Amer Azzam Shatta, B.D.S

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

License

RES.3524 Issued in OH

Practice address

2124 Cornell Road
Case School of Dental Medicine, Periodontics Department
Cleveland, OH 44106

Phone

(216) 368-6757

Fax

(216) 368-3204

NPI assigned

Aug 3, 2015

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1438560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438560000000",
    "number": "1609252550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2124 CORNELL ROAD",
            "address_2": "CASE SCHOOL OF DENTAL MEDICINE, PERIODONTICS DEPARTMENT",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "44106",
            "telephone_number": "216-368-6757",
            "fax_number": "216-368-3204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2124 CORNELL ROAD",
            "address_2": "CASE SCHOOL OF DENTAL MEDICINE, PERIODONTICS DEPARTMENT",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "44106",
            "telephone_number": "216-368-6757",
            "fax_number": "216-368-3204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHATTA",
        "first_name": "AMER",
        "middle_name": "AZZAM",
        "credential": "B.D.S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-08-03",
        "last_updated": "2015-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "OH",
            "license": "RES.3524",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angelica Rae Sharrah
• Esmeralda Shaska-Choma, LMSW
• Rupal Shastri, MD
• Mohammad Shatat, MBBS
• Abdullah Suleiman Shatnawei, MD
• Linda Shatteen, QMHS, CMS
• Timothy Ryan Shaub, DO
• Allysen P Shaughnessy, PA-C
• Timothy F Shaughnessy, MSW
• Kathleen M Shaver, LSW

• Student in an Organized Health Care Education/Training Program in Cleveland, OH
• Providers in Cleveland, OH by specialty
• Student in an Organized Health Care Education/Training Program in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2015; 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.