Atta Ur Rehman Shahbaz (NPI# 1285842690, PAC ID# 4981840519) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CARDIOVASCULAR DISEASE (CARDIOLOGY).
| Nation Provider ID (NPI) | 1285842690 |
| PAC ID by PECOS | 4981840519 |
| Professional Enrollment ID | I20130913000025 |
| Full Name | Atta Ur Rehman Shahbaz |
| Organization Legal Name | DYERSBURG CLINIC CORP |
| Address |
503 E Tickle St Suite A Dyersburg TN 38024-3165 |
| Phone Number | 7312859938 |
| Gender | M |
| Graduation Year | 2002 |
| Primary Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| Secondary Specialties | INTERNAL MEDICINE |
| Group Practice PAC ID | 1658354238 |
| Number of Group Practice Members | 19 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 440072 | TENNOVA HEALTHCARE-DYERSBURG REGIONAL |
| 440002 | JACKSON-MADISON COUNTY GENERAL HOSPITAL |
| 440049 | METHODIST HEALTHCARE MEMPHIS HOSPITALS |
| 440189 | TENNOVA HEALTHCARE-REGIONAL JACKSON |
| Address | Phone | Organization |
|---|---|---|
| 108 W 15th St, Caruthersville, MO 63830-2202 | 5733330033 | DYERSBURG CLINIC CORP |
| 108 W 15th St, Caruthersville Clinic, Caruthersville, MO 63830-2202 | 5733330033 | DYERSBURG CLINIC CORP |
| 503 E Tickle St, Suite A, Dyersburg, TN 38024-3165 | 7312859938 | DYERSBURG CLINIC CORP |
| 503 E Tickle St, Dyersburg, TN 38024-3165 | 7312859938 | DYERSBURG CLINIC CORP |
| Organization Legal Name | DYERSBURG CLINIC CORP |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Douglas Haynes Jr. | Internal Medicine | Dyersburg Clinic Corp | 305 E Tickle St, Dyersburg, TN 38024-3117 |
| Donna Bennett | Obstetrics/gynecology | Dyersburg Clinic Corp | 503 E Tickle St, Dyersburg, TN 38024-3165 |
| Douglas S Fitzwater | Pediatric Medicine | Dyersburg Clinic Corp | 108 W 15th St, Caruthersville Clinic, Caruthersville, MO 63830-2202 |
| Craig Metcalf | Nurse Practitioner | Dyersburg Clinic Corp | 503 E Tickle St, Suite A, Dyersburg, TN 38024-3165 |
| Street Address |
503 E TICKLE ST SUITE A |
| City | DYERSBURG |
| State | TN |
| Zip | 38024-3165 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Olyn F Moore Iii | General Surgery | Wt Medical Associates | 503 E Tickle St, Suite A, Dyersburg, TN 38024-3165 |
| Donna Bennett | Obstetrics/gynecology | Dyersburg Clinic Corp | 503 E Tickle St, Dyersburg, TN 38024-3165 |
| Craig Metcalf | Nurse Practitioner | Dyersburg Clinic Corp | 503 E Tickle St, Suite A, Dyersburg, TN 38024-3165 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jeremy W Gatlin | Chiropractic | 1800 St John Ave, Dyersburg, TN 38024 | |
| Timothy D Sweo | Orthopedic Surgery | Noma PC | 1855 Hwy 51 Bypass, Suite B, Dyersburg, TN 38024 |
| James E Naifeh | Family Medicine | 640 Hwy 51 Bypass, Suite E, Dyersburg, TN 38024 | |
| James Tetleton | Nurse Practitioner | Mid-south Convenient Care, Pllc | 1445 Hwy 51 Bypass E, Suite B, Dyersburg, TN 38024 |
| Keata Anthony | Nurse Practitioner | Mid-south Convenient Care, Pllc | 1445 Hwy 51 Bypass E, Suite B, Dyersburg, TN 38024 |
| Kelly Lusk | Chiropractic | 1150 Hwy 51 By-pass W, Suite A, Dyersburg, TN 38024-0001 | |
| Eugene Michael Finan | Obstetrics/gynecology | Wt Medical Associates | 1720 Woodlawn Ave, Suite 1, Dyersburg, TN 38024-1300 |
| Becky Bruce | Nurse Practitioner | Wt Medical Associates | 1720 Woodlawn Ave, Suite 1, Dyersburg, TN 38024-1300 |
| William R Turner | Family Medicine | Wt Medical Associates | 1720 Woodlawn Ave, Suite 1, Dyersburg, TN 38024-1300 |
| Kelley C Burg | Nurse Practitioner | Wt Medical Associates | 1720 Woodlawn Ave, Suite 1, Dyersburg, TN 38024-1300 |
| Find all physicians in zip 38024 | |||
| City | DYERSBURG |
| Zip Code | 38024 |
| Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| City + Specialty | DYERSBURG + CARDIOVASCULAR DISEASE (CARDIOLOGY) |
Please comment or provide details below to improve the information on Atta Ur Rehman Shahbaz.
| 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.