Shobha R Wani (NPI# 1184762122, PAC ID# 7911008644) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is RHEUMATOLOGY.
| Nation Provider ID (NPI) | 1184762122 |
| PAC ID by PECOS | 7911008644 |
| Professional Enrollment ID | I20070725000631 |
| Full Name | Shobha R Wani |
| Organization Legal Name | DAYTON ARTHRITIS AND ALLERGY CENTER LLC |
| Address |
3075 Governors Place Blvd Suite 110 Dayton OH 45409-1332 |
| Phone Number | 9372960015230 |
| Gender | F |
| Graduation Year | 1989 |
| Primary Specialty | RHEUMATOLOGY |
| Secondary Specialties | INTERNAL MEDICINE |
| Group Practice PAC ID | 3971541368 |
| Number of Group Practice Members | 7 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 360051 | MIAMI VALLEY HOSPITAL |
| 360133 | GRANDVIEW AND SOUTHVIEW HOSPITALS |
| 360079 | KETTERING MEDICAL CENTER |
| 360360 | SOIN MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 3075 Governors Place Blvd, Suite 110, Dayton, OH 45409-1332 | 9372960015230 | DAYTON ARTHRITIS AND ALLERGY CENTER LLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_039_overall | Screening for Osteoporosis for Women Aged 65-85 Years of Age | 100% | |
| MIPS_EC_111_overall | Pneumococcal Vaccination Status for Older Adults | 95% | |
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% |
| Organization Legal Name | DAYTON ARTHRITIS AND ALLERGY CENTER LLC |
| Physicians | 7 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael W Stevens | Rheumatology | Dayton Arthritis and Allergy Center LLC | 3075 Governors Place Blvd, Suite 110, Dayton, OH 45409-1332 |
| Hana M Badreddine | Rheumatology | Dayton Arthritis and Allergy Center LLC | 3075 Governors Place Blvd, Suite 110, Dayton, OH 45409-1332 |
| Amanda Stegemiller | Physician Assistant | Dayton Arthritis and Allergy Center LLC | 3075 Governors Place Blvd, Suite 110, Dayton, OH 45409-1332 |
| Julie D Haver | Nurse Practitioner | Dayton Arthritis and Allergy Center LLC | 3075 Governors Place Blvd, Suite 110, Dayton, OH 45409-1332 |
| Aliya U Khan | Rheumatology | Dayton Arthritis and Allergy Center LLC | 3075 Governors Place Blvd, Suite 110, Dayton, OH 45409-1332 |
| Thomas W Henderson | Rheumatology | Dayton Arthritis and Allergy Center LLC | 3075 Governors Place Blvd, Suite 110, Dayton, OH 45409-1332 |
| Street Address |
3075 GOVERNORS PLACE BLVD SUITE 110 |
| City | DAYTON |
| State | OH |
| Zip | 45409-1332 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jason Ratliff | Certified Registered Nurse Anesthetist (crna) | Gasjobs of Oh, Inc | 3075 Governors Place Blvd, Suite 120, Dayton, OH 45409-1332 |
| Michael W Stevens | Rheumatology | Dayton Arthritis and Allergy Center LLC | 3075 Governors Place Blvd, Suite 110, Dayton, OH 45409-1332 |
| William F Green | Certified Registered Nurse Anesthetist (crna) | Gasjobs of Oh, Inc | 3075 Governors Place Blvd, Suite 120, Dayton, OH 45409-1332 |
| Joel P Solomon | Certified Registered Nurse Anesthetist (crna) | Gasjobs of Oh, Inc | 3075 Governors Place Blvd, Suite 120, Dayton, OH 45409-1332 |
| Hana M Badreddine | Rheumatology | Dayton Arthritis and Allergy Center LLC | 3075 Governors Place Blvd, Suite 110, Dayton, OH 45409-1332 |
| Matthew Sebastian | Interventional Radiology | Dayton Interventional Radiology LLC | 3075 Governors Place Blvd, Suite 120, Dayton, OH 45409-1332 |
| Amanda Stegemiller | Physician Assistant | Dayton Arthritis and Allergy Center LLC | 3075 Governors Place Blvd, Suite 110, Dayton, OH 45409-1332 |
| Julie D Haver | Nurse Practitioner | Dayton Arthritis and Allergy Center LLC | 3075 Governors Place Blvd, Suite 110, Dayton, OH 45409-1332 |
| Mubin Syed | Diagnostic Radiology | Dayton Interventional Radiology LLC | 3075 Governors Place Blvd, Suite 120, Dayton, OH 45409-1332 |
| Aliya U Khan | Rheumatology | Dayton Arthritis and Allergy Center LLC | 3075 Governors Place Blvd, Suite 110, Dayton, OH 45409-1332 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nancy R Milam | Psychologist, Clinical | 1250 W Dorothy Ln, Suite 208, Kettering, OH 45409-1313 | |
| Chris Steuerwald | Certified Registered Nurse Anesthetist | Gasjobs of Oh, Inc | 3075 Governors Place Blvd, Dayton, OH 45409-1323 |
| Karen Champion | Certified Registered Nurse Anesthetist | Gasjobs of Oh, Inc | 3075 Governors Place Blvd, Dayton, OH 45409-1323 |
| Julie A Schloemer | Dermatology | Dayton Skin Surgery Center Inc | 3025 Governors Place Blvd, Dayton, OH 45409-1330 |
| Paul Gruber | Dermatology | Dayton Skin Surgery Center Inc | 3025 Governors Place Blvd, Dayton, OH 45409-1330 |
| Martha A Hickmann | Dermatology | Dayton Skin Surgery Center Inc | 3025 Governors Place Blvd, Dayton, OH 45409-1330 |
| Joseph W Mcgowan Iv | Dermatology | Dayton Skin Surgery Center Inc | 3025 Governors Place Blvd, Dayton, OH 45409-1330 |
| Shannon Patrick Buck | Dermatology | Dayton Skin Surgery Center Inc | 3025 Governors Place Blvd, Dayton, OH 45409-1330 |
| Gwyn E King | Dermatology | Dayton Skin Surgery Center Inc | 3025 Governors Place Blvd, Dayton, OH 45409-1330 |
| Heidi Donnelly | Dermatology | Dayton Skin Surgery Center Inc | 3025 Governors Place Blvd, Dayton, OH 45409-1330 |
| Find all physicians in zip 45409 | |||
| City | DAYTON |
| Zip Code | 45409 |
| Specialty | RHEUMATOLOGY |
| City + Specialty | DAYTON + RHEUMATOLOGY |
Please comment or provide details below to improve the information on Shobha R Wani.
| 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.