Jack Freeman Shamblin Iii (NPI# 1831159615, PAC ID# 3173420304) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ANESTHESIOLOGY.
| Nation Provider ID (NPI) | 1831159615 |
| PAC ID by PECOS | 3173420304 |
| Professional Enrollment ID | I20080416000367 |
| Full Name | Jack Freeman Shamblin Iii |
| Organization Legal Name | EASTERN PANHANDLE ANESTHESIA ASSOCIATES |
| Address |
2500 Hospital Dr Martinsburg WV 25401-3402 |
| Phone Number | 3042741254 |
| Gender | M |
| Medical School | WEST VIRGINIA UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1990 |
| Primary Specialty | ANESTHESIOLOGY |
| Group Practice PAC ID | 5496652612 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 510008 | BERKELEY MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 2500 Hospital Dr, Martinsburg, WV 25401-3402 | 3042741254 | EASTERN PANHANDLE ANESTHESIA ASSOCIATES |
| Organization Legal Name | EASTERN PANHANDLE ANESTHESIA ASSOCIATES |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Satish Kumar Menon | Anesthesiology | Eastern Panhandle Anesthesia Associates | 2500 Hospital Dr, Martinsburg, WV 25401-3402 |
| Sarah Mcquitty Mclellan | Anesthesiology | Eastern Panhandle Anesthesia Associates | 2500 Hospital Dr, Martinsburg, WV 25401-3402 |
| Christopher Michael Spiess | Anesthesiology | Eastern Panhandle Anesthesia Associates | 2500 Hospital Dr, Martinsburg, WV 25401-3402 |
| James H Phillips | Anesthesiology | Eastern Panhandle Anesthesia Associates | 2500 Hospital Dr, Martinsburg, WV 25401-3402 |
| Timothy N Hall | Anesthesiology | Eastern Panhandle Anesthesia Associates | 2500 Hospital Dr, Martinsburg, WV 25401-3402 |
| Street Address |
2500 HOSPITAL DR |
| City | MARTINSBURG |
| State | WV |
| Zip | 25401-3402 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Daniel Rengstorff | Gastroenterology | Peninsula Gastroenterology Medical Group, Inc | 2500 Hospital Dr, Suite 8b, Mountain View, CA 94040-4114 |
| John F Riordan | Urology | University Healthcare Physicians Inc | 2500 Hospital Dr, Martinsburg, WV 25401-3402 |
| Sarah Jessica Harvey | Certified Registered Nurse Anesthetist (crna) | City Hospital Inc | 2500 Hospital Dr, Martinsburg, WV 25401-3402 |
| Chris Roman Koebele | Family Medicine | Hospitalist Medicine Physicians of West Virginia, Pllc | 2500 Hospital Dr, Martinsburg, WV 25401-3402 |
| Dimitri Misailidis | Diagnostic Radiology | Martinsburg Radiology Assoc Inc | 2500 Hospital Dr, Martinsburg, WV 25401-3402 |
| Satish Kumar Menon | Anesthesiology | Eastern Panhandle Anesthesia Associates | 2500 Hospital Dr, Martinsburg, WV 25401-3402 |
| Sanjay Saluja | Diagnostic Radiology | Martinsburg Radiology Assoc Inc | 2500 Hospital Dr, Martinsburg, WV 25401-3402 |
| Sarah Elizabeth Knott Cross | Physician Assistant | City Hospital Inc | 2500 Hospital Dr, Martinsburg, WV 25401-3402 |
| Mariam A Manoukian | Internal Medicine | University Healthcare Alliance | 2500 Hospital Dr, Suite 4a, Mountain View, CA 94040-4110 |
| Sarah Mcquitty Mclellan | Anesthesiology | Eastern Panhandle Anesthesia Associates | 2500 Hospital Dr, Martinsburg, WV 25401-3402 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Richard L Rauch | Podiatry | 123 Health Care Lane, Martinsburg, WV 25401 | |
| Paul G Welch | Nephrology | Otto Roza Md Pa | 103 Marcley Rd, Martinsburg, WV 25401 |
| Kerry L Bayer Cole | Nurse Practitioner | Hahn Medical Practices, Inc. | 215 Louisiana Ave, Martinsburg, WV 25401 |
| Pamela Jane Gavin | Nurse Practitioner | Otto Roza Md Pa | 103 Marcley Rd, Martinsburg, WV 25401 |
| Stephen Flax | Dermatology | Dermatology Associates Inc | 1008 Winchester Ave, Martinsburg, WV 25401-1764 |
| Maria Bogaert | Dermatology | Dermatology Associates Inc | 1008 Winchester Ave, Martinsburg, WV 25401-1764 |
| Frederick Wenzel | Dermatology | Dermatology Associates Inc | 1008 Winchester Ave, Martinsburg, WV 25401-1764 |
| Nicholas S Guzic | Optometry | Myeyedr Optometry of West Virginia Pllc | 910 Foxcroft Ave, Martinsburg, WV 25401-1835 |
| Karla Rae King | Physical Therapy | King Physical Therapy Inc | 772 Foxcroft Ave, Martinsburg, WV 25401-1838 |
| Pamelyn Suzanne Gregory | Physical Therapy | King Physical Therapy Inc | 772 Foxcroft Ave, Martinsburg, WV 25401-1838 |
| Find all physicians in zip 25401 | |||
| City | MARTINSBURG |
| Zip Code | 25401 |
| Specialty | ANESTHESIOLOGY |
| City + Specialty | MARTINSBURG + ANESTHESIOLOGY |
Please comment or provide details below to improve the information on Jack Freeman Shamblin Iii.
| 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.