Shashikant G Bhopale, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

192912-1 Issued in NY

Practice address

33 E 1St St
Oswego, NY 13126-1112

Phone

(315) 343-0405

Fax

(315) 343-5162

NPI assigned

May 27, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1396792404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 340",
            "city": "NEW HARTFORD",
            "state": "NY",
            "postal_code": "134130340",
            "telephone_number": "315-732-9368",
            "fax_number": "315-732-9403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 E 1ST ST",
            "city": "OSWEGO",
            "state": "NY",
            "postal_code": "131261112",
            "telephone_number": "315-343-0405",
            "fax_number": "315-343-5162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BHOPALE",
        "first_name": "SHASHIKANT",
        "middle_name": "G",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "192912-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01467972",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeanne Marie Besaw, PT
• Joleyne M Besaw, LMHC
• Jill Anne Beverley, LPN
• Nabina Bhattarai
• Rewati Bhattarai
• Heather Lynn Bianco-Whitcomb
• Heidi Biernacki
• Jillian Bigelow, OTR/L
• Eric John Bittel, MA
• Sarah Black

• Pediatrics Physician in Oswego, NY
• Providers in Oswego, NY by specialty
• Pediatrics Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.