Waseemullah Khan (NPI# 1073557864, PAC ID# 8325944531) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is HEMATOLOGY/ONCOLOGY.
| Nation Provider ID (NPI) | 1073557864 |
| PAC ID by PECOS | 8325944531 |
| Professional Enrollment ID | I20031209000727 |
| Full Name | Waseemullah Khan |
| Organization Legal Name | LAKE CITY CANCER CARE LLC |
| Address |
289 Swstonegate Ter Suite 103 Lake City FL 32024-3457 |
| Phone Number | 3867551655 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1996 |
| Primary Specialty | HEMATOLOGY/ONCOLOGY |
| Group Practice PAC ID | 7315250685 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100102 | SHANDS LAKE SHORE REGIONAL MEDICAL CENTER |
| 100156 | LAKE CITY MEDICAL CENTER |
| 100204 | NORTH FLORIDA REGIONAL MEDICAL CENTER |
| 241353 | CUYUNA REGIONAL MEDICAL CENTER |
| 101301 | SHANDS LIVE OAK REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 289 Swstonegate Ter, Suite 103, Lake City, FL 32024-3457 | 3867551655 | LAKE CITY CANCER CARE LLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_EP_1 | e-Prescribing | 92% | |
| ACI_EC_TRANS_HIE_1 | Health Information Exchange | 42% | |
| ACI_EC_TRANS_MR_1 | Medication Reconciliation | 100% | |
| ACI_EC_TRANS_PEA_1 | Provide Patient Access | 82% | |
| ACI_EC_TRANS_PEA_2 | View, Download, or Transmit (VDT) | 3% | |
| ACI_EC_TRANS_PHCDRR_1 | Immunization Registry Reporting | % | |
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| ACI_EC_TRANS_PSE_1 | Patient-Specific Education | 81% | |
| ACI_EC_TRANS_SM_1 | Secure Messaging | 19% | |
| MIPS_EC_143_overall | Oncology: Medical and Radiation - Pain Intensity Quantified | 100% |
| Organization Legal Name | LAKE CITY CANCER CARE LLC |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mark E Thompson | Radiation Oncology | Lake City Cancer Care LLC | 4520 W Us Hwy 90, Lake City, FL 32055-8341 |
| Vernon P Montoya | Medical Oncology | Lake City Cancer Care LLC | 289 Swstonegate Ter, Suite 103, Lake City, FL 32024-3457 |
| Sheila Y Roberts | Nurse Practitioner | Lake City Cancer Care LLC | 289 Swstonegate Ter, Suite 103, Lake City, FL 32024-3457 |
| Street Address |
289 SWSTONEGATE TER SUITE 103 |
| City | LAKE CITY |
| State | FL |
| Zip | 32024-3457 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Vernon P Montoya | Medical Oncology | Lake City Cancer Care LLC | 289 Swstonegate Ter, Suite 103, Lake City, FL 32024-3457 |
| Sheila Y Roberts | Nurse Practitioner | Lake City Cancer Care LLC | 289 Swstonegate Ter, Suite 103, Lake City, FL 32024-3457 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tristan Andrew Altbuch | Orthopedic Surgery | The Orthopaedic Institute, Pa | 146 Sw Orthopedic Ct, Lake City, FL 32024-0672 |
| Arthur M Sharkey | Hand Surgery | The Orthopaedic Institute, Pa | 146 Sw Orthopedic Ct, Lake City, FL 32024-0672 |
| Michael V Owens | Nurse Practitioner | The Orthopaedic Institute, Pa | 146 Sw Orthopedic Ct, Lake City, FL 32024-0672 |
| Frank D Ellis | Orthopedic Surgery | The Orthopaedic Institute, Pa | 146 Sw Orthopedic Ct, Lake City, FL 32024-0672 |
| Jeffrey P Borkoski | Neurology | The Orthopaedic Institute, Pa | 146 Sw Orthopedic Ct, Lake City, FL 32024-0672 |
| Adrienne M Clemons | Occupational Therapy | The Orthopaedic Institute, Pa | 146 Sw Orthopedic Ct, Lake City, FL 32024-0672 |
| Jessica Womack | Occupational Therapy | The Orthopaedic Institute, Pa | 146 Sw Orthopedic Ct, Lake City, FL 32024-0672 |
| Michelle S Maddux | Occupational Therapy | The Orthopaedic Institute, Pa | 146 Sw Orthopedic Ct, Lake City, FL 32024-0672 |
| Edward J Sambey | General Practice | The Orthopaedic Institute, Pa | 146 Sw Orthopedic Ct, Lake City, FL 32024-0672 |
| Vidya S Jain | Hand Surgery | The Orthopaedic Institute, Pa | 146 Sw Orthopedic Ct, Lake City, FL 32024-0672 |
| Find all physicians in zip 32024 | |||
| City | LAKE CITY |
| Zip Code | 32024 |
| Specialty | HEMATOLOGY/ONCOLOGY |
| City + Specialty | LAKE CITY + HEMATOLOGY/ONCOLOGY |
Please comment or provide details below to improve the information on Waseemullah Khan.
| 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.