Syed A Shah (NPI# 1447485784, PAC ID# 4880842764) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NEPHROLOGY.
| Nation Provider ID (NPI) | 1447485784 |
| PAC ID by PECOS | 4880842764 |
| Professional Enrollment ID | I20161018000664 |
| Full Name | Syed A Shah |
| Organization Legal Name | FOX VALLEY NEPHROLOGY PTR SC |
| Address |
300 N Commercial St Suite 2 Neenah WI 54956-2619 |
| Phone Number | 9208860818 |
| Gender | M |
| Graduation Year | 2012 |
| Primary Specialty | NEPHROLOGY |
| Secondary Specialties | INTERNAL MEDICINE |
| Group Practice PAC ID | 3870559404 |
| Number of Group Practice Members | 10 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 520045 | THEDA CLARK MEDICAL CENTER |
| 520009 | ST ELIZABETH HOSPITAL |
| 520160 | THEDACARE REGIONAL MEDICAL CENTER - APPLETON INC |
| 521346 | SHAWANO MEDICAL CENTER |
| 521317 | CALUMET MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 300 N Commercial St, Suite 2, Neenah, WI 54956-2619 | 9208860818 | FOX VALLEY NEPHROLOGY PTR SC |
| Organization Legal Name | FOX VALLEY NEPHROLOGY PTR SC |
| Physicians | 10 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nicole M Becher | Nurse Practitioner | Fox Valley Nephrology Ptr Sc | 300 N Commercial St, Suite 2, Neenah, WI 54956-2619 |
| Rachel A Koeper | Nurse Practitioner | Fox Valley Nephrology Ptr Sc | 300 N Commercial St, Suite 2, Neenah, WI 54956-2619 |
| Kim R Riess-sagers | Nephrology | Fox Valley Nephrology Ptr Sc | 300 N Commercial St, Suite 2, Neenah, WI 54956-2619 |
| Kay L Conradt | Nurse Practitioner | Fox Valley Nephrology Ptr Sc | 300 N Commercial St, Suite 2, Neenah, WI 54956-2619 |
| David W Koeper | General Practice | Fox Valley Nephrology Ptr Sc | 300 N Commercial St, Suite 2, Neenah, WI 54956-2619 |
| Atif A Qureshi | Nephrology | Fox Valley Nephrology Ptr Sc | 300 N Commercial St, Suite 2, Neenah, WI 54956-2619 |
| Jennifer J Mccormick | Physician Assistant | Fox Valley Nephrology Ptr Sc | 300 N Commercial St, Suite 2, Neenah, WI 54956-2619 |
| Osaid K Ahmad | Nephrology | Fox Valley Nephrology Ptr Sc | 300 N Commercial St, Suite 2, Neenah, WI 54956-2619 |
| Courtney R Beaudette | Nurse Practitioner | Fox Valley Nephrology Ptr Sc | 300 N Commercial St, Suite 2, Neenah, WI 54956-2619 |
| Street Address |
300 N COMMERCIAL ST SUITE 2 |
| City | NEENAH |
| State | WI |
| Zip | 54956-2619 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nicole M Becher | Nurse Practitioner | Fox Valley Nephrology Ptr Sc | 300 N Commercial St, Suite 2, Neenah, WI 54956-2619 |
| Rachel A Koeper | Nurse Practitioner | Fox Valley Nephrology Ptr Sc | 300 N Commercial St, Suite 2, Neenah, WI 54956-2619 |
| Kim R Riess-sagers | Nephrology | Fox Valley Nephrology Ptr Sc | 300 N Commercial St, Suite 2, Neenah, WI 54956-2619 |
| Kay L Conradt | Nurse Practitioner | Fox Valley Nephrology Ptr Sc | 300 N Commercial St, Suite 2, Neenah, WI 54956-2619 |
| David W Koeper | General Practice | Fox Valley Nephrology Ptr Sc | 300 N Commercial St, Suite 2, Neenah, WI 54956-2619 |
| Atif A Qureshi | Nephrology | Fox Valley Nephrology Ptr Sc | 300 N Commercial St, Suite 2, Neenah, WI 54956-2619 |
| Jennifer J Mccormick | Physician Assistant | Fox Valley Nephrology Ptr Sc | 300 N Commercial St, Suite 2, Neenah, WI 54956-2619 |
| Osaid K Ahmad | Nephrology | Fox Valley Nephrology Ptr Sc | 300 N Commercial St, Suite 2, Neenah, WI 54956-2619 |
| Courtney R Beaudette | Nurse Practitioner | Fox Valley Nephrology Ptr Sc | 300 N Commercial St, Suite 2, Neenah, WI 54956-2619 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gizell R Larson | Neurology | The Neuroscience Group of Northeast Wisconsin Sc | 1305 W American Dr, Neenah, WI 54956-1401 |
| Brianne M Wienkers | Physical Therapy | The Neuroscience Group of Northeast Wisconsin Sc | 1305 W American Dr, Neenah, WI 54956-1401 |
| Jill M Hietpas | Physician Assistant | The Neuroscience Group of Northeast Wisconsin Sc | 1305 W American Dr, Neenah, WI 54956-1401 |
| Tait D Fors | Urology | Wisconsin Institute of Urology Sc | 1265 W American Dr, Suite 100, Neenah, WI 54956-1405 |
| Brian T Bolinger | Diagnostic Radiology | Radiology Associates of The Fox Valley, Sc | 740 Deerwood Ave, Neenah, WI 54956-1601 |
| Curtis C Baltz | Internal Medicine | Thedacare Incorporated | 333 N Green Bay Rd, Neenah, WI 54956-1954 |
| Megan J Kane | Family Medicine | Thedacare Incorporated | 333 N Green Bay Rd, Neenah, WI 54956-1954 |
| Richard D Klamm | Family Medicine | Thedacare Incorporated | 333 N Green Bay Rd, Neenah, WI 54956-1954 |
| Jennifer A Norden | Internal Medicine | Thedacare Incorporated | 333 N Green Bay Rd, Neenah, WI 54956-1954 |
| Venkata S Udayagiri | Family Medicine | Thedacare Incorporated | 333 N Green Bay Rd, Neenah, WI 54956-1954 |
| Find all physicians in zip 54956 | |||
| City | NEENAH |
| Zip Code | 54956 |
| Specialty | NEPHROLOGY |
| City + Specialty | NEENAH + NEPHROLOGY |
Please comment or provide details below to improve the information on Syed A 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.