Active NPI
Shashi P Shah MD
- Pediatrics Physician
- Garfield Heights, OH
National Provider Identifier
1811073372
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 034329
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Shashikant P Shah, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2724109 | Medicaid | OH |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pediatrics Physician
- Garfield Heights, OH
- NPI 1104923176
-
- Physical Medicine & Rehabilitation Physician
- Brecksville, OH
- NPI 1881674075
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.