Shadi M Haddadin
JEFFERSON CITY MEDICAL GROUP PC


Address: 1241 W Stadium Blvd, Family Practice, Jefferson Cty, MO 65109-6023
Phone: 5735565771

Shadi M Haddadin (NPI# 1073611919, PAC ID# 7517046865) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is HEMATOLOGY/ONCOLOGY.

Physician Overview

Nation Provider ID (NPI) 1073611919
PAC ID by PECOS 7517046865
Professional Enrollment ID I20080512000427
Full Name Shadi M Haddadin
Organization Legal Name JEFFERSON CITY MEDICAL GROUP PC
Address 1241 W Stadium Blvd
Family Practice
Jefferson Cty
MO 65109-6023
Phone Number 5735565771
Gender M
Graduation Year 2001
Primary Specialty HEMATOLOGY/ONCOLOGY
Secondary Specialties INTERNAL MEDICINE
Group Practice PAC ID 1850371089
Number of Group Practice Members 112
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
260011 SSM HEALTH ST MARY'S HOSPITAL JEFFERSON CITY
260047 CAPITAL REGION MEDICAL CENTER
260068 BOONE HOSPITAL CENTER

Other Locations

Address Phone Organization
1241 W Stadium Blvd, Family Practice, Jefferson Cty, MO 65109-6023 5735565771 JEFFERSON CITY MEDICAL GROUP PC

Organization Information

Organization Legal Name JEFFERSON CITY MEDICAL GROUP PC
Physicians 102

Physicians with the same organization

Name Specialty Organization Address
Robyn Ellen Powers Nurse Practitioner Jefferson City Medical Group PC 3605 Country Club Dr, Jefferson City, MO 65109-1070
Tracy J Guthrie Nurse Practitioner Jefferson City Medical Group PC 2303 S Hwy 65 A, Missouri Valley Physicians A Division of Jcmg, Marshall, MO 65340-3735
Joyce Wilson Hand Surgery Jefferson City Medical Group PC 1225 W Stadium Blvd, Jefferson City, MO 65101
Willis H Hoyt Iii Otolaryngology Jefferson City Medical Group PC 1055 Ozark Care Dr, Suite A, Osage Beach, MO 65065-3016
Douglas J Howland Otolaryngology Jefferson City Medical Group PC 1055 Ozark Care Dr A, Ear Nose Throat and Sinus Surgery, Osage Beach, MO 65065-3016
Judy A Wienke Nurse Practitioner Jefferson City Medical Group PC 606 E Buchanan St, Family Health Clinic, California, MO 65018-1910
Michael Steenbergen Family Medicine Jefferson City Medical Group PC 1306 E Main St, Linn, MO 65051-2503
Thomas Schneider Pulmonary Disease Jefferson City Medical Group PC 1241 W Stadium Blvd, Jefferson City, MO 65109-6023
Saira Babar Family Medicine Jefferson City Medical Group PC 1735 Elm Ct, Jefferson City, MO 65101-4129
Philip L Rumbaoa Family Medicine Jefferson City Medical Group PC 5816 Osage Beach Pkwy, Suite 105, Osage Beach, MO 65065-3046

Office Location

Street Address 1241 W STADIUM BLVD
FAMILY PRACTICE
City JEFFERSON CTY
State MO
Zip 65109-6023

Physicians in the same location

Name Specialty Organization Address
Thomas Schneider Pulmonary Disease Jefferson City Medical Group PC 1241 W Stadium Blvd, Jefferson City, MO 65109-6023
John G Charbonneau Certified Registered Nurse Anesthetist (crna) Mid Missouri Anesthesia Consultants PC 1241 W Stadium Blvd, Jefferson City Medical Group, Jefferson City, MO 65109-6023
Elliott D Roberts Diagnostic Radiology Jefferson City Medical Group PC 1241 W Stadium Blvd, Jefferson City, MO 65109-6023
Allyson J Ihms Certified Registered Nurse Anesthetist (crna) Jefferson City Medical Group PC 1241 W Stadium Blvd, Jefferson City, MO 65109-6023
Zebulon E Thomeczek Certified Registered Nurse Anesthetist (crna) Jefferson City Medical Group PC 1241 W Stadium Blvd, Family Practice, Jefferson Cty, MO 65109-6023
Bonnie R Smith Diagnostic Radiology Jefferson City Medical Group PC 1241 W Stadium Blvd, Family Practice, Jefferson Cty, MO 65109-6023
Indumathi R Baskar Internal Medicine Jefferson City Medical Group PC 1241 W Stadium Blvd, Family Practice, Jefferson Cty, MO 65109-6023
Deana M Berrey Anesthesiology Jefferson City Medical Group PC 1241 W Stadium Blvd, Jefferson City, MO 65109-6023
Amanda L Peters Nurse Practitioner Jefferson City Medical Group PC 1241 W Stadium Blvd, Jefferson City, MO 65109-6023
Philip J Wilson Ophthalmology Jefferson City Medical Group PC 1241 W Stadium Blvd, Family Practice, Jefferson Cty, MO 65109-6023
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Physicians in the same zip code

Name Specialty Organization Address
Lindsey M Koelling Registered Dietitian Or Nutrition Professional Hy Vee Inc 3721 W Truman Boulevard, Jefferson City, MO 65109-0536
Eric I Vogt Urology Urology Care, Inc. 3207 W Truman Blvd, Suite A, Jefferson City, MO 65109-0892
Douglas A West Urology Urology Care, Inc. 3207 W Truman Blvd, Suite A, Jefferson City, MO 65109-0892
Jerry J Trulson Urology Urology Care, Inc. 3207 W Truman Blvd, Suite A, Jefferson City, MO 65109-0892
Michael S Severance Urology Urology Care, Inc. 3207 W Truman Blvd, Suite A, Jefferson City, MO 65109-0892
Robyn Ellen Powers Nurse Practitioner Jefferson City Medical Group PC 3605 Country Club Dr, Jefferson City, MO 65109-1070
Tanner W Coleman Chiropractic Jefferson City Medical Group PC 3605 Country Club Dr, Jefferson City, MO 65109-1070
Thomas D Robbins Family Medicine Jefferson City Medical Group PC 3605 Country Club Dr, Jefferson City, MO 65109-1070
Kaitlyn Belisle Chiropractic Health Quest Physicians Group, LLC 3349 American Ave, Suite B, Jefferson City, MO 65109-1079
Brian Conley Pediatric Medicine Ssm Regional Health Services 3348 American Ave, Jefferson City, MO 65109-1079
Find all physicians in zip 65109

Competitor

Search similar physicians

City JEFFERSON CTY
Zip Code 65109
Specialty HEMATOLOGY/ONCOLOGY
City + Specialty JEFFERSON CTY + HEMATOLOGY/ONCOLOGY

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Dataset Information

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.

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