Ahmad H. Shatila, M.D.

Primary specialty

Surgical Oncology PhysicianTaxonomy code 2086X0206X

License

35039162S Issued in OH

Legal business name

AHMAD H. SHATILA, M.D.

Practice address

18660 Bagley Rd
Ste. 305 Building 2
Middleburg Heights, OH 44130-3483

Phone

(440) 234-9338

Fax

(440) 234-1448

NPI assigned

Apr 17, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Ahmad H. Shatila, M.D.NPI 1568562031

Title

Physician-Owner

Phone

(440) 234-9338

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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.

• Ahmad H. Shatila, M. D.

  • Surgical Oncology Physician
  • Middleburg Heights, OH
  • NPI 1568562031
  Authorized official Same address or phone

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1407072911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18660 BAGLEY RD",
            "address_2": "STE. 305 BUILDING 2",
            "city": "MIDDLEBURG HEIGHTS",
            "state": "OH",
            "postal_code": "441303483",
            "telephone_number": "440-234-9338",
            "fax_number": "440-234-1448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18660 BAGLEY RD",
            "address_2": "STE. 305 BUILDING 2",
            "city": "MIDDLEBURG HEIGHTS",
            "state": "OH",
            "postal_code": "441303483",
            "telephone_number": "440-234-9338",
            "fax_number": "440-234-1448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AHMAD H. SHATILA, M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHATILA",
        "authorized_official_first_name": "AHMAD",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "PHYSICIAN-OWNER",
        "authorized_official_telephone_number": "440-234-9338",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2086X0206X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Oncology",
            "state": "OH",
            "license": "35039162S",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1568562031",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Surgical Oncology Physician in Middleburg Heights, OH
• Providers in Middleburg Heights, OH by specialty
• Surgical Oncology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.