Shyam Padmanabhan (NPI# 1013224609, PAC ID# 1658651229) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CARDIOVASCULAR DISEASE (CARDIOLOGY).
| Nation Provider ID (NPI) | 1013224609 |
| PAC ID by PECOS | 1658651229 |
| Professional Enrollment ID | I20171121001058 |
| Full Name | Shyam Padmanabhan |
| Organization Legal Name | JACKSON HOSPITAL AND CLINIC, INC. |
| Address |
1725 Pine St Montgomery AL 36106-1109 |
| Phone Number | 3342935778 |
| Gender | M |
| Graduation Year | 2002 |
| Primary Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| Group Practice PAC ID | 0547254153 |
| Number of Group Practice Members | 83 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 010024 | JACKSON HOSPITAL & CLINIC INC |
| 010034 | COMMUNITY HOSPITAL INC |
| 010150 | L V STABLER MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1725 Pine St, Montgomery, AL 36106-1109 | 3342935778 | JACKSON HOSPITAL AND CLINIC, INC. |
| Organization Legal Name | JACKSON HOSPITAL AND CLINIC, INC. |
| Physicians | 84 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jacquelin Ratunil Chua | Rheumatology | Jackson Hospital and Clinic, Inc. | 1722 Pine St, Suite 801, Montgomery, AL 36106-1108 |
| Brooke A Robinson | Family Medicine | Jackson Hospital and Clinic, Inc. | 4150 Carmichael Rd, Suite B, Montgomery, AL 36106-2933 |
| Susan W Aguiar | Otolaryngology | Jackson Hospital and Clinic, Inc. | 1111 Olive St, Montgomery, AL 36106-1129 |
| Ravichandra R Boyella | Cardiovascular Disease (cardiology) | Jackson Hospital and Clinic, Inc. | 1758 Park Pl, Suite 300, Montgomery, AL 36106-1137 |
| Jodie M Shedd | Nurse Practitioner | Jackson Hospital and Clinic, Inc. | 701 Mcqueen Smith Rd S, Prattville, AL 36066-7503 |
| William Saliski | Nurse Practitioner | Jackson Hospital and Clinic, Inc. | 44 Medical Arts Ct, Greenville, AL 36037-3869 |
| Christopher J Waguespack | Internal Medicine | Jackson Hospital and Clinic, Inc. | 11123 Chantilly Pkwy Ct, Pike Road, AL 36064-2880 |
| Howard Brazil | Cardiovascular Disease (cardiology) | Jackson Hospital and Clinic, Inc. | 707 Mcqueen Smith Rd S, Prattville, AL 36066-7503 |
| Gregory P Jones | Family Medicine | Jackson Hospital and Clinic, Inc. | 80 Herren Hill Rd, Suite C, Tallassee, AL 36078-1264 |
| Timothy W Morrow | Urology | Jackson Hospital and Clinic, Inc. | 226 Mitylene Park Dr, Montgomery, AL 36117-3548 |
| Street Address |
1725 PINE ST |
| City | MONTGOMERY |
| State | AL |
| Zip | 36106-1109 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Eric S Cunningham | Internal Medicine | Jackson Hospital and Clinic, Inc. | 1725 Pine St, Montgomery, AL 36106-1109 |
| Rikka Asuncion Banayat | Internal Medicine | Jackson Hospital and Clinic, Inc. | 1725 Pine St, Montgomery, AL 36106-1109 |
| Christopher O Ike | Cardiovascular Disease (cardiology) | Jackson Hospital and Clinic, Inc. | 1725 Pine St, Montgomery, AL 36106-1109 |
| Brandi Huett | Nurse Practitioner | Nes Tennessee, Inc. | 1725 Pine St, Montgomery, AL 36106-1109 |
| Beatrice B Norris | Nurse Practitioner | Nes Tennessee, Inc. | 1725 Pine St, Montgomery, AL 36106-1109 |
| Ngozi C Okeke | Internal Medicine | Jackson Hospital and Clinic, Inc. | 1725 Pine St, Montgomery, AL 36106-1109 |
| Joshua Campbell | Certified Registered Nurse Anesthetist (crna) | Montgomery Anesthesia Associates, PC | 1725 Pine St, Montgomery, AL 36106-1109 |
| Lisa J Williams | Pulmonary Disease | Jackson Hospital and Clinic, Inc. | 1725 Pine St, Montgomery, AL 36106-1109 |
| Hayley Cherry | Certified Registered Nurse Anesthetist (crna) | Montgomery Anesthesia Associates, PC | 1725 Pine St, Montgomery, AL 36106-1109 |
| Wanjiru N Muigai | Internal Medicine | Jackson Hospital and Clinic, Inc. | 1725 Pine St, Montgomery, AL 36106-1109 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Glenn D Bedsole | Infectious Disease | 1801 Pine St, Montgomery, AL 36106-0165 | |
| Richard A Stehl | Family Practice | 1801 Pine St, Montgomery, AL 36106-0165 | |
| Wesley H Barry Jr. | General Surgery | Jackson Hospital and Clinic, Inc. | 1722 Pine St, Suite 904, Montgomery, AL 36106-1104 |
| Alfred J Newman Jr. | Urology | 1722 Pine St, Suite 903, Montgomery, AL 36106-1104 | |
| Nannette Laraine Mcdaniel | Family Practice | Adams Family Practice PC | 1323 B Mulberry St, Montgomery, AL 36106-1106 |
| Jacquelin Ratunil Chua | Rheumatology | Jackson Hospital and Clinic, Inc. | 1722 Pine St, Suite 801, Montgomery, AL 36106-1108 |
| Richard N Davis | Certified Registered Nurse Anesthetist (crna) | Montgomery Anesthesia Associates, PC | 1725 Pine St, Montgomery, AL 36106-1109 |
| George N Schaub | Certified Registered Nurse Anesthetist (crna) | Montgomery Anesthesia Associates, PC | 1725 Pine St, Montgomery, AL 36106-1109 |
| Glenn A Yates | Internal Medicine | Jackson Hospital and Clinic, Inc. | 1725 Pine St, Montgomery, AL 36106-1109 |
| Gilbert Niles Clinton Ii | Anesthesiology | Montgomery Anesthesia Associates, PC | 1725 Pine St, Montgomery, AL 36106-1109 |
| Find all physicians in zip 36106 | |||
| City | MONTGOMERY |
| Zip Code | 36106 |
| Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| City + Specialty | MONTGOMERY + CARDIOVASCULAR DISEASE (CARDIOLOGY) |
Please comment or provide details below to improve the information on Shyam Padmanabhan.
| 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.