Chandrakant X Shah (NPI# 1154376713, PAC ID# 9830250828) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1154376713 |
| PAC ID by PECOS | 9830250828 |
| Professional Enrollment ID | I20081209000655 |
| Full Name | Chandrakant X Shah |
| Organization Legal Name | POTTSTOWN CLINIC COMPANY LLC |
| Address |
23 N Walnut St Boyertown Family Care Boyertown PA 19512-1467 |
| Phone Number | 6103678400 |
| Gender | M |
| Graduation Year | 1971 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 6406857184 |
| Number of Group Practice Members | 34 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 390123 | POTTSTOWN HOSPITAL |
| 390096 | ST JOSEPH MEDICAL CENTER |
| 390044 | READING HOSPITAL |
| 390133 | LEHIGH VALLEY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 23 N Walnut St, Boyertown Family Care, Boyertown, PA 19512-1467 | 6103678400 | POTTSTOWN CLINIC COMPANY LLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| Organization Legal Name | POTTSTOWN CLINIC COMPANY LLC |
| Physicians | 30 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kimberly A Tobin | Nurse Practitioner | Pottstown Clinic Company LLC | 730 S Hanover St, Pottstown, PA 19465-7520 |
| Edith Behr | General Surgery | Pottstown Clinic Company LLC | 13 Armand Hammer Blvd, Pottstown, PA 19464-5067 |
| Sonya M Foster Merrow | Family Medicine | Pottstown Clinic Company LLC | 193 Old Swede Rd, Douglasville, PA 19518-1522 |
| Benjamin D Overley | Podiatry | Pottstown Clinic Company LLC | 296 W Ridge Pk, Limerick, PA 19468 |
| Nicole J Heisman Rifkin | Internal Medicine | Pottstown Clinic Company LLC | 305 2nd Ave, Collegeville, PA 19426-2658 |
| Tara Ann Pascal | Physician Assistant | Pottstown Clinic Company LLC | 193 Old Swede Rd, Douglasville, PA 19518-1522 |
| Forrest B Fernandez | Critical Care (intensivists) | Pottstown Clinic Company LLC | 1600 E High St, Pottstown, PA 19464-5093 |
| Charles F Gorey | Family Medicine | Pottstown Clinic Company LLC | 1600 E High St, Suite 100, Pottstown, PA 19464-5008 |
| Ann E Defrangesco | Nurse Practitioner | Pottstown Clinic Company LLC | 305 2nd Ave, Collegeville, PA 19426-2658 |
| Robert L Zimmerman | Pathology | Pottstown Clinic Company LLC | 1600 E High St, Suite 100, Pottstown, PA 19464-5008 |
| Street Address |
23 N WALNUT ST BOYERTOWN FAMILY CARE |
| City | BOYERTOWN |
| State | PA |
| Zip | 19512-1467 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sonia A Ignatius | Internal Medicine | Pottstown Clinic Company LLC | 23 N Walnut St, Boyertown Family Care, Boyertown, PA 19512-1467 |
| William S Taddonio | Family Medicine | Pottstown Clinic Company LLC | 23 N Walnut St, Boyertown Family Care, Boyertown, PA 19512-1467 |
| Maria V Arbizo Rebong | Internal Medicine | Pottstown Clinic Company LLC | 23 N Walnut St, Boyertown Family Care, Boyertown, PA 19512-1467 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Edward Furman Jr. | Optometry | 135 N Reading Ave, Boyertown, PA 19512-1011 | |
| John L Lignelli | Maxillofacial Surgery | Pottstown Oral and Maxillofacial Surgery Assoc. Inc | 20 E Philadelphia Ave, Boyertown, PA 19512-1125 |
| Joseph Edward Sekulski | Chiropractic | 34 E Philadelphia Ave, Boyertown, PA 19512-1125 | |
| David G Carr | Chiropractic | 29 E Philadelphia Ave, Boyertown, PA 19512-1191 | |
| Clifford K Parks | Chiropractic | Parks Chiropractic PC | 137 Montgomery Ave, Suite 103, Boyertown, PA 19512-1300 |
| William Arthur Batchelder | Clinical Social Worker | Creative Health Services, Inc | 5 Th and Montgomery Ave, Boyertown, PA 19512-1300 |
| Gregg Donald Parks | Chiropractic | Parks Chiropractic PC | 137 Montgomery Ave, Suite 103, Boyertown, PA 19512-1300 |
| Timothy A Kirk | Podiatry | 137 Montgomery Ave, Suite 102, Boyertown, PA 19512-1300 | |
| Cheryl A Harner | Clinical Social Worker | 137 Montgomery Ave, Suite 203, Boyertown, PA 19512-1300 | |
| Ziad S Osman | Family Medicine | Tower Health Medical Group | 146 S Reading Ave, Suite 101, Boyertown, PA 19512-1480 |
| Find all physicians in zip 19512 | |||
| City | BOYERTOWN |
| Zip Code | 19512 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | BOYERTOWN + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Chandrakant X 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.