Shakeel Anjum (NPI# 1639169394, PAC ID# 1456248624) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NEPHROLOGY.
| Nation Provider ID (NPI) | 1639169394 |
| PAC ID by PECOS | 1456248624 |
| Professional Enrollment ID | I20040302000904 |
| Full Name | Shakeel Anjum |
| Organization Legal Name | CENTRACARE CLINIC |
| Address |
16830 198th Nwave Big Lake MN 55309-4860 |
| Phone Number | 7632637300 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1990 |
| Primary Specialty | NEPHROLOGY |
| Secondary Specialties | INTERNAL MEDICINE |
| Group Practice PAC ID | 2466363395 |
| Number of Group Practice Members | 601 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 240036 | ST CLOUD HOSPITAL |
| 240030 | DOUGLAS COUNTY HOSPITAL |
| 240141 | FAIRVIEW NORTHLAND REGIONAL HOSPITAL |
| 240080 | UNIVERSITY OF MINNESOTA MEDICAL CENTER, FAIRVIEW |
| 241349 | CENTRA CARE HEALTH PAYNESVILLE |
| Address | Phone | Organization |
|---|---|---|
| 111 17th E Ave, Alexandria, MN 56308-3703 | 8008356652 | CENTRACARE CLINIC |
| 16830 198th Ave Nw, Big Lake, MN 55309-4860 | 7632637300 | CENTRACARE CLINIC |
| 16830 198th Nwave, Big Lake, MN 55309-4860 | 7632637300 | CENTRACARE CLINIC |
| 1200 6th N Ave, Saint Cloud, MN 56303-2735 | 3202525131 | CENTRACARE CLINIC |
| 1200 6th Ave N, St Cloud, MN 56303-2735 | 3202525131 | CENTRACARE CLINIC |
| 1406 6th Ave N, St Cloud, MN 56303-1901 | 8008356652 | CENTRACARE CLINIC |
| Organization Legal Name | CENTRACARE CLINIC |
| Physicians | 630 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brittany D Kirkeby | Family Medicine | Centracare Clinic | 30 Railroad Ave, Albany, MN 56307-9379 |
| Stephanie A Boysen | Nurse Practitioner | Centracare Clinic | 615 Nelson Dr Po Box, Suite 217, Clearwater, MN 55320 |
| Evan L Dyce | Nurse Practitioner | Centracare Clinic | 1200 6th N Ave, Saint Cloud, MN 56303-2735 |
| Janelle M Terhaar | Nurse Practitioner | Centracare Clinic | 20 9th St Se, Long Prairie, MN 56347-1404 |
| Craig B Tangen | Certified Registered Nurse Anesthetist (crna) | Centracare Clinic | 3701 12th St N, Suite 202, Saint Cloud, MN 56303-2253 |
| Katrina N Wherry | Family Medicine | Centracare Clinic | 1360 Elm St E, St Joseph, MN 56374-4694 |
| Ashley A Rood | Nurse Practitioner | Centracare Clinic | 113 Waite Ave S, Suite 101, Waite Park, MN 56387-1348 |
| Elizabeth Anne Phillips | Urology | Centracare Clinic | 2351 Connecticut S Ave, 200 Suite 200, Sartell, MN 56377-2477 |
| Michelle L Jones | Nurse Practitioner | Centracare Clinic | 161 Glen St, Suite 101, Foley, MN 56329-4514 |
| Erin F Osmundson | Nurse Practitioner | Centracare Clinic | 500 Park St E, Annandale, MN 55302-3060 |
| Street Address |
16830 198TH NWAVE |
| City | BIG LAKE |
| State | MN |
| Zip | 55309-4860 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nellie Lynn Gabrielson | Physician Assistant | Centracare Clinic | 16830 198th Nwave, Big Lake, MN 55309-4860 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Krista M Davis | Optometry | 621 Rose Dr, Big Lake, MN 55309-4653 | |
| Nathan E Davidson | Chiropractic | 690 Humboldt Dr, Suite C, Big Lake, MN 55309-4813 | |
| Linda Kay Fairchild | Occupational Therapy | Innovative Therapy LLC | 16820 197th Ave Nw, Options Inc, Big Lake, MN 55309-4828 |
| City | BIG LAKE |
| Zip Code | 55309 |
| Specialty | NEPHROLOGY |
| City + Specialty | BIG LAKE + NEPHROLOGY |
Please comment or provide details below to improve the information on Shakeel Anjum.
| 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.