SHAZE MEDICAL GROUP LLC


Address: 1035 Wall Street Ste 104-c1, Jeffersonville, IN 47130-3602
Phone: 8122822218

SHAZE MEDICAL GROUP LLC (NPI# 1245797208) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1245797208
Entity Type Organization
Organization Name SHAZE MEDICAL GROUP LLC
Practice Address 1035 Wall Street Ste 104-c1
Jeffersonville
IN 47130-3602
Practice Telephone 8122822218
Practice Fax Number 8122822252
Mailing Telephone 8122822218
Mailing Fax Number 8122822252
Enumeration Date 2019-02-26
Last Update Date 2019-08-15
Authorized Official Name SYED Q KAZMI (PRESIDENT)
Authorized Official Telephone 8122822218
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207R00000X Internal Medicine Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
IN 300023539 05

Office Location

Street Address 1035 WALL STREET STE 104-C1
City JEFFERSONVILLE
State IN
Zip Code 47130-3602

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1417454638 Jason Allen Social Worker 101 Noahs Ln, Jeffersonville, IN 47130 2018-04-13
1508374299 Kelsey Petty Social Worker 101 Noahs Lane, Jeffersonville, IN 47130 2018-01-16
1336658095 Jenkins Podiatry PC Podiatrist 3310 Highway 62 East, Suite 179, Jeffersonville, IN 47130 2017-09-26
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Taxonomy Information

Taxonomy Code 207R00000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine

Taxonomy Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1417249970 Faraaz A. Rahman Internal Medicine 207 Sparks Ave Ste 100, Jeffersonville, IN 47130-3739 2011-05-03
1225200462 Phonesavane Lianekhammy Internal Medicine 3118 East 10th Street, Norton Community Medical Associates, Jeffersonville, IN 47130 2008-03-27
1447386651 Farheen Jamil Hasnain Internal Medicine 73 Quartermaster Ct, Jeffersonville, IN 47130-3623 2007-02-24
1992805493 Christopher Shawn Hofelich Internal Medicine 41 Quatermaster Ct., Jeffersonville, IN 47130-3623 2006-09-24
1952334252 Wall Street Internal Medicine Internal Medicine 73 Quarter Master Crt, Jeffersonville, IN 47130-3759 2006-07-09
1427087543 John M Dunn Internal Medicine 22 Old Main Street, Jeffersonville, VT 05464-0157 2006-07-01
1417909458 Lloyd C Trommler Internal Medicine 1806 E 10th St, Jeffersonville, IN 47130-6016 2006-05-17
1821053851 David A Dues Internal Medicine 3118 E 10th St Ste A, Jeffersonville, IN 47130-5904 2006-04-20
1487619888 Syed Q Kazmi Internal Medicine 1035 Wall St Ste 104-c1, Jeffersonville, IN 47130-3602 2006-04-19
1073576849 Michael Conrad Roman Internal Medicine 1550 W Main St, Jeffersonville, PA 19403-3228 2006-04-11
Find all providers in JEFFERSONVILLE

Competitor

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City JEFFERSONVILLE
Zip Code 47130

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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