Shalom Medical Group LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

12581 Issued in GA

Legal business name

SHALOM MEDICAL GROUP LLC

Practice address

3550 Lawrenceville Suwanee Rd
Suite 105/106
Suwanee, GA 30024-7049

Phone

(678) 482-6003

Fax

(678) 482-6032

NPI assigned

May 1, 2009

Organization subpart

No

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

Authorized official

Name

Angel EnwemaduNPI 1316661002

Title

Ceo

Phone

(678) 482-6003

Specialties & licenses 1

Addresses

Other names 1

• Shalom Medical Equipment and Supplies Doing business as

Locations

Practitioners 1

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

• Angel Enwemadu, FNP-C

  • Family Nurse Practitioner
  • Suwanee, GA
  • NPI 1316661002
  NPD (past) Authorized official

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

{
    "created_epoch": "1241136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323043200000",
    "number": "1861636052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3550 LAWRENCEVILLE SUWANEE RD",
            "address_2": "SUITE 105/106",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300247049",
            "telephone_number": "678-482-6003",
            "fax_number": "678-482-6032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3550 LAWRENCEVILLE SUWANEE RD",
            "address_2": "SUITE 105/106",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300247049",
            "telephone_number": "678-482-6003",
            "fax_number": "678-482-6032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHALOM MEDICAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-01",
        "last_updated": "2011-12-05",
        "status": "A",
        "authorized_official_last_name": "ENWEMADU",
        "authorized_official_first_name": "ANGEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "678-482-6003"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "GA",
            "license": "12581",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shalom Medical Equipment and Supplies",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Vidhi Shah
• Virang Girish Shah, D.P.M
• Ram B Shahani, PT, OCS
• Ashraful Haq Shaikh, PHARMD
• Waqas R Shaikh, MD, MPH
• Jennifer Ann Shannon, PHARMD
• Timothy G. Shaughnessy, D.D.S, M.S.
• George Leonard Shaw Jr., P.T.
• Dylan Shearer, PA
• Marissa Cook Sheridan, NP-C

• Durable Medical Equipment & Medical Supplies in Suwanee, GA
• Providers in Suwanee, GA by specialty
• Durable Medical Equipment & Medical Supplies in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 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.

Verify at the official NPI Registry.