Waseem A Shah (NPI# 1972659241, PAC ID# 9638265812) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1972659241 |
| PAC ID by PECOS | 9638265812 |
| Professional Enrollment ID | I20071018000792 |
| Full Name | Waseem A Shah |
| Organization Legal Name | MONTICELLO ESS LLC |
| Address |
778 Scogin Dr Monticello AR 71655-5729 |
| Phone Number | 8703672411 |
| Gender | M |
| Graduation Year | 1998 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 4880914639 |
| Number of Group Practice Members | 12 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 040071 | JEFFERSON REGIONAL MEDICAL CENTER |
| 040051 | DREW MEMORIAL HOSPITAL |
| 040050 | OUACHITA COUNTY MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 778 Scogin Dr, Monticello, AR 71655-5729 | 8703672411 | MONTICELLO ESS LLC |
| 1600 W 40th Ave, Pine Bluff, AR 71603-6301 | 8705417100 | SOUTHEAST ARKANSAS EMERGENCY PHYSICIANS LLP |
| 4201 S Mulberry St, Pine Bluff, AR 71603-7016 | 8705418660 | SOUTHEAST ARKANSAS EMERGENCY PHYSICIANS LLP |
| Organization Legal Name | MONTICELLO ESS LLC |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David A Dias | Internal Medicine | Monticello Ess LLC | 778 Scogin Dr, Monticello, AR 71655-5729 |
| Karol Palczynski | Family Medicine | Monticello Ess LLC | 778 Scogin Dr, Monticello, AR 71655-5729 |
| Robert R Jacobs | Family Medicine | Monticello Ess LLC | 778 Scogin Dr, Monticello, AR 71655-5729 |
| Teresa M Bau | Family Medicine | Monticello Ess LLC | 778 Scogin Dr, Monticello, AR 71655-5729 |
| Street Address |
778 SCOGIN DR |
| City | MONTICELLO |
| State | AR |
| Zip | 71655-5729 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Hugh R Fortenberry Jr. | Certified Registered Nurse Anesthetist (crna) | Tranquil Anesthesiology LLC | 778 Scogin Dr, Monticello, AR 71655-5729 |
| Lizbeth Laura Herrera | Nurse Practitioner | Drew Memorial Hospital Inc | 778 Scogin Dr, Monticello, AR 71655-5729 |
| Ginger M Williams | Certified Registered Nurse Anesthetist (crna) | Tranquil Anesthesiology LLC | 778 Scogin Dr, Monticello, AR 71655-5729 |
| David A Dias | Internal Medicine | Monticello Ess LLC | 778 Scogin Dr, Monticello, AR 71655-5729 |
| Karol Palczynski | Family Medicine | Monticello Ess LLC | 778 Scogin Dr, Monticello, AR 71655-5729 |
| Alan Wilson | General Surgery | Drew Surgical Services LLC | 778 Scogin Dr, Monticello, AR 71655-5729 |
| Francisco Efrain Bravo Jr. | General Surgery | Drew Surgical Services LLC | 778 Scogin Dr, Monticello, AR 71655-5729 |
| Edward L Weeks Ii | Certified Registered Nurse Anesthetist (crna) | Tranquil Anesthesiology LLC | 778 Scogin Dr, Monticello, AR 71655-5729 |
| Robert R Jacobs | Family Medicine | Monticello Ess LLC | 778 Scogin Dr, Monticello, AR 71655-5729 |
| Levi Maggard | Certified Registered Nurse Anesthetist (crna) | Tranquil Anesthesiology LLC | 778 Scogin Dr, Monticello, AR 71655-5729 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ryan D Collins | Chiropractic | Collins Chiropractic Center LLC | 106 N Hyatt St, Monticello, AR 71655-4022 |
| Tyler Ryan Collins | Chiropractic | Collins Chiropractic Center LLC | 106 N Hyatt St, Monticello, AR 71655-4022 |
| Ricky Ferguson | Optometry | 408 W Mccloy St, Monticello, AR 71655-4325 | |
| Noadia A Worku | Internal Medicine | 201 N Slemons St, Monticello, AR 71655-4326 | |
| Scott C Claycomb | Ophthalmology | 301 Hwy 425 S, Monticello, AR 71655-4611 | |
| James L Price Jr. | Optometry | Seark Eyecare LLC | 301 Hwy 425 S, Monticello, AR 71655-4611 |
| Barrett L Brown | Optometry | Seark Eyecare LLC | 301 Hwy 425 S, Monticello, AR 71655-4611 |
| Mark W Bryant | Chiropractic | 232 S Main St, Monticello, AR 71655-4730 | |
| Wendell Bryant | Chiropractic | 232 S Main St, Monticello, AR 71655-4730 | |
| Dustin C Eubanks | Chiropractic | 604 W Bolling St, Suite A, Monticello, AR 71655-5410 | |
| Find all physicians in zip 71655 | |||
| City | MONTICELLO |
| Zip Code | 71655 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | MONTICELLO + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Waseem A Shah.
| 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.