County

• Health Maintenance Organization in Hillsboro, MO
• Providers in Hillsboro, MO by specialty
• Health Maintenance Organization in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2016; 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.