Jeromy Michael Shoup (NPI# 1053960120, PAC ID# 2466783667) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1053960120 |
| PAC ID by PECOS | 2466783667 |
| Professional Enrollment ID | I20191018000643 |
| Full Name | Jeromy Michael Shoup |
| Organization Legal Name | PROACTIVE CLINICAL PARTNERS |
| Address |
937 E 186th St Wellbrooke of Westfield Westfield IN 46074-7827 |
| Phone Number | 3179417338 |
| Gender | M |
| Graduation Year | 2019 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 8527315852 |
| Number of Group Practice Members | 13 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 7145 E 21st St, Brookeview, Indianapolis, IN 46219-1715 | 8883204625 | PROACTIVE CLINICAL PARTNERS |
| 937 E 186th St, Wellbrooke of Westfield, Westfield, IN 46074-7827 | 3179417338 | PROACTIVE CLINICAL PARTNERS |
| Organization Legal Name | PROACTIVE CLINICAL PARTNERS |
| Physicians | 11 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dannielle Christine Gilyan | Nurse Practitioner | Proactive Clinical Partners | 1108 Kingwood Dr, Avon, IN 46123-5500 |
| Courtney N Bumbalough | Nurse Practitioner | Proactive Clinical Partners | 2494 N Lebanon St, Homewood of Lebanon, Lebanon, IN 46052-1111 |
| Carla M Roberson | Nurse Practitioner | Proactive Clinical Partners | 1959 E Columbus St, Grandview Health and Rehabilitation, Martinsville, IN 46151-1857 |
| Saad A Hafidh | Internal Medicine | Proactive Clinical Partners | 2002 W 86th St, Willow Springs, Indianapolis, IN 46260-1903 |
| Syed K Hashmi | Internal Medicine | Proactive Clinical Partners | 45 Beachway Dr, Indianapolis, IN 46224-8501 |
| Heather Abbott | Nurse Practitioner | Proactive Clinical Partners | 1108 Kingwood Dr, Avon, IN 46123-5500 |
| Renee' K Mcdonald | Nurse Practitioner | Proactive Clinical Partners | 2002 W 86th St, Willow Springs, Indianapolis, IN 46260-1903 |
| Jessica E Squires | Physician Assistant | Proactive Clinical Partners | 1108 Kingwood Dr, Avon, IN 46123-5500 |
| Jennifer Dale | Nurse Practitioner | Proactive Clinical Partners | 1108 Kingwood Dr, Avon, IN 46123-5500 |
| Ibrar Faqir Paracha | Nephrology | Proactive Clinical Partners | 1108 Kingwood Dr, Avon, IN 46123-5500 |
| Street Address |
937 E 186TH ST WELLBROOKE OF WESTFIELD |
| City | WESTFIELD |
| State | IN |
| Zip | 46074-7827 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Marilou Tianzon Quirk | Nurse Practitioner | 1348 Mayfield Ct, Westfield, IN 46074-0230 | |
| Bryan R Ruggles | Physical Therapy | Accelerated Rehabilitation Centers Ltd | 956 Tournament Trl, Westfield, IN 46074-6200 |
| Kevin Lamb | Physical Therapy | Accelerated Rehabilitation Centers Ltd | 956 Tournament Trl, Westfield, IN 46074-6200 |
| Kate M Vanpoppel | Physician Assistant | Orthopaedics Indianapolis, Inc | 17471 Wheeler Rd, Suite 112, Westfield, IN 46074-6901 |
| Michael Franklin Coscia | Orthopedic Surgery | Orthopaedics Indianapolis, Inc | 17471 Wheeler Rd, Suite 112, Westfield, IN 46074-6901 |
| Sean J Sreniawski | Physician Assistant | Orthopaedics Indianapolis, Inc | 17471 Wheeler Rd, Suite 112, Westfield, IN 46074-6901 |
| Gabriel E Jackson | Orthopedic Surgery | Orthopaedics Indianapolis, Inc | 17471 Wheeler Rd, Suite 112, Westfield, IN 46074-6901 |
| Michael P Harvey | Physician Assistant | Orthopaedics Indianapolis, Inc | 17471 Wheeler Rd, Suite 112, Westfield, IN 46074-6901 |
| Stefanie D Corbitt | Physician Assistant | Orthopaedics Indianapolis, Inc | 17471 Wheeler Rd, Suite 112, Westfield, IN 46074-6901 |
| Elena M Rand-ready | Physician Assistant | Orthopaedics Indianapolis, Inc | 17471 Wheeler Rd, Suite 112, Westfield, IN 46074-6901 |
| Find all physicians in zip 46074 | |||
| City | WESTFIELD |
| Zip Code | 46074 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | WESTFIELD + NURSE PRACTITIONER |
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| 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.