Organization Active NPI

Agha Shahid MD Inc

  • Psychiatry Physician
  • Oregon, OH
National Provider Identifier
1477561462
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
AGHA SHAHID MD INC
Practice address
2741 Navarre Ave
Suite D404
Oregon, OH 43616
Phone
(419) 698-2902
Fax
(419) 698-3619
NPI assigned
Aug 4, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Agha Shahid, MDNPI 1700896073
Title
President
Phone
(419) 698-2902

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X NU Primary

Addresses

Primary practice location

2741 Navarre Ave
Suite D404
Oregon, OH 43616

Mailing address

2741 Navarre Ave
Suite D404
Oregon, OH 43616
Phone (419) 698-2902

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110919000274 OH Part B Supplier - Clinic/Group Practice 9234300567 Receives reassigned benefits from 1 practitioner
Practice locations: Oregon, OH

National Provider Directory

National Provider Directory

Locations

2741 Navarre Ave
#D404
Oregon, OH 43616
Phone (419) 698-2902

2741 Navarre Ave
Ste D404
Oregon, OH 43616
Phone (419) 698-2902

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1477561462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2741 NAVARRE AVE",
            "address_2": "SUITE D404",
            "city": "OREGON",
            "state": "OH",
            "postal_code": "43616",
            "telephone_number": "419-698-2902",
            "fax_number": "419-698-3619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2741 NAVARRE AVE",
            "address_2": "SUITE D404",
            "city": "OREGON",
            "state": "OH",
            "postal_code": "43616",
            "telephone_number": "419-698-2902",
            "fax_number": "419-698-3619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGHA SHAHID MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHAHID",
        "authorized_official_first_name": "AGHA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "419-698-2902",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oregon, OH

Sources for this page

  • 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.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.