Rohan J Shah (NPI# 1811139470, PAC ID# 1951566462) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPHTHALMOLOGY.
| Nation Provider ID (NPI) | 1811139470 |
| PAC ID by PECOS | 1951566462 |
| Professional Enrollment ID | I20120709000376 |
| Full Name | Rohan J Shah |
| Organization Legal Name | SOUTHEASTERN RETINA ASSOCIATES PC |
| Address |
1605 Williams Rd Suite 201 Hixson TN 37343-4934 |
| Phone Number | 4237561002 |
| Gender | M |
| Medical School | VANDERBILT UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2008 |
| Primary Specialty | OPHTHALMOLOGY |
| Group Practice PAC ID | 7517862360 |
| Number of Group Practice Members | 17 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 440104 | ERLANGER MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1606 Gunbarrel Rd, Suite 1, Chattanooga, TN 37421-7195 | 4237561002 | SOUTHEASTERN RETINA ASSOCIATES PC |
| 979 E 3rd St, Suite C235, Chattanooga, TN 37403-3309 | 4237561002 | SOUTHEASTERN RETINA ASSOCIATES PC |
| 1506 N Thornton Ave, Dalton, GA 30720-0000 | 4237561002 | SOUTHEASTERN RETINA ASSOCIATES PC |
| 1605 Williams Rd, Suite 201, Hixson, TN 37343-4934 | 4237561002 | SOUTHEASTERN RETINA ASSOCIATES PC |
| 1124 E Weisgarber Rd, Suite 207, Knoxville, TN 37909-2686 | 8655880811 | SOUTHEASTERN RETINA ASSOCIATES PC |
| 210 Redmond Nwrd, Rome, GA 30165-1538 | 7062048163 | SOUTHEASTERN RETINA ASSOCIATES PC |
| Organization Legal Name | SOUTHEASTERN RETINA ASSOCIATES PC |
| Physicians | 17 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mark E Kleinman | Ophthalmology | Southeastern Retina Associates PC | 161 Technology Ln, Johnson City, TN 37604-2010 |
| Devon H Ghodasra | Ophthalmology | Southeastern Retina Associates PC | 1605 Williams Rd, Suite 201, Hixson, TN 37343-4934 |
| Cristoforo Raymond Larzo | Ophthalmology | Southeastern Retina Associates PC | 1701 Euclid Ave, Suite A, Bristol, VA 24201-3700 |
| Tod A Mcmillan | Ophthalmology | Southeastern Retina Associates PC | 1124 E Weisgarber Rd, Suite 207, Knoxville, TN 37909-2686 |
| Joseph M Gunn | Ophthalmology | Southeastern Retina Associates PC | 161 Technology Ln, Johnson City, TN 37604-2010 |
| Joseph M Googe | Ophthalmology | Southeastern Retina Associates PC | 628 Smithview Dr, Maryville, TN 37803-6100 |
| Robert Shuler Jr. | Ophthalmology | Southeastern Retina Associates PC | 1124 E Weisgarber Rd, Suite 207, Knoxville, TN 37909-2686 |
| Stephen L Perkins | Ophthalmology | Southeastern Retina Associates PC | 1124 E Weisgarber Rd, Suite 207, Knoxville, TN 37909-2686 |
| Ailee M Laham | Ophthalmology | Southeastern Retina Associates PC | 1124 E Weisgarber Rd, Suite 207, Knoxville, TN 37909-2686 |
| Scott M Barb | Ophthalmology | Southeastern Retina Associates PC | 1124 E Weisgarber Rd, Suite 207, Knoxville, TN 37909-2686 |
| Street Address |
1605 WILLIAMS RD SUITE 201 |
| City | HIXSON |
| State | TN |
| Zip | 37343-4934 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Devon H Ghodasra | Ophthalmology | Southeastern Retina Associates PC | 1605 Williams Rd, Suite 201, Hixson, TN 37343-4934 |
| Richard I Breazeale | Ophthalmology | Southeastern Retina Associates PC | 1605 Williams Rd, Suite 201, Hixson, TN 37343-4934 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Cameron A Payne | Nurse Practitioner | Fast Access Healthcare | 5741 Hwy 153, Suite F, Hixson, TN 37343 |
| Amanda K Winters | Internal Medicine | Life Care Physician Services LLC | 5798 Hixson Home Place, Life Care Center of Hixson, Hixson, TN 37343-0000 |
| Warwick C Dell | Optometry | 8151 Hixson Pike, Hixson, TN 37343-1551 | |
| Rachael Koch | Nurse Practitioner | Minuteclinic Diagnostic of Tennessee PC | 8530 Hixson Pike, Hixson, TN 37343-1560 |
| Richard Arco | Chiropractic | 5437 Hixson Pike, Hixson, TN 37343-3238 | |
| Michael Roy Quackenbush | Optometry | Clayton B Rhodes Od PC | 5433 Hixson Pike, Hixson, TN 37343-3238 |
| Clayton B Rhodes | Optometry | Clayton B Rhodes Od PC | 5433 Hixson Pike, Hixson, TN 37343-3238 |
| Christina Marie Pish | Optometry | 5764 Hwy 153, Hixson, TN 37343-3727 | |
| Carter Alexis Wear | Physician Assistant | Fast Access Healthcare | 5622 Hwy 153 E, Hixson, TN 37343-3768 |
| Brooke Ward | Physician Assistant | Fast Access Healthcare | 5622 Hwy 153 E, Hixson, TN 37343-3768 |
| Find all physicians in zip 37343 | |||
| City | HIXSON |
| Zip Code | 37343 |
| Specialty | OPHTHALMOLOGY |
| City + Specialty | HIXSON + OPHTHALMOLOGY |
Please comment or provide details below to improve the information on Rohan J 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.