Active NPI
Parinaz R Shah, MD
- Medical Physician Assistant
- Easley, SC
National Provider Identifier
1821371527
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA1662
- Practice address
- 109 C Fleetwood Drive
Easley, SC 29640-2019 - Phone
- (864) 850-0700
- Fax
- (864) 850-0705
- NPI assigned
- Sep 20, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA1662 | SC | Primary |
Addresses
Primary practice location
109 C Fleetwood Drive
Easley, SC 29640-2019
Mailing address
109 C Fleetwood Drive
Easley, SC 29640-2019
Phone (864) 850-0700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PA1662 | Other | SC | SC MEDICAL LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA1662 | SC | MD | Medical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1316476800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1316476800000",
"number": "1821371527",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "109 C FLEETWOOD DRIVE",
"city": "EASLEY",
"state": "SC",
"postal_code": "296402019",
"telephone_number": "864-850-0700",
"fax_number": "864-850-0705"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "109 C FLEETWOOD DRIVE",
"city": "EASLEY",
"state": "SC",
"postal_code": "296402019",
"telephone_number": "864-850-0700",
"fax_number": "864-850-0705"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAH",
"first_name": "PARINAZ",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-09-20",
"last_updated": "2011-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "SC",
"license": "PA1662",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SC MEDICAL LICENSE",
"identifier": "PA1662",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Easley, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.