1619975893 NPI number — CHAD SHAYKHER MD

Table of content: CHAD SHAYKHER MD (NPI 1619975893)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1619975893 NPI number — CHAD SHAYKHER MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
SHAYKHER
Provider First Name:
CHAD
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1619975893
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
06/23/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
9999 NE 2ND AVE
Provider Second Line Business Mailing Address:
STE 100
Provider Business Mailing Address City Name:
MIAMI SHORES
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
33138-2344
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
305-754-1654
Provider Business Mailing Address Fax Number:
305-754-7379

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
9999 NE 2ND AVE
Provider Second Line Business Practice Location Address:
STE 100
Provider Business Practice Location Address City Name:
MIAMI SHORES
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33138-2344
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
305-754-1654
Provider Business Practice Location Address Fax Number:
305-754-7379
Provider Enumeration Date:
07/12/2005

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207RC0000X , with the licence number:  ME35621 , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 068387600 , issued by the state of ( FL ) . This identifiers is of the category "MEDICAID".
  • Identifier: 53807 . This is a "HEALTH SUN" identifier . This identifiers is of the category "OTHER".
  • Identifier: 95577 . This is a "BCBS" identifier . This identifiers is of the category "OTHER".
  • Identifier: 95577 . This is a "BLUE CROSS BLUE SHIELD" identifier . This identifiers is of the category "OTHER".
  • Identifier: 0852925 . This is a "AETNA" identifier . This identifiers is of the category "OTHER".
  • Identifier: 1013516 . This is a "CARE PLUS HEALTH PLANS" identifier . This identifiers is of the category "OTHER".
  • Identifier: D63520 . This is a "SUMMIT HEALTH PLAN" identifier . This identifiers is of the category "OTHER".
  • Identifier: 01697 . This is a "HEALTHEASE FO FLORIDA HMO" identifier . This identifiers is of the category "OTHER".
  • Identifier: 061697 . This is a "STAYWELL HMO" identifier . This identifiers is of the category "OTHER".
  • Identifier: 0713965 . This is a "CIGNA HMO" identifier . This identifiers is of the category "OTHER".
  • Identifier: 2570046 . This is a "UNITED HEALTH CARE OF FL HMO" identifier . This identifiers is of the category "OTHER".
  • Identifier: 650088572F . This is a "HYMANA HMO" identifier . This identifiers is of the category "OTHER".
  • Identifier: P00230 . This is a "DOCTORS CARE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 008230 . This is a "AVMED" identifier . This identifiers is of the category "OTHER".
  • Identifier: 061697 . This is a "WELL CARE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 171362 . This is a "JMH" identifier . This identifiers is of the category "OTHER".
  • Identifier: 116436 . This is a "AMERIGROUP" identifier . This identifiers is of the category "OTHER".
  • Identifier: 068387600 . This is a "MEDIPASS" identifier . This identifiers is of the category "OTHER".
  • Identifier: 0852925 . This is a "AETNA OPEN ACCESS-HMO" identifier . This identifiers is of the category "OTHER".
  • Identifier: 1619975893 . This is a "VISTA-HIP" identifier . This identifiers is of the category "OTHER".




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