Shawn Waugh (NPI# 1124167457, PAC ID# 9032127394) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1124167457 |
| PAC ID by PECOS | 9032127394 |
| Professional Enrollment ID | I20060328000401 |
| Full Name | Shawn Waugh |
| Organization Legal Name | RIZWANA THANAWALA MD PA |
| Address |
4367 Nw American Ln Lake City FL 32055-4828 |
| Phone Number | 3867586094 |
| Gender | M |
| Credential | PA |
| Graduation Year | 2005 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 5092706994 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100156 | LAKE CITY MEDICAL CENTER |
| 101301 | SHANDS LIVE OAK REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 4367 Nw American Ln, Lake City, FL 32055-4828 | 3867586094 | RIZWANA THANAWALA MD PA |
| Organization Legal Name | RIZWANA THANAWALA MD PA |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mitchell Duterte | Internal Medicine | Rizwana Thanawala Md Pa | 4367 Nw American Ln, Lake City, FL 32055-4828 |
| Veronica Adderson | Certified Registered Nurse Anesthetist (crna) | Rizwana Thanawala Md Pa | 4367 Nw American Ln, Lake City, FL 32055-4828 |
| Marcia Ann Caldwell | Certified Registered Nurse Anesthetist (crna) | Rizwana Thanawala Md Pa | 4367 Nw American Ln, Lake City, FL 32055-4828 |
| Rizwana Thanawala | Gastroenterology | Rizwana Thanawala Md Pa | 4367 Nw American Ln, Lake City, FL 32055-4828 |
| Ariel D Parnell | Nurse Practitioner | Rizwana Thanawala Md Pa | 4367 Nw American Ln, Lake City, FL 32055-4828 |
| Street Address |
4367 NW AMERICAN LN |
| City | LAKE CITY |
| State | FL |
| Zip | 32055-4828 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mitchell Duterte | Internal Medicine | Rizwana Thanawala Md Pa | 4367 Nw American Ln, Lake City, FL 32055-4828 |
| Veronica Adderson | Certified Registered Nurse Anesthetist (crna) | Rizwana Thanawala Md Pa | 4367 Nw American Ln, Lake City, FL 32055-4828 |
| Marcia Ann Caldwell | Certified Registered Nurse Anesthetist (crna) | Rizwana Thanawala Md Pa | 4367 Nw American Ln, Lake City, FL 32055-4828 |
| Rizwana Thanawala | Gastroenterology | Rizwana Thanawala Md Pa | 4367 Nw American Ln, Lake City, FL 32055-4828 |
| Ariel D Parnell | Nurse Practitioner | Rizwana Thanawala Md Pa | 4367 Nw American Ln, Lake City, FL 32055-4828 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James Matthew Zaenglein | Diagnostic Radiology | Fands Radiology PC | 368 Ne Franklin St, C/o Radiology Dept, Lake City, FL 32055-3088 |
| Caleb A Awoniyi | Anesthesiology | Ams National LLC | 368 Ne Franklin St, Lake City, FL 32055-3088 |
| Myroslav Harasym | Anesthesiology | Ams National LLC | 368 Ne Franklin St, Lake City, FL 32055-3088 |
| Mark Alan Dobbertien | Emergency Medicine | Columbia Emergency Group LLC | 368 Ne Franklin St, Lake City, FL 32055-3088 |
| Anthony B Chillura | Anesthesiology | Ams National LLC | 368 Ne Franklin St, Lake City, FL 32055-3088 |
| Laurence Evan Reitman | Diagnostic Radiology | Fands Radiology PC | 368 Ne Franklin St, C/o Radiology Dept, Lake City, FL 32055-3088 |
| Bryce R Tiller | Emergency Medicine | Columbia Emergency Group LLC | 368 Ne Franklin St, Lake City, FL 32055-3088 |
| Christopher Johnson | Emergency Medicine | Columbia Emergency Group LLC | 368 Ne Franklin St, Lake City, FL 32055-3088 |
| Stanley W Janasiewicz | Emergency Medicine | Columbia Emergency Group LLC | 368 Ne Franklin St, Lake City, FL 32055-3088 |
| Cimaron E Holt | Certified Registered Nurse Anesthetist (crna) | Ams National LLC | 368 Ne Franklin St, Lake City, FL 32055-3088 |
| Find all physicians in zip 32055 | |||
| City | LAKE CITY |
| Zip Code | 32055 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | LAKE CITY + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Shawn Waugh.
| 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.