Shamiram B Badal (NPI# 1760629307, PAC ID# 1557542503) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1760629307 |
| PAC ID by PECOS | 1557542503 |
| Professional Enrollment ID | I20121026000374 |
| Full Name | Shamiram B Badal |
| Organization Legal Name | SAINT JOSEPH REGIONAL MEDICAL CENTER INC |
| Address |
2930 W Cleveland Rd Ext Northwest Family Medicine South Bend IN 46628-6090 |
| Phone Number | 5743358450 |
| Gender | F |
| Graduation Year | 1998 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 8325950843 |
| Number of Group Practice Members | 96 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 150012 | SAINT JOSEPH REGIONAL MEDICAL CENTER |
| 150058 | MEMORIAL HOSPITAL OF SOUTH BEND |
| 150076 | SAINT JOSEPH REGIONAL MEDICAL CENTER - PLYMOUTH |
| Address | Phone | Organization |
|---|---|---|
| 2930 W Cleveland Rd Ext, Northwest Family Medicine, South Bend, IN 46628-6090 | 5743358450 | SAINT JOSEPH REGIONAL MEDICAL CENTER INC |
| Organization Legal Name | SAINT JOSEPH REGIONAL MEDICAL CENTER INC |
| Physicians | 102 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Weston S Carter | Family Medicine | Saint Joseph Regional Medical Center Inc | 1025 Widener Ln, Saint Joseph Family Medicine At Miami Rd, South Bend, IN 46614-3242 |
| Lensa G Girsha | Nurse Practitioner | Saint Joseph Regional Medical Center Inc | 60101 Bodnar Blvd, Suite 100b, Mishawaka, IN 46544-9340 |
| Nathaniel Stewart | Internal Medicine | Saint Joseph Regional Medical Center Inc | 1122 S Ironwood Dr, River Park Family Medicine, South Bend, IN 46615-1618 |
| Laura E Blackford | Family Medicine | Saint Joseph Regional Medical Center Inc | 2349 Lake Ave, Suite 99, Plymouth, IN 46563-7837 |
| Bethany Rose Cohen | Family Medicine | Saint Joseph Regional Medical Center Inc | 12563 State Rd, Suite 23, Granger, IN 46530-9226 |
| Janice L Peterson | Family Medicine | Saint Joseph Regional Medical Center Inc | 232 S Main St A, Sjpn Lake Shore Clinic, Culver, IN 46511-1648 |
| Kimberley K Mendez | Nurse Practitioner | Saint Joseph Regional Medical Center Inc | 209 E Jefferson St, Plymouth Family and Internal Medicine Downtown, Plymouth, IN 46563-1861 |
| Barbara J Kunnen | Nurse Practitioner | Saint Joseph Regional Medical Center Inc | 114 N Washington St, Bourbon Family Medicine, Bourbon, IN 46504-1623 |
| Jennifer Friberg | Nurse Practitioner | Saint Joseph Regional Medical Center Inc | 1919 Lake Ave, Suite 104, Plymouth, IN 46563-7830 |
| Gregory Buck | Family Medicine | Saint Joseph Regional Medical Center Inc | 1120 W S St, Bremen Family Medicine, Bremen, IN 46506-1849 |
| Street Address |
2930 W CLEVELAND RD EXT NORTHWEST FAMILY MEDICINE |
| City | SOUTH BEND |
| State | IN |
| Zip | 46628-6090 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Frank V Murphy | Family Medicine | Saint Joseph Regional Medical Center Inc | 2930 W Cleveland Rd Ext, Northwest Family Medicine, South Bend, IN 46628-6090 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gretchen Jarrett | Nurse Practitioner | Life Line Community Healthcare | 1657 Commerce Dr, Suite 9b, South Bend, IN 46628-1593 |
| Susan M Brock | Nurse Practitioner | Life Line Community Healthcare | 1657 Commerce Dr, Suite 9b, South Bend, IN 46628-1593 |
| Flora Mashibe | Nurse Practitioner | Life Line Community Healthcare | 1657 Commerce Dr, Suite 9b, South Bend, IN 46628-1593 |
| Kevin W Kaurich | Chiropractic | 21421 Cleveland Rd, South Bend, IN 46628-3507 | |
| John A Whitney | Family Medicine | Beacon Medical Group Inc | 2235 Cleveland Rd, South Bend, IN 46628-3529 |
| Travis W Casper | Family Medicine | Beacon Medical Group Inc | 2235 Cleveland Rd, South Bend, IN 46628-3529 |
| Adeela Alizai | Ophthalmology | 2235 Cleveland Rd, South Bend, IN 46628-3529 | |
| Arif Goreja | Nephrology | Beacon Medical Group Inc | 2235 Cleveland Rd, South Bend, IN 46628-3529 |
| Leah D Craft | Family Medicine | Beacon Medical Group Inc | 2235 Cleveland Rd, South Bend, IN 46628-3529 |
| Syed Mohsan Rizvi | Nephrology | Beacon Medical Group Inc | 2235 Cleveland Rd, South Bend, IN 46628-3529 |
| Find all physicians in zip 46628 | |||
| City | SOUTH BEND |
| Zip Code | 46628 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | SOUTH BEND + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Shamiram B Badal.
| 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.