Dr Shape USA, Inc

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

18860 Issued in WV

Legal business name

DR SHAPE USA, INC

Practice address

3113 Murdoch Ave
Parkersburg, WV 26101-1018

Phone

(304) 422-2940

NPI assigned

Oct 21, 2013

Last updated

Oct 21, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Alexandre Desouza, MD

Title

President

Phone

(304) 422-2940

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1382313600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1382313600000",
    "number": "1992133466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3113 MURDOCH AVE",
            "city": "PARKERSBURG",
            "state": "WV",
            "postal_code": "261011018",
            "telephone_number": "304-422-2940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3113 MURDOCH AVE",
            "city": "PARKERSBURG",
            "state": "WV",
            "postal_code": "261011018",
            "telephone_number": "304-422-2940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR SHAPE USA, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-21",
        "last_updated": "2013-10-21",
        "status": "A",
        "authorized_official_last_name": "DESOUZA",
        "authorized_official_first_name": "ALEXANDRE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "304-422-2940",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "WV",
            "license": "18860",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "WV",
            "license": "18860",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Surgery Physician in Parkersburg, WV
• Providers in Parkersburg, WV by specialty
• Surgery Physician in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2013; 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.