Charles A Shooks (NPI# 1164421145, PAC ID# 9032301114) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1164421145 |
| PAC ID by PECOS | 9032301114 |
| Professional Enrollment ID | I20101007000662 |
| Full Name | Charles A Shooks |
| Organization Legal Name | QUARRY ST. INTERNAL MEDICINE, LLC |
| Address |
100 Warren Cir Storrs CT 06268-2074 |
| Phone Number | 8604872300 |
| Gender | M |
| Medical School | MEDICAL COLLEGE OF WISCONSIN |
| Graduation Year | 1973 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 7719968122 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 070021 | WINDHAM COMM MEM HOSP & HATCH HOSP |
| Address | Phone | Organization |
|---|---|---|
| 100 Warren Cir, Storrs, CT 06268-2074 | 8604872300 | QUARRY ST. INTERNAL MEDICINE, LLC |
| Organization Legal Name | QUARRY ST. INTERNAL MEDICINE, LLC |
| Physicians | 1 |
| Street Address |
100 WARREN CIR |
| City | STORRS |
| State | CT |
| Zip | 06268-2074 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Matthew P Chella | Chiropractic | Loving Hands Chiropractic LLC | 1733 Storrs Rd, Suite 11, Storrs, CT 06268-1263 |
| Jennifer R Veit | Chiropractic | Loving Hands Chiropractic LLC | 1733 Storrs Rd, Suite 11, Storrs, CT 06268-1263 |
| Jean Elaine Walikonis | Nurse Practitioner | Mansfield Family Practice LLC | 34 Proffessional Park Rd, Storrs Mansfield, CT 06268-1659 |
| Kenneth Dardick | Family Medicine | Mansfield Family Practice LLC | 34 Proffessional Park Rd, Storrs Mansfield, CT 06268-1659 |
| Sandra M Hughes | Family Medicine | Mansfield Family Practice LLC | 34 Proffessional Park Rd, Storrs Mansfield, CT 06268-1659 |
| Ross Winakor | Family Medicine | Mansfield Family Practice LLC | 34 Proffessional Park Rd, Storrs Mansfield, CT 06268-1659 |
| Tatyana Divino | Family Medicine | Mansfield Family Practice LLC | 34 Proffessional Park Rd, Storrs Mansfield, CT 06268-1659 |
| Maura Baker | Nurse Practitioner | Mansfield Family Practice LLC | 34 Proffessional Park Rd, Storrs Mansfield, CT 06268-1659 |
| Ayaz T Madraswalla | Family Medicine | Mansfield Family Practice LLC | 34 Proffessional Park Rd, Storrs Mansfield, CT 06268-1659 |
| Michele Cooper | Physician Assistant | Mansfield Family Practice LLC | 34 Proffessional Park Rd, Storrs Mansfield, CT 06268-1659 |
| Find all physicians in zip 06268 | |||
| City | STORRS |
| Zip Code | 06268 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | STORRS + INTERNAL MEDICINE |
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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.