NPIMap

Organization Active NPI

Shaikh Pediatrics

  • Pediatric Adolescent Medicine Physician
  • Tobyhanna, PA
National Provider Identifier
1396932638
Registry record updated Oct 1, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X
License
MD038673L Issued in PA
Legal business name
SHAIKH PEDIATRICS
Practice address
300 Community Dr
Suite E
Tobyhanna, PA 18466-8978
Phone
(570) 839-9880
Fax
(570) 839-9885
NPI assigned
Oct 1, 2007
Last updated
Oct 1, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2007

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

Authorized official

Name
Dr. Ayesha R Shaikh, MD
Title
Pediatrician
Phone
(570) 839-9880

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Adolescent Medicine Physician 2080A0000X MD038673L PA Primary

Addresses

Primary practice location

300 Community Dr
Suite E
Tobyhanna, PA 18466-8978

Mailing address

300 Community Dr
Suite E
Tobyhanna, PA 18466-8978
Phone (570) 839-9880

Other identifiers 1

IdentifierTypeStateIssuer
2080A0000XOtherPATAXONOMY

National Provider Directory

National Provider Directory

Locations

300 Community Dr
Ste E
Tobyhanna, PA 18466
Phone (570) 839-9880

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1191196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191196800000",
    "number": "1396932638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 COMMUNITY DR",
            "address_2": "SUITE E",
            "city": "TOBYHANNA",
            "state": "PA",
            "postal_code": "184668978",
            "telephone_number": "570-839-9880",
            "fax_number": "570-839-9885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 COMMUNITY DR",
            "address_2": "SUITE E",
            "city": "TOBYHANNA",
            "state": "PA",
            "postal_code": "184668978",
            "telephone_number": "570-839-9880",
            "fax_number": "570-839-9885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAIKH PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-01",
        "last_updated": "2007-10-01",
        "status": "A",
        "authorized_official_last_name": "SHAIKH",
        "authorized_official_first_name": "AYESHA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PEDIATRICIAN",
        "authorized_official_telephone_number": "570-839-9880",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "PA",
            "license": "MD038673L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAXONOMY",
            "identifier": "2080A0000X",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tobyhanna, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 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.