Sam R Shimamoto (NPI# 1073587382, PAC ID# 8628038965) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ALLERGY/IMMUNOLOGY.
| Nation Provider ID (NPI) | 1073587382 |
| PAC ID by PECOS | 8628038965 |
| Professional Enrollment ID | I20041012001021 |
| Full Name | Sam R Shimamoto |
| Organization Legal Name | SAN TAN ALLERGY AND ASTHMA PC |
| Address |
4840 E Indian School Rd Suite 101 Phoenix AZ 85018-5500 |
| Phone Number | 4806266600 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF COLORADO SCHOOL OF MEDICINE |
| Graduation Year | 1997 |
| Primary Specialty | ALLERGY/IMMUNOLOGY |
| Secondary Specialties | PEDIATRIC MEDICINE |
| Group Practice PAC ID | 1658309521 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 030065 | BANNER DESERT MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 4915 E Baseline Rd, Suite 112, Gilbert, AZ 85234-2966 | 4806266600 | SAN TAN ALLERGY AND ASTHMA PC |
| 4840 E Indian School Rd, Suite 101, Phoenix, AZ 85018-5500 | 4806266600 | SAN TAN ALLERGY AND ASTHMA PC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PHCDRR_1 | Immunization Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| MIPS_EC_051_overall | Chronic Obstructive Pulmonary Disease (COPD): Spirometry Evaluation | 100% | |
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% | |
| MIPS_EC_226_overall | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 100% | |
| MIPS_EC_331_overall | Adult Sinusitis: Antibiotic Prescribed for Acute Sinusitis (Overuse) (100%: worst, 0% best) | 0% |
| Organization Legal Name | SAN TAN ALLERGY AND ASTHMA PC |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Neal Jain | Allergy/immunology | San Tan Allergy and Asthma PC | 4840 E Indian School Rd, Suite 101, Phoenix, AZ 85018-5500 |
| Jennifer L Hill | Allergy/immunology | San Tan Allergy and Asthma PC | 4915 E Baseline Rd, Suite 112, Gilbert, AZ 85234-2966 |
| Kiranjit Kaur Khalsa | Allergy/immunology | San Tan Allergy and Asthma PC | 4915 E Baseline Rd, Suite 112, Gilbert, AZ 85234-2966 |
| Street Address |
4840 E INDIAN SCHOOL RD SUITE 101 |
| City | PHOENIX |
| State | AZ |
| Zip | 85018-5500 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jennifer A Lembas | Nurse Practitioner | Scottsdale Healthcare Corp | 4840 E Indian School Rd, Suite 101, Phoenix, AZ 85018-5500 |
| Erik Jason Martinez | Nurse Practitioner | Omni Dermatology Incorporated | 4840 E Indian School Rd, Suite 102, Phoenix, AZ 85018-5500 |
| Neal Jain | Allergy/immunology | San Tan Allergy and Asthma PC | 4840 E Indian School Rd, Suite 101, Phoenix, AZ 85018-5500 |
| Craig Wiggins | Nurse Practitioner | Omni Dermatology Incorporated | 4840 E Indian School Rd, Suite 102, Phoenix, AZ 85018-5500 |
| Dane Michael Staples | Physical Therapy | Strength Training Inc | 4840 E Indian School Rd, Suite 103, Phoenix, AZ 85018-5500 |
| Andrew J Racette | Dermatology | Omni Dermatology Incorporated | 4840 E Indian School Rd, Suite 102, Phoenix, AZ 85018-5500 |
| Sara A Mohamed | Nurse Practitioner | Omni Dermatology Incorporated | 4840 E Indian School Rd, Suite 102, Phoenix, AZ 85018-5500 |
| Alison N Russell | Physical Therapy | Strength Training Inc | 4840 E Indian School Rd, Suite 103, Phoenix, AZ 85018-5500 |
| Kristin J Shealey | Family Medicine | Scottsdale Healthcare Corp | 4840 E Indian School Rd, Suite 100, Phoenix, AZ 85018-5500 |
| Danelle J Loomis | Physical Therapy | Strength Training Inc | 4840 E Indian School Rd, Suite 103, Phoenix, AZ 85018-5500 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mark E Baldree | Otolaryngology | 4250 E Camel Back Rd, Suite 250, Phoenix, AZ 85018 | |
| Lori H Travis | Neurology | Scottsdale Healthcare Corp | 5090 N 40th St, Suite 250a, Phoenix, AZ 85018-2111 |
| Harry S Tamm | Neurology | Scottsdale Healthcare Corp | 5090 N 40th St, Suite 250a, Phoenix, AZ 85018-2111 |
| Jill Rau | Neurology | Scottsdale Healthcare Corp | 5090 N 40th St, Suite 250a, Phoenix, AZ 85018-2111 |
| Todd D Levine | Neurology | Scottsdale Healthcare Corp | 5090 N 40th St, Suite 250a, Phoenix, AZ 85018-2111 |
| Anne Hatch | Neurology | Scottsdale Healthcare Corp | 5090 N 40th St, Phoenix, AZ 85018-2111 |
| Daniel J Savitt | Neurology | Scottsdale Healthcare Corp | 5090 N 40th St, Suite 250a, Phoenix, AZ 85018-2111 |
| Cameron R Dick | Pulmonary Disease | Arizona Center for Chest Diseases Ltd | 5090 N 40th St, Suite 122, Phoenix, AZ 85018-2112 |
| Sunil Santhanakrishnan | Pulmonary Disease | Arizona Center for Chest Diseases Ltd | 5090 N 40th St, Suite 122, Phoenix, AZ 85018-2112 |
| Arcot S Premkumar | Pulmonary Disease | Arizona Center for Chest Diseases Ltd | 5090 N 40th St, Suite 122, Phoenix, AZ 85018-2112 |
| Find all physicians in zip 85018 | |||
| City | PHOENIX |
| Zip Code | 85018 |
| Specialty | ALLERGY/IMMUNOLOGY |
| City + Specialty | PHOENIX + ALLERGY/IMMUNOLOGY |
Please comment or provide details below to improve the information on Sam R Shimamoto.
| 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.