Shane Austin (NPI# 1669899894, PAC ID# 0446557961) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1669899894 |
| PAC ID by PECOS | 0446557961 |
| Professional Enrollment ID | I20180119002620 |
| Full Name | Shane Austin |
| Organization Legal Name | MEMORIAL HOSPITALIST INC |
| Address |
3501 Johnson St Hollywood FL 33021-5421 |
| Phone Number | 9549872000 |
| Gender | M |
| Graduation Year | 2012 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 9739143561 |
| Number of Group Practice Members | 16 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100038 | MEMORIAL REGIONAL HOSPITAL |
| 100230 | MEMORIAL HOSPITAL PEMBROKE |
| Address | Phone | Organization |
|---|---|---|
| 3501 Johnson St, Hollywood, FL 33021-5421 | 9549872000 | MEMORIAL HOSPITALIST INC |
| Organization Legal Name | MEMORIAL HOSPITALIST INC |
| Physicians | 12 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alberto Arturo Palacio | Internal Medicine | Memorial Hospitalist Inc | 703 N Flamingo Rd, Pembroke Pines, FL 33028-1006 |
| Oscar M Salinas | Family Medicine | Memorial Hospitalist Inc | 3501 Johnson St, Hollywood, FL 33021-5421 |
| Herbert Goldwire | Nurse Practitioner | Memorial Hospitalist Inc | 3501 Johnson St, Hollywood, FL 33021-5421 |
| Curtis E Wilkinson | Family Medicine | Memorial Hospitalist Inc | 1859 Van Buren St, Hollywood, FL 33020-5127 |
| Ludger G Eliacin | Internal Medicine | Memorial Hospitalist Inc | 3501 Johnson St, Hollywood, FL 33021-5421 |
| Slavisa Markovic | Internal Medicine | Memorial Hospitalist Inc | 1901 Sw 172 Ave, Miramar, FL 33029-5592 |
| Leandro Martinez | Internal Medicine | Memorial Hospitalist Inc | 3501 Johnson St, Hollywood, FL 33021-5421 |
| Aretha C Nelson-casimir | Internal Medicine | Memorial Hospitalist Inc | 3501 Johnson St, Hollywood, FL 33021-5421 |
| Suzette Rose Garrick | Nurse Practitioner | Memorial Hospitalist Inc | 3501 Johnson St, Hollywood, FL 33021-5421 |
| Rolanda Andre | Nurse Practitioner | Memorial Hospitalist Inc | 703 N Flamingo Rd, Pembroke Pines, FL 33028-1006 |
| Street Address |
3501 JOHNSON ST |
| City | HOLLYWOOD |
| State | FL |
| Zip | 33021-5421 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Heather S Spader | Neurosurgery | South Broward Hospital District | 3501 Johnson St, Hollywood, FL 33021-5421 |
| Anna Janulewicz | Anesthesiology Assistant | Sheridan Healthcorp Inc | 3501 Johnson St, Hollywood, FL 33021-5421 |
| Mohammad A Lari | Pathology | Pathology Consultants of South Broward, LLP | 3501 Johnson St, Hollywood, FL 33021-5421 |
| Angelica R Jimenez | Family Medicine | Eastside Hospitalists Inc | 3501 Johnson St, Hollywood, FL 33021-5421 |
| Shirley Chen | Critical Care (intensivists) | South Broward Hospital District | 3501 Johnson St, Hollywood, FL 33021-5421 |
| Sherry L Woodhouse | Pathology | Pathology Consultants of South Broward, LLP | 3501 Johnson St, Hollywood, FL 33021-5421 |
| Jeanette Alvarez | Internal Medicine | Eastside Hospitalists Inc | 3501 Johnson St, Hollywood, FL 33021-5421 |
| Derrick G Glymph | Certified Registered Nurse Anesthetist (crna) | Sheridan Healthcorp Inc | 3501 Johnson St, Hollywood, FL 33021-5421 |
| Robin L Crum | Certified Nurse Midwife (cnm) | All Womens Healthcare Inc | 3501 Johnson St, Hollywood, FL 33021-5421 |
| Andrei Plagov | Pathology | Pathology Consultants of South Broward, LLP | 3501 Johnson St, Hollywood, FL 33021-5421 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dorrett Codner | Nurse Practitioner | South Broward Hospital District | 1150 N 35th St, Suite 205a, Hollywood, FL 33021 |
| Carmen Herrera | Nurse Practitioner | South Broward Hospital District | 3400 N 29th Ave, Hollywood, FL 33021-1002 |
| Sathi Ghosh | Psychiatry | South Broward Hospital District | 3400 N 29th Ave, Hollywood, FL 33021-1002 |
| Alan S Lane | Ophthalmology | 4000 Hollywood Blvd, 180n, Hollywood, FL 33021-1204 | |
| Jeffrey E Caplan | Plastic and Reconstructive Surgery | 4330 Sheridan St, Suite 102, Hollywood, FL 33021-1406 | |
| Edward S. Wagner | Obstetrics/gynecology | Vitalmd Group Holding LLC | 4330 Sheridan St, Suite 101, Hollywood, FL 33021-1408 |
| Ravikanth Chiravuri | Cardiovascular Disease (cardiology) | 5700 Stirling Rd, Suite 100, Hollywood, FL 33021-1522 | |
| Thomas D Rawson | Physician Assistant | Frank C Alario Md Pl | 5700 Stirling Rd, Suite 100, Hollywood, FL 33021-1522 |
| Michael L Newman | Optometry | 5700 Stirling Rd, Hollywood, FL 33021-1522 | |
| Blaine S Cameron | Anesthesiology | 5700 Stirling Rd, Hollywood, FL 33021-1522 | |
| Find all physicians in zip 33021 | |||
| City | HOLLYWOOD |
| Zip Code | 33021 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | HOLLYWOOD + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Shane Austin.
| 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.