Richard D Shade Jr. (NPI# 1326148313, PAC ID# 5294796488) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CHIROPRACTIC.
| Nation Provider ID (NPI) | 1326148313 |
| PAC ID by PECOS | 5294796488 |
| Professional Enrollment ID | I20090330000655 |
| Full Name | Richard D Shade Jr. |
| Organization Legal Name | EAST GREENBUSH CHIROPRACTIC PLLC |
| Address |
569 Columbia Tpke East Greenbush NY 12061-1621 |
| Phone Number | 5184775000 |
| Gender | M |
| Credential | DC |
| Medical School | SHERMAN COLLEGE OF STRAIGHT CHIROPRACTIC |
| Graduation Year | 1995 |
| Primary Specialty | CHIROPRACTIC |
| Group Practice PAC ID | 8820341605 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 569 Columbia Tpke, East Greenbush, NY 12061-1621 | 5184775000 | EAST GREENBUSH CHIROPRACTIC PLLC |
| Organization Legal Name | EAST GREENBUSH CHIROPRACTIC PLLC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Timothy M Kelly | Chiropractic | East Greenbush Chiropractic Pllc | 569 Columbia Tpke, East Greenbush, NY 12061-1621 |
| Street Address |
569 COLUMBIA TPKE |
| City | EAST GREENBUSH |
| State | NY |
| Zip | 12061-1621 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Timothy M Kelly | Chiropractic | East Greenbush Chiropractic Pllc | 569 Columbia Tpke, East Greenbush, NY 12061-1621 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James C Ansel | Psychologist, Clinical | 77 Troy Rd, East Greenbush, NY 12061-1330 | |
| Winter M Guffey | Chiropractic | 91 Troy Rd, East Greenbush, NY 12061-1348 | |
| Laxmikant Bhoiwala | Internal Medicine | 598 Columbia Tpke, East Greenbush, NY 12061-1622 | |
| Dipti L Bhoiwala | Internal Medicine | 598 Columbia Tpke, East Greenbush, NY 12061-1622 | |
| David A Kerschner | Chiropractic | 6 Greenwood Dr, East Greenbush, NY 12061-2036 | |
| Laurie A Runnerstrom | Optometry | 4 Springhurst Dr, Suite 108, East Greenbush, NY 12061-2233 | |
| Jenna Turner | Physical Therapy | Columbia Physical Therapy PC | 3 Springhurst Dr, Suite 1, East Greenbush, NY 12061-2261 |
| Ashley Criscone | Physical Therapy | Columbia Physical Therapy PC | 3 Springhurst Dr, Suite 1, East Greenbush, NY 12061-2261 |
| Gina M Roemer | Physical Therapy | Columbia Physical Therapy PC | 3 Springhurst Dr, Suite 1, East Greenbush, NY 12061-2261 |
| Michaela Yannace | Physical Therapy | Columbia Physical Therapy PC | 3 Springhurst Dr, Suite 1, East Greenbush, NY 12061-2261 |
| Find all physicians in zip 12061 | |||
| City | EAST GREENBUSH |
| Zip Code | 12061 |
| Specialty | CHIROPRACTIC |
| City + Specialty | EAST GREENBUSH + CHIROPRACTIC |
Please comment or provide details below to improve the information on Richard D Shade Jr..
| 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.