Raj L Shivaji (NPI# 1770508160, PAC ID# 1355330457) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1770508160 |
| PAC ID by PECOS | 1355330457 |
| Professional Enrollment ID | I20040512000117 |
| Full Name | Raj L Shivaji |
| Organization Legal Name | OUR URGENT CARE LLC |
| Address |
3195 Phoenix Ctr Dr Washington MO 63090-5689 |
| Phone Number | 6363922205 |
| Gender | F |
| Credential | MD |
| Graduation Year | 1978 |
| Primary Specialty | EMERGENCY MEDICINE |
| Secondary Specialties | INTERNAL MEDICINE |
| Group Practice PAC ID | 5799782496 |
| Number of Group Practice Members | 27 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 3195 Phoenix Ctr Dr, Washington, MO 63090-5689 | 6363922205 | OUR URGENT CARE LLC |
| 1111 W Pearce Blvd, Wentzville, MO 63385-1020 | 6368874288 | OUR URGENT CARE LLC |
| Organization Legal Name | OUR URGENT CARE LLC |
| Physicians | 17 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael Kevin Lemp | Nurse Practitioner | Our Urgent Care LLC | 1201 S Big Bend Blvd, Richmond Heights, MO 63117-1645 |
| Shamim Amini | Emergency Medicine | Our Urgent Care LLC | 3195 Phoenix Ctr Dr, Washington, MO 63090-5689 |
| Kathryn C Steinmann | Nurse Practitioner | Our Urgent Care LLC | 2070 Mckelvey Rd, Maryland Heights, MO 63043-2308 |
| Sudhir Raikar | Emergency Medicine | Our Urgent Care LLC | 1111 W Pearce Blvd, Wentzville, MO 63385-1020 |
| Nancy J Woods | Nurse Practitioner | Our Urgent Care LLC | 2893 Veterans Memorial Pkwy, St Charles, MO 63303-3526 |
| Kristi L Ramos | Nurse Practitioner | Our Urgent Care LLC | 1111 W Pearce Blvd, Wentzville, MO 63385-1020 |
| Jessica Lee Lester | Nurse Practitioner | Our Urgent Care LLC | 3195 Phoenix Ctr Dr, Washington, MO 63090-5689 |
| Lacy R Bach | Nurse Practitioner | Our Urgent Care LLC | 1111 W Pearce Blvd, Wentzville, MO 63385-1020 |
| James Dale Toombs | Family Practice | Our Urgent Care LLC | 3195 Phoenix Ctr Dr, Washington, MO 63090-5689 |
| Amy Louise Whitworth | Nurse Practitioner | Our Urgent Care LLC | 3195 Phoenix Ctr Dr, Washington, MO 63090-5689 |
| Street Address |
3195 PHOENIX CTR DR |
| City | WASHINGTON |
| State | MO |
| Zip | 63090-5689 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shamim Amini | Emergency Medicine | Our Urgent Care LLC | 3195 Phoenix Ctr Dr, Washington, MO 63090-5689 |
| Jessica Lee Lester | Nurse Practitioner | Our Urgent Care LLC | 3195 Phoenix Ctr Dr, Washington, MO 63090-5689 |
| James Dale Toombs | Family Practice | Our Urgent Care LLC | 3195 Phoenix Ctr Dr, Washington, MO 63090-5689 |
| Amy Louise Whitworth | Nurse Practitioner | Our Urgent Care LLC | 3195 Phoenix Ctr Dr, Washington, MO 63090-5689 |
| Christy Ann Schulte | Nurse Practitioner | Our Urgent Care LLC | 3195 Phoenix Ctr Dr, Washington, MO 63090-5689 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kristopher J Feldmann | Chiropractic | Washington Chiropractic Clinic PC | 819 W 5th St, Washington, MO 63090-1923 |
| Lawrence M Gerstein | Chiropractic | Washington Chiropractic Clinic PC | 819 W 5th St, Washington, MO 63090-1923 |
| Edward Obermark | Optometry | 222 W Main St, Washington, MO 63090-2154 | |
| Timothy G Jones | Clinical Social Worker | 309 W 4th St, Suite 101, Washington, MO 63090-2335 | |
| Maria Bitzer | Nurse Practitioner | Psych Care Consultants LLC | 205 Elm St, Suite 202, Washington, MO 63090-2342 |
| Bradly Gould | Chiropractic | 707 Jefferson St, Washington, MO 63090-2709 | |
| Yael Y Diplacido-eastman | Clinical Social Worker | 426 E 5th St, Washington, MO 63090-2811 | |
| Holly S Schmitt | Clinical Social Worker | 426 E 5th St, Washington, MO 63090-2811 | |
| Daryl L Meisburger | Clinical Psychologist | 529 E 5th St, Washington, MO 63090-2903 | |
| Michael Korenfeld | Ophthalmology | Comprehensive Eye Care, Ltd. | 901 E 3rd St, Washington, MO 63090-3010 |
| Find all physicians in zip 63090 | |||
| City | WASHINGTON |
| Zip Code | 63090 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | WASHINGTON + EMERGENCY MEDICINE |
Please comment or provide details below to improve the information on Raj L Shivaji.
| 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.