Shamiah M Dekker (NPI# 1881139426, PAC ID# 1052695996) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA).
| Nation Provider ID (NPI) | 1881139426 |
| PAC ID by PECOS | 1052695996 |
| Professional Enrollment ID | I20170221002200 |
| Full Name | Shamiah M Dekker |
| Organization Legal Name | AGNESIAN HEALTHCARE INC |
| Address |
845 Parkside St Ripon WI 54971-8505 |
| Phone Number | 9207483101 |
| Gender | F |
| Medical School | RUSH MEDICAL COLLEGE OF RUSH UNIVERSITY |
| Graduation Year | 2016 |
| Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| Group Practice PAC ID | 1658289624 |
| Number of Group Practice Members | 294 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 521327 | WAUPUN MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 845 Parkside St, Ripon, WI 54971-8505 | 9207483101 | AGNESIAN HEALTHCARE INC |
| Organization Legal Name | AGNESIAN HEALTHCARE INC |
| Physicians | 323 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Danielle Covach | Family Medicine | Agnesian Healthcare Inc | 835 Parkside St, Ripon, WI 54971-8505 |
| Kandipati Sreenivasarao | Family Medicine | Agnesian Healthcare Inc | 723 Parkridge Lane, North Fond Du Lac, WI 54937 |
| Matthew R Purcell | Anesthesiology | Agnesian Healthcare Inc | 430 E Divsion St, Fond Du Lac, WI 54935 |
| Suzanne T Mcgoey | Dermatology | Agnesian Healthcare Inc | 912 S Hickory St, Fond Du Lac, WI 54935-5530 |
| Robert M Bertram | Podiatry | Agnesian Healthcare Inc | 790 Eastgate Dr, Ripon, WI 54971-9614 |
| Shahriar Alizadegan | Vascular Surgery | Agnesian Healthcare Inc | 430 E Division St, Fond Du Lac, WI 54935-4560 |
| Bret N Pasiuk | Nephrology | Agnesian Healthcare Inc | 110 Monroe St, Beaver Dam, WI 53916-2437 |
| Jodi R Budwit | Nurse Practitioner | Agnesian Healthcare Inc | 10 Pluim Dr, Waupun, WI 53963-1564 |
| Bryan J Henslin | Chiropractic | Agnesian Healthcare Inc | 305 Camelot Dr, Fond Du Lac, WI 54935-8014 |
| Jeffrey A Strong | Family Medicine | Agnesian Healthcare Inc | 100 Evergreen Rd, Mt Calvary, WI 53057-9726 |
| Street Address |
845 PARKSIDE ST |
| City | RIPON |
| State | WI |
| Zip | 54971-8505 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Thomas B Kloosterboer | Anesthesiology | Agnesian Healthcare Inc | 845 Parkside St, Ripon, WI 54971-8505 |
| Michael J Combs | Emergency Medicine | Agnesian Healthcare Inc | 845 Parkside St, Ripon, WI 54971-8505 |
| Syed G Mohiuddin | Emergency Medicine | Agnesian Healthcare Inc | 845 Parkside St, Ripon, WI 54971-8505 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Patrick J Christopherson | Physical Therapy | Advanced Physical Therapy and Sports Medicine Sc | 402 Eureka St, Ripon, WI 54971-1103 |
| Mark S Edinger | Chiropractic | Yeomans Edinger Chiropractic Center Sc | 404 Eureka St, Ripon, WI 54971-1192 |
| Steven G Yeomans | Chiropractic | Yeomans Edinger Chiropractic Center Sc | 404 Eureka St, Ripon, WI 54971-1192 |
| Randall L Zieth | Optometry | Visioncare Incorporated | 113 Watson St, Ripon, WI 54971-1326 |
| Victor H Roeder Iii | Optometry | Visioncare Incorporated | 113 Watson St, Ripon, WI 54971-1326 |
| Roger Gundlach | Chiropractic | 315 Mount Zion Dr, Ripon, WI 54971-1713 | |
| Danielle Covach | Family Medicine | Agnesian Healthcare Inc | 835 Parkside St, Ripon, WI 54971-8505 |
| Stephanie J Glod | Family Medicine | Agnesian Healthcare Inc | 835 Parkside St, Ripon, WI 54971-8505 |
| Michell K Pascarella | Nurse Practitioner | Agnesian Healthcare Inc | 835 Parkside St, Ripon, WI 54971-8505 |
| Joseph Longo | Family Medicine | Thedacare Incorporated | 1080 W Fond Du Lac St, Ripon, WI 54971-9286 |
| Find all physicians in zip 54971 | |||
| City | RIPON |
| Zip Code | 54971 |
| Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| City + Specialty | RIPON + CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
Please comment or provide details below to improve the information on Shamiah M Dekker.
| 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.