Riddhi Jay Shah (NPI# 1568504397, PAC ID# 0244330173) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.
| Nation Provider ID (NPI) | 1568504397 |
| PAC ID by PECOS | 0244330173 |
| Professional Enrollment ID | I20160823002359 |
| Full Name | Riddhi Jay Shah |
| Organization Legal Name | LAKELAND MEDICAL PRACTICES |
| Address |
3901 Stonegate Park Suite 300 Saint Joseph MI 49085-9136 |
| Phone Number | 2695566000 |
| Gender | F |
| Graduation Year | 2012 |
| Primary Specialty | DERMATOLOGY |
| Group Practice PAC ID | 1658427042 |
| Number of Group Practice Members | 197 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 230021 | LAKELAND HOSPITAL, ST JOSEPH |
| Address | Phone | Organization |
|---|---|---|
| 3901 Stonegate Park, Suite 300, Saint Joseph, MI 49085-9136 | 2695566000 | LAKELAND MEDICAL PRACTICES |
| Organization Legal Name | LAKELAND MEDICAL PRACTICES |
| Physicians | 207 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Paul Daniel Judge | Otolaryngology | Lakeland Medical Practices | 4077 S Cleveland Ave, Saint Joseph, MI 49085-9513 |
| Deanna Margaret Rucano | Nurse Practitioner | Lakeland Medical Practices | 2500 Niles Ave, 1 Primary Care St Joseph, Saint Joseph, MI 49085-1924 |
| Brandon R Cole | Family Medicine | Lakeland Medical Practices | 5515 Cleveland Ave, Suite 5, Stevensville, MI 49127-9670 |
| Kimberlee A Tomerlin | Internal Medicine | Lakeland Medical Practices | 3950 Hollywood Rd, Suite 100, Saint Joseph, MI 49085-9151 |
| Deanna L Fulbright | Family Medicine | Lakeland Medical Practices | 9045 Us Hwy 31, Berrien Springs, MI 49103-1804 |
| Laurie Ann Gee | Nurse Practitioner | Lakeland Medical Practices | 42 N St Joseph Ave, 201 Swmc Womens Health, Niles, MI 49120-2208 |
| Michael James Burton | Pulmonary Disease | Lakeland Medical Practices | 3904 Stonegate Park, Saint Joseph, MI 49085-9130 |
| Elizabeth A Mcglothlin | Family Medicine | Lakeland Medical Practices | 1045 E Front St A, Lakeland Medical Practice Buchanan, Buchanan, MI 49107-8474 |
| Pamela J Klint | Nurse Practitioner | Lakeland Medical Practices | 9625 Red Arrow Hwy, Bridgman, MI 49106-9559 |
| David Kraklau | Urology | Lakeland Medical Practices | 815 Saint Joseph Dr, Saint Joseph, MI 49085-2529 |
| Street Address |
3901 STONEGATE PARK SUITE 300 |
| City | SAINT JOSEPH |
| State | MI |
| Zip | 49085-9136 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ginard Irwyn Henry | Plastic and Reconstructive Surgery | Lakeland Medical Practices | 3901 Stonegate Park, Suite 300, Saint Joseph, MI 49085-9136 |
| Samuel E Logan | Plastic and Reconstructive Surgery | Lakeland Medical Practices | 3901 Stonegate Park, Saint Joseph, MI 49085-9136 |
| Karen Powers | Plastic and Reconstructive Surgery | Lakeland Medical Practices | 3901 Stonegate Park, Suite 300, Saint Joseph, MI 49085-9136 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Andrew Paul Bringard | Optometry | Rx Optical Laboratories, Inc. | 2008 Washington, St Joseph, MI 49085 |
| Heather L Cotter | Optometry | Rx Optical Laboratories, Inc. | 2008 Washington, St Joseph, MI 49085 |
| Bruce P Hackworth | Psychologist, Clinical | 811 Ship St, 4b, Saint Joseph, MI 49085-1171 | |
| Thomas E Wilson | Chiropractic | Hudak Chiropractic Clinic PC | 804 Elm St, St Joseph, MI 49085-1227 |
| Erik T Hudak | Chiropractic | Hudak Chiropractic Clinic PC | 804 Elm St, St Joseph, MI 49085-1227 |
| Heather M Hudak | Chiropractic | Hudak Chiropractic Clinic PC | 804 Elm St, St Joseph, MI 49085-1227 |
| Gary Paul Ludwig | Optometry | 1101 Main St, Saint Joseph, MI 49085-1509 | |
| Janel L Benore | Physical Therapy | 616 Main St, Saint Joseph, MI 49085-1595 | |
| Susan L Startup | Clinical Social Worker | 1901 Niles Ave, Suite 102, Saint Joseph, MI 49085-1615 | |
| Craig F Sherwood | Podiatry | 1901 Niles Ave, Saint Joseph, MI 49085-1615 | |
| Find all physicians in zip 49085 | |||
| City | SAINT JOSEPH |
| Zip Code | 49085 |
| Specialty | DERMATOLOGY |
| City + Specialty | SAINT JOSEPH + DERMATOLOGY |
Please comment or provide details below to improve the information on Riddhi Jay Shah.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.