Jitendra J Shah (NPI# 1619061827, PAC ID# 4082688072) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CARDIOVASCULAR DISEASE (CARDIOLOGY).
| Nation Provider ID (NPI) | 1619061827 |
| PAC ID by PECOS | 4082688072 |
| Professional Enrollment ID | I20081010000735 |
| Full Name | Jitendra J Shah |
| Organization Legal Name | OSF MULTI-SPECIALTY GROUP |
| Address |
420 Neglen Oak Ave Suite 301 Peoria IL 61603 |
| Phone Number | 3096553453 |
| Gender | M |
| Graduation Year | 1969 |
| Primary Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| Secondary Specialties | PEDIATRIC MEDICINE |
| Group Practice PAC ID | 3678889789 |
| Number of Group Practice Members | 1043 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140067 | OSF SAINT FRANCIS MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 420 Neglen Oak Ave, Suite 301, Peoria, IL 61603 | 3096553453 | OSF MULTI-SPECIALTY GROUP |
| 420 Neglen Oak Ave, Peoria, IL 61603 | 3096553453 | OSF MULTI-SPECIALTY GROUP |
| Organization Legal Name | OSF MULTI-SPECIALTY GROUP |
| Physicians | 1301 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Erin R Moody | Physician Assistant | Osf Multi-specialty Group | 9951 Rock Cut Xing, Loves Park, IL 61111-1999 |
| Christina S Chen Milhone | Pediatric Medicine | Osf Multi-specialty Group | 2806 N Knoxville Ave, Peoria, IL 61604-2870 |
| Katelyn J Stites | Nurse Practitioner | Osf Multi-specialty Group | 106 S 1st St, Fairbury, IL 61739-1509 |
| Andrea M Shewalter | Nurse Practitioner | Osf Multi-specialty Group | 535 Roxbury Rd, Rockford, IL 61107-5076 |
| Kathleen M Hendricks | Nurse Practitioner | Osf Multi-specialty Group | 2809 W Willow Knolls Dr, Peoria, IL 61614-8517 |
| Carrie B Finley | Nurse Practitioner | Osf Multi-specialty Group | 1209 Starfire Dr, Suite 2, Ottawa, IL 61350-1688 |
| Laine E Burek | Nurse Practitioner | Osf Multi-specialty Group | 1765 Bradford Ln, Normal, IL 61761-1296 |
| James C Plasky | Nurse Practitioner | Osf Multi-specialty Group | 6830 Villagreen Vw, Rockford, IL 61107-5639 |
| Jubilee C Phan | Urology | Osf Multi-specialty Group | 1001 Main St, Suite 400, Peoria, IL 61606-2036 |
| Sara K Rosenbery | Nurse Practitioner | Osf Multi-specialty Group | 515 Neglen Oak Ave, Suite 202, Peoria, IL 61603 |
| Street Address |
420 NEGLEN OAK AVE SUITE 301 |
| City | PEORIA |
| State | IL |
| Zip | 61603 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Cecilia A Albaro | Pediatric Medicine | Osf Multi-specialty Group | 420 Neglen Oak Ave, Suite 301, Peoria, IL 61603 |
| Kristi N Ryan | Nurse Practitioner | Osf Multi-specialty Group | 420 Neglen Oak Ave, Suite 301, Peoria, IL 61603 |
| Mark D Plunkett | Cardiac Surgery | Osf Multi-specialty Group | 420 Neglen Oak Ave, Suite 301, Peoria, IL 61603 |
| Marc D Knepp | Cardiovascular Disease (cardiology) | Osf Multi-specialty Group | 420 Neglen Oak Ave, Suite 301, Peoria, IL 61603 |
| Michael J Gootee | Otolaryngology | Osf Multi-specialty Group | 420 Neglen Oak Ave, Suite 201, Peoria, IL 61603 |
| Priti M Patel | Cardiovascular Disease (cardiology) | Osf Multi-specialty Group | 420 Neglen Oak Ave, Suite 301, Peoria, IL 61603 |
| Anthony J Munaco | General Surgery | Osf Multi-specialty Group | 420 Neglen Oak Ave, Suite 201, Peoria, IL 61603 |
| Jeffrey W Orcutt | Pediatric Medicine | Osf Multi-specialty Group | 420 Neglen Oak Ave, Suite 301, Peoria, IL 61603 |
| Rebecca A Todd | Nurse Practitioner | Osf Multi-specialty Group | 420 Neglen Oak Ave, Suite 301, Peoria, IL 61603 |
| Lizabeth J Wallace | Nurse Practitioner | Osf Multi-specialty Group | 420 Neglen Oak Ave, Suite 201, Peoria, IL 61603 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sara K Rosenbery | Nurse Practitioner | Osf Multi-specialty Group | 515 Neglen Oak Ave, Suite 202, Peoria, IL 61603 |
| Timothy Whitzel Swain Iii | Thoracic Surgery | Osf Multi-specialty Group | 515 Neglen Oak Ave, Suite 202, Peoria, IL 61603 |
| Emmanuel A Amulraj | Thoracic Surgery | Osf Multi-specialty Group | 515 Neglen Oak Ave, Suite 202, Peoria, IL 61603 |
| James R Munns | Cardiac Surgery | Osf Multi-specialty Group | 515 Neglen Oak Ave, Suite 202, Peoria, IL 61603 |
| Stephen E Bash | Cardiovascular Disease (cardiology) | Osf Multi-specialty Group | 420 Neglen Oak Ave, Suite 301, Peoria, IL 61603 |
| Sujata Subramanian | Cardiac Surgery | Osf Multi-specialty Group | 420 Neglen Oak Ave, Suite 301, Peoria, IL 61603 |
| Churphena A Reid | Urology | Osf Multi-specialty Group | 420 Neglen Oak Ave, Suite 201, Peoria, IL 61603 |
| Robert Carr Kanard | General Surgery | Osf Multi-specialty Group | 420 Neglen Oak Ave, Peoria, IL 61603 |
| Shannon R Foiles | Clinical Nurse Specialist | Osf Multi-specialty Group | 515 Neglen Oak Ave, Peoria, IL 61603 |
| Charles J Aprahamian | General Surgery | Osf Multi-specialty Group | 420 Neglen Oak Ave, Suite 201, Peoria, IL 61603 |
| Find all physicians in zip 61603 | |||
| City | PEORIA |
| Zip Code | 61603 |
| Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| City + Specialty | PEORIA + CARDIOVASCULAR DISEASE (CARDIOLOGY) |
Please comment or provide details below to improve the information on Jitendra J Shah.
| 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.