NPIMap

Organization Active NPI

Shah Associates MD PA

Doing business as Tri-County Endoscopy Center

  • Ambulatory Surgical Clinic/Center
  • Hollywood, MD
National Provider Identifier
1881717627
Registry record updated Dec 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
SHAH ASSOCIATES MD PA
Doing business as
Tri-County Endoscopy Center
Practice address
24035 Three Notch Rd
Hollywood, MD 20636-4871
Phone
(301) 373-7500
Fax
(301) 373-6500
NPI assigned
Apr 9, 2007
Last updated
Dec 8, 2011By the provider in NPPES
Organization subpart
Yes
Parent organization
SHAH ASSOCIATES MD PAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 8, 2011

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

Authorized official

Name
Dr. Nayan ShahNPI 1689693426
Title
MD
Phone
(301) 373-7500

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X NU Primary

Addresses

Primary practice location

24035 Three Notch Rd
Hollywood, MD 20636-4871

Mailing address

PO Box 640
Hollywood, MD 20636-0640
Phone (301) 373-7500

Other identifiers 2

IdentifierTypeStateIssuer
201373700MedicaidMD
490001599OtherMDMEDICARE RAILROAD

Other names 1

  • Tri-County Endoscopy Center Doing business as

National Provider Directory

National Provider Directory
Part of
Shah Associates MD PA

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323302400000",
    "number": "1881717627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 640",
            "city": "HOLLYWOOD",
            "state": "MD",
            "postal_code": "206360640",
            "telephone_number": "301-373-7500",
            "fax_number": "301-373-6500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24035 THREE NOTCH RD",
            "city": "HOLLYWOOD",
            "state": "MD",
            "postal_code": "206364871",
            "telephone_number": "301-373-7500",
            "fax_number": "301-373-6500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAH ASSOCIATES MD PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SHAH ASSOCIATES MD PA",
        "enumeration_date": "2007-04-09",
        "last_updated": "2011-12-08",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "NAYAN",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "301-373-7500",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201373700",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "490001599",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tri-County Endoscopy Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hollywood, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 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.