Organization Active NPI

Shashi P Shah MD

  • Pediatrics Physician
  • Garfield Heights, OH
National Provider Identifier
1811073372
Registry record updated Feb 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
034329 Issued in OH
Legal business name
SHASHI P SHAH MD
Practice address
9700 Garfield Blvd
#103
Garfield Heights, OH 44125
Phone
(216) 641-0600
Fax
(216) 641-0628
NPI assigned
Oct 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2008

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

Authorized official

Name
Mr. Shashikant P Shah, MDNPI 1104923176
Title
Owner President
Phone
(216) 641-0600

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
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X 034329 OH Primary

Addresses

Primary practice location

9700 Garfield Blvd
#103
Garfield Heights, OH 44125

Mailing address

9700 Garfield Blvd
#103
Garfield Heights, OH 44125
Phone (216) 641-0600

Other identifiers 1

IdentifierTypeStateIssuer
2724109MedicaidOH

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201824000000",
    "number": "1811073372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9700 GARFIELD BLVD",
            "address_2": "#103",
            "city": "GARFIELD HEIGHTS",
            "state": "OH",
            "postal_code": "44125",
            "telephone_number": "216-641-0600",
            "fax_number": "216-641-0628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9700 GARFIELD BLVD",
            "address_2": "#103",
            "city": "GARFIELD HEIGHTS",
            "state": "OH",
            "postal_code": "44125",
            "telephone_number": "216-641-0600",
            "fax_number": "216-641-0628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHASHI P SHAH MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-27",
        "last_updated": "2008-02-01",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "SHASHIKANT",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER PRESIDENT",
        "authorized_official_telephone_number": "216-641-0600",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "034329",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2724109",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Garfield Heights, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2008; 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.