Nishit Shah (NPI# 1023052537, PAC ID# 7618958992) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is COLORECTAL SURGERY (PROCTOLOGY).
| Nation Provider ID (NPI) | 1023052537 |
| PAC ID by PECOS | 7618958992 |
| Professional Enrollment ID | I20081008000009 |
| Full Name | Nishit Shah |
| Organization Legal Name | UNIVERSITY SURGICAL ASSOCIATES, INC. |
| Address |
208 Collyer St Suite 302 Providence RI 02904-1560 |
| Phone Number | 4017254888 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1989 |
| Primary Specialty | COLORECTAL SURGERY (PROCTOLOGY) |
| Group Practice PAC ID | 4082503032 |
| Number of Group Practice Members | 81 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 410007 | RHODE ISLAND HOSPITAL |
| 410012 | THE MIRIAM HOSPITAL |
| 220020 | SAINT ANNE'S HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 208 Collyer St, Suite 302, Providence, RI 02904-1560 | 4017254888 | UNIVERSITY SURGICAL ASSOCIATES, INC. |
| 562 Washington St, South Attleboro, MA 02703-6942 | 4017254888 | UNIVERSITY SURGICAL ASSOCIATES, INC. |
| Organization Legal Name | UNIVERSITY SURGICAL ASSOCIATES, INC. |
| Physicians | 83 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nicole K Breting | Nurse Practitioner | University Surgical Associates, Inc. | 593 Eddy St Apc, Suite 4, Providence, RI 02903-4923 |
| Karen Doyle | Nurse Practitioner | University Surgical Associates, Inc. | 23 Powel Ave, Newport, RI 02840-2692 |
| Lars Stangenberg | Vascular Surgery | University Surgical Associates, Inc. | 2 Dudley St, Suite 470, Providence, RI 02905-3248 |
| Bradford C Gray | General Surgery | University Surgical Associates, Inc. | 11 Friendship St, Newport, RI 02840-2209 |
| Todd Stafford | General Surgery | University Surgical Associates, Inc. | 2 Dudley St, Suite 190, Providence, RI 02905-3248 |
| Amy P Pilotte | Nurse Practitioner | University Surgical Associates, Inc. | 2 Dudley St, Suite 470, Providence, RI 02905-3248 |
| Veronica Seippel | Nurse Practitioner | University Surgical Associates, Inc. | 593 Eddy St Apc, Suite 4, Providence, RI 02903-4923 |
| Kenneth Lynch | Nurse Practitioner | University Surgical Associates, Inc. | 593 Eddy St Apc, Suite 4, Providence, RI 02903-4923 |
| Stephanie N Lueckel | General Surgery | University Surgical Associates, Inc. | 2 Dudley St, Suite 190, Providence, RI 02905-3248 |
| Eric Benoit | General Surgery | University Surgical Associates, Inc. | 2 Dudley St, Suite 190, Providence, RI 02905-3248 |
| Street Address |
208 COLLYER ST SUITE 302 |
| City | PROVIDENCE |
| State | RI |
| Zip | 02904-1560 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Laurel A Gay | Physician Assistant | The Miriam Hospital | 208 Collyer St, Suite 100, Providence, RI 02904-1560 |
| Adam Klipfel | Colorectal Surgery (proctology) | University Surgical Associates, Inc. | 208 Collyer St, Suite 302, Providence, RI 02904-1560 |
| Fredric V Christian | Cardiovascular Disease (cardiology) | The Miriam Hospital | 208 Collyer St, Suite 100, Providence, RI 02904-1560 |
| Roger D Raymond | Cardiovascular Disease (cardiology) | The Miriam Hospital | 208 Collyer St, Suite 100, Providence, RI 02904-1560 |
| Michelle Kristen Finkelman | Nurse Practitioner | The Miriam Hospital | 208 Collyer St, Suite 100, Providence, RI 02904-1560 |
| Olivia Macaskill | Nurse Practitioner | The Miriam Hospital | 208 Collyer St, Suite 100, Providence, RI 02904-1560 |
| Susan P Emaus | Physician Assistant | The Miriam Hospital | 208 Collyer St, Suite 100, Providence, RI 02904-1560 |
| Kenneth S Korr | Cardiovascular Disease (cardiology) | The Miriam Hospital | 208 Collyer St, Providence, RI 02904-1560 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert B Patterson | Vascular Surgery | 486 Silver Spring St, Providence, RI 02904-1556 | |
| Robert Kohn | Psychiatry | 42 General St, Providence, RI 02904-1650 | |
| Frank M Dalessandro | Internal Medicine | Frank Michael D'alessandro Md Inc | 1195 N Main St, Providence, RI 02904-1824 |
| Sheik Amat Tijan Faye | Physician Assistant | East Side Urgent Care LLC | 1195 N Main St, Providence, RI 02904-1824 |
| Ian P Krouson | Physician Assistant | East Side Urgent Care LLC | 1195 N Main St, Providence, RI 02904-1824 |
| Daniel N Valicenti | Internal Medicine | East Side Primary Care Providence LLC | 1195 N Main St, Fl 2, Providence, RI 02904-1824 |
| Carolyn K Mcgrath | Emergency Medicine | East Side Urgent Care LLC | 1195 N Main St, Providence, RI 02904-1824 |
| Antonio Paul Cruz | Dermatology | Skinpros, LLC | 1287 N Main St, Providence, RI 02904-1856 |
| Mark A Trott | Physician Assistant | Skinpros, LLC | 1287 N Main St, Providence, RI 02904-1856 |
| Stephen E Glinick | Dermatology | Skinpros, LLC | 1287 N Main St, Providence, RI 02904-1856 |
| Find all physicians in zip 02904 | |||
| City | PROVIDENCE |
| Zip Code | 02904 |
| Specialty | COLORECTAL SURGERY (PROCTOLOGY) |
| City + Specialty | PROVIDENCE + COLORECTAL SURGERY (PROCTOLOGY) |
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| 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.