Individual provider Active NPI

Shavinder Kaur Ahluwalia, MD

  • General Practice Physician
  • Sandusky, OH
National Provider Identifier
1982614657
Registry record updated Mar 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
35053044 Issued in OH
Practice address
3006 South Campbell St
North Central Ohio Medical Services Inc
Sandusky, OH 44870
Phone
(419) 625-7594
Fax
(419) 626-5640
NPI assigned
Aug 8, 2006
Last updated
Mar 22, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 35053044 OH
General Practice Physician 208D00000X 35053044 OH Primary

Addresses

Primary practice location

3006 South Campbell St
North Central Ohio Medical Services Inc
Sandusky, OH 44870

Mailing address

3006 South Campbell St
North Central Ohio Medical Services Inc
Sandusky, OH 44870
Phone (419) 625-7594

Other identifiers 1

IdentifierTypeStateIssuer
0613036MedicaidOH

Other names 1

  • Shavinder Kaur Walia Other name

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

LicenseStateTypeSpecialty
35053044OHMDGeneral Practice Physician

NPI Registry JSON

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1269216000000",
    "number": "1982614657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3006 SOUTH CAMPBELL ST",
            "address_2": "NORTH CENTRAL OHIO MEDICAL SERVICES INC",
            "city": "SANDUSKY",
            "state": "OH",
            "postal_code": "44870",
            "telephone_number": "419-625-7594",
            "fax_number": "419-626-5640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3006 SOUTH CAMPBELL ST",
            "address_2": "NORTH CENTRAL OHIO MEDICAL SERVICES INC",
            "city": "SANDUSKY",
            "state": "OH",
            "postal_code": "44870",
            "telephone_number": "419-625-7594",
            "fax_number": "419-626-5640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AHLUWALIA",
        "first_name": "SHAVINDER",
        "middle_name": "KAUR",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-08",
        "last_updated": "2010-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "35053044",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "OH",
            "license": "35053044",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0613036",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHAVINDER",
            "last_name": "WALIA",
            "middle_name": "KAUR",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Sandusky, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2010; 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.