Mark A Shaman (NPI# 1265486500, PAC ID# 1052399102) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1265486500 |
| PAC ID by PECOS | 1052399102 |
| Professional Enrollment ID | I20040713001476 |
| Full Name | Mark A Shaman |
| Organization Legal Name | PREMIER MEDICAL CARE PC |
| Address |
200 N Park St West Michigan Cancer Center Kalamazoo MI 49007-3731 |
| Phone Number | 2693822500 |
| Gender | M |
| Credential | MD |
| Medical School | WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1998 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 0648182352 |
| Number of Group Practice Members | 21 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 230117 | BORGESS MEDICAL CENTER |
| 230037 | HILLSDALE HOSPITAL |
| 230015 | THREE RIVERS HEALTH |
| 231315 | BORGESS-LEE MEMORIAL HOSPITAL |
| 230017 | BRONSON METHODIST HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 3035 Capital Ave Sw, Borgess Health Park, Battle Creek, MI 49015-4334 | 2699792240 | PREMIER MEDICAL CARE PC |
| 420 W High St, Lee Memorial Hospital Corporation, Dowagiac, MI 49047-1943 | 2697828681 | ASCENSION BORGESS LEE HOSPITAL |
| 168 S Howell St, Hillsdale, MI 49242-2040 | 5174374451 | PREMIER MEDICAL CARE PC |
| 1521 Gull Rd, Kalamazoo, MI 49048-1640 | 2692264800 | PREMIER MEDICAL CARE PC |
| 1535 Gull Rd, Suite 200, Kalamazoo, MI 49048-1638 | 2693886350 | PREMIER MEDICAL CARE PC |
| 1700 Gull Rd, Kni, Kalamazoo, MI 49048-1610 | 2693421099 | PREMIER MEDICAL CARE PC |
| 200 N Park St, West Michigan Cancer Center, Kalamazoo, MI 49007-3731 | 2693822500 | PREMIER MEDICAL CARE PC |
| 411 Naomi St, Borgess Pipp Hospital, Plainwell, MI 49080-1222 | 2696850700 | PREMIER MEDICAL CARE PC |
| 7901 Angling Rd, Portage, MI 49024-0714 | PREMIER MEDICAL CARE PC | |
| 8450 N 32nd St, Promed, Richland, MI 49083-9418 | 2692262500 | PREMIER MEDICAL CARE PC |
| 1241 W Broadway, Promed, Three Rivers, MI 49093-8319 | 2692739539 | PREMIER MEDICAL CARE PC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_405_overall | Appropriate Follow-up Imaging for Incidental Abdominal Lesions (100%: worst, 0% best) | 0% | |
| MIPS_EC_436_overall | Radiation Consideration for Adult CT: Utilization of Dose Lowering Techniques | 100% |
| Organization Legal Name | PREMIER MEDICAL CARE PC |
| Physicians | 20 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jonathan R Gupta | Diagnostic Radiology | Premier Medical Care PC | 32640 Whatley Rd, Franklin, MI 48025-1123 |
| Michael J Todd | Diagnostic Radiology | Premier Medical Care PC | 200 N Park St, West Michigan Cancer Center, Kalamazoo, MI 49007-3731 |
| Patrick Charles Albus | Diagnostic Radiology | Premier Medical Care PC | 1535 Gull Rd, Suite 200, Kalamazoo, MI 49048-1638 |
| Nora Dajani | Diagnostic Radiology | Premier Medical Care PC | 3035 Capital Ave Sw, Borgess Health Park, Battle Creek, MI 49015-4334 |
| John K Hopkins | Diagnostic Radiology | Premier Medical Care PC | 3035 Capital Ave Sw, Borgess Health Park, Battle Creek, MI 49015-4334 |
| Michael L Adix Ii | Interventional Radiology | Premier Medical Care PC | 1535 Gull Rd, Suite 200, Kalamazoo, MI 49048-1638 |
| Stephen B Brown | Diagnostic Radiology | Premier Medical Care PC | 1535 Gull Rd, Suite 200, Kalamazoo, MI 49048-1638 |
| David Schaumburg Mosbach | Diagnostic Radiology | Premier Medical Care PC | 1535 Gull Rd, Suite 200, Kalamazoo, MI 49048-1638 |
| Yousuf Brian Schulz | Diagnostic Radiology | Premier Medical Care PC | 1535 Gull Rd, Suite 200, Kalamazoo, MI 49048-1638 |
| Laurene C Mann | Diagnostic Radiology | Premier Medical Care PC | 3035 Capital Ave Sw, Borgess Health Park, Battle Creek, MI 49015-4334 |
| Street Address |
200 N PARK ST WEST MICHIGAN CANCER CENTER |
| City | KALAMAZOO |
| State | MI |
| Zip | 49007-3731 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael J Todd | Diagnostic Radiology | Premier Medical Care PC | 200 N Park St, West Michigan Cancer Center, Kalamazoo, MI 49007-3731 |
| Casey M Hay | Gynecological Oncology | West Michigan Cancer Center | 200 N Park St, Kalamazoo, MI 49007-3731 |
| Manish Kumar Thakur | Hematology/oncology | West Michigan Cancer Center | 200 N Park St, Kalamazoo, MI 49007-3731 |
| Benjamin B Mize | Gynecological Oncology | West Michigan Cancer Center | 200 N Park St, Kalamazoo, MI 49007-3731 |
| Rebecca A Jones | Nurse Practitioner | West Michigan Cancer Center | 200 N Park St, Kalamazoo, MI 49007-3731 |
| Paula J Lockwood | Physician Assistant | West Michigan Cancer Center | 200 N Park St, Kalamazoo, MI 49007-3731 |
| Gitonga Munene | Surgical Oncology | West Michigan Cancer Center | 200 N Park St, Kalamazoo, MI 49007-3731 |
| Sunil Nagpal | Hematology/oncology | West Michigan Cancer Center | 200 N Park St, Kalamazoo, MI 49007-3731 |
| Melissa M Boulden | Physician Assistant | West Michigan Cancer Center | 200 N Park St, Kalamazoo, MI 49007-3731 |
| Brandon Robert Mancini | Radiation Oncology | West Michigan Cancer Center | 200 N Park St, Kalamazoo, MI 49007-3731 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Susan E Jevert Eichorn | Family Medicine | Family Health Center, Inc. | 117 W Paterson St, Kalamazoo, MI 49007-2557 |
| Lauren Sloan Piper | Family Medicine | Family Health Center, Inc. | 117 W Paterson St, Kalamazoo, MI 49007-2557 |
| Joseph M Salvatore | Clinical Social Worker | Family Health Center, Inc. | 117 W Paterson St, Kalamazoo, MI 49007-2557 |
| Angela Marie Henry-delapaz | Clinical Social Worker | Family Health Center, Inc. | 117 W Paterson St, Kalamazoo, MI 49007-2557 |
| Peter J Ziemkowski | Family Medicine | Family Health Center, Inc. | 117 W Paterson St, Kalamazoo, MI 49007-2557 |
| Uyen Thai Budzinski | Family Medicine | Family Health Center, Inc. | 117 W Paterson St, Kalamazoo, MI 49007-2557 |
| Kristi L Vanderkolk | Family Medicine | Family Health Center, Inc. | 117 W Paterson St, Kalamazoo, MI 49007-2557 |
| Roxana Alcaraz | Clinical Social Worker | Family Health Center, Inc. | 117 W Paterson St, Kalamazoo, MI 49007-2557 |
| Wesley R Eichorn | Family Medicine | Family Health Center, Inc. | 117 W Paterson St, Kalamazoo, MI 49007-2557 |
| Elizabeth J Salvatore | Clinical Social Worker | Family Health Center, Inc. | 117 W Paterson St, Kalamazoo, MI 49007-2557 |
| Find all physicians in zip 49007 | |||
| City | KALAMAZOO |
| Zip Code | 49007 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | KALAMAZOO + DIAGNOSTIC RADIOLOGY |
Please comment or provide details below to improve the information on Mark A Shaman.
| 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.