Victor A Shada (NPI# 1851390728, PAC ID# 3476448309) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1851390728 |
| PAC ID by PECOS | 3476448309 |
| Professional Enrollment ID | I20040727000398 |
| Full Name | Victor A Shada |
| Organization Legal Name | VICTOR A. SHADA, D.O., P.C. |
| Address |
1264 Dayton Ave Crossville TN 38555-6175 |
| Phone Number | 9314844560 |
| Gender | M |
| Credential | DO |
| Medical School | CHICAGO COLLEGE OF OSTEOPATHY |
| Graduation Year | 1996 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 2365532553 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 440009 | CUMBERLAND MEDICAL CENTER |
| 440059 | COOKEVILLE REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 115 Cumberland Plz, Crossville, TN 38555-4292 | 4232388923 | INDEPENDENT PHYSICAL THERAPY LLC |
| 1264 Dayton Ave, Crossville, TN 38555-6175 | 9314844560 | VICTOR A. SHADA, D.O., P.C. |
| 4929 Peavine Rd, Suite 101, Crossville, TN 38571-7995 | 9314847442 | INDEPENDENT PHYSICAL THERAPY LLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_EP_1 | e-Prescribing | 44% | |
| ACI_EC_TRANS_MR_1 | Medication Reconciliation | 29% | |
| ACI_EC_TRANS_PEA_1 | Provide Patient Access | 74% | |
| ACI_EC_TRANS_PEA_2 | View, Download, or Transmit (VDT) | 21% | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| ACI_EC_TRANS_PSE_1 | Patient-Specific Education | 0% | |
| ACI_EC_TRANS_SM_1 | Secure Messaging | 41% |
| Organization Legal Name | VICTOR A. SHADA, D.O., P.C. |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Megan E Huddleston | Physician Assistant | Victor A. Shada, D.o., P.C. | 1264 Dayton Ave, Crossville, TN 38555-6175 |
| Street Address |
1264 DAYTON AVE |
| City | CROSSVILLE |
| State | TN |
| Zip | 38555-6175 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Megan E Huddleston | Physician Assistant | Victor A. Shada, D.o., P.C. | 1264 Dayton Ave, Crossville, TN 38555-6175 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David M Arehart | Anesthesiology | 181 Matherly St, Crossville, TN 38555-1001 | |
| Brittany Hill Slatton | Nurse Practitioner | Covenant Medical Group Inc | 100 Lantana Rd, Suite 202, Crossville, TN 38555-1903 |
| Douglas R Carpenter | Family Medicine | Covenant Medical Group Inc | 100 Lantana Rd, Suite 202, Crossville, TN 38555-1903 |
| John M Lewis | Internal Medicine | Covenant Medical Group Inc | 100 Lantana Rd, Suite 202, Crossville, TN 38555-1903 |
| Carissa Beth Cooper | Nurse Practitioner | Covenant Medical Group Inc | 100 Lantana Rd, Suite 202, Crossville, TN 38555-1903 |
| Julie Fossett | Nurse Practitioner | Covenant Medical Group Inc | 100 Lantana Rd, Suite 202, Crossville, TN 38555-1903 |
| Michael C Good | Obstetrics/gynecology | Covenant Medical Group Inc | 100 Lantana Rd, Suite 202, Crossville, TN 38555-1903 |
| Julie L Livesay | Nurse Practitioner | Covenant Medical Group Inc | 100 Lantana Rd, Suite 202, Crossville, TN 38555-1903 |
| Lia C Boyanton | Family Medicine | Covenant Medical Group Inc | 100 Lantana Rd, Suite 202, Crossville, TN 38555-1903 |
| Robert E Nichols | Internal Medicine | Covenant Medical Group Inc | 100 Lantana Rd, Suite 202, Crossville, TN 38555-1903 |
| Find all physicians in zip 38555 | |||
| City | CROSSVILLE |
| Zip Code | 38555 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | CROSSVILLE + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Victor A Shada.
| 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.