Shah Neurology & Epilepsy, LLC

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

MD426776 Issued in PA

Legal business name

SHAH NEUROLOGY & EPILEPSY, LLC

Practice address

1700 Bent Creek Blvd Ste 150
Mechanicsburg, PA 17050-1870

Phone

(717) 697-4980

Fax

(717) 697-4979

NPI assigned

Jun 22, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Jagdish R Shah, M.D.NPI 1528029725

Title

Sole Member

Phone

(717) 697-4980

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jagdish R. Shah, MD

  • Clinical Neurophysiology Physician
  • Mechanicsburg, PA
  • NPI 1528029725
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1182470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224201600000",
    "number": "1548466931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 339",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170550339",
            "telephone_number": "717-697-4980",
            "fax_number": "717-697-4979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 BENT CREEK BLVD STE 150",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170501870",
            "telephone_number": "717-697-4980",
            "fax_number": "717-697-4979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAH NEUROLOGY & EPILEPSY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-22",
        "last_updated": "2008-10-17",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "JAGDISH",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "717-697-4980",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "PA",
            "license": "MD426776",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cristi Louise Serina
• Lieshe C Severein, CRNP
• Erik P Shadle
• Erin Michael Shaffer, ATC
• William King Shaffer, D.C.
• Jagdish R. Shah, MD
• Ammar Shahid, M.D.
• Rebecca Faithe Shank
• Jeffrey Shannon, DMD
• Jason Shapiro

• Neurology Physician in Mechanicsburg, PA
• Providers in Mechanicsburg, PA by specialty
• Neurology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2008; 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.