Pankajkumar C Shah (NPI# 1043412356, PAC ID# 7214021161) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1043412356 |
| PAC ID by PECOS | 7214021161 |
| Professional Enrollment ID | I20070922000002 |
| Full Name | Pankajkumar C Shah |
| Organization Legal Name | JENNIE STUART MEDICAL CENTER |
| Address |
320 W 18th St Hopkinsville KY 42240-1965 |
| Phone Number | 2708870100 |
| Gender | M |
| Graduation Year | 2001 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 4183607252 |
| Number of Group Practice Members | 20 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 180051 | JENNIE STUART MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 320 W 18th St, Hopkinsville, KY 42240-1965 | 2708870100 | JENNIE STUART MEDICAL CENTER |
| 310 Hawthorne St, Princeton, KY 42445-1622 | 2703650227 | PENNYROYAL HEALTHCARE SERVICES, INC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_047_overall | Care Plan | 100% |
| Organization Legal Name | JENNIE STUART MEDICAL CENTER |
| Physicians | 11 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joseph T Fuqua | Internal Medicine | Jennie Stuart Medical Center | 320 W 18th St, Hopkinsville, KY 42240-1965 |
| Mark Owusu | Internal Medicine | Jennie Stuart Medical Center | 320 W 18th St, Hopkinsville, KY 42240-1965 |
| Eddie Antwon Manley | Nurse Practitioner | Jennie Stuart Medical Center | 320 W 18th St, Hopkinsville, KY 42240-1965 |
| Parth H Shah | Family Medicine | Jennie Stuart Medical Center | 320 W 18th St, Hopkinsville, KY 42240-1965 |
| Deepak Patel | Psychiatry | Jennie Stuart Medical Center | 320 W 18th St, Hopkinsville, KY 42240-1965 |
| Michael Keith Toms | Internal Medicine | Jennie Stuart Medical Center | 320 W 18th St, Hopkinsville, KY 42240-1965 |
| Matthew David Smith | Family Medicine | Jennie Stuart Medical Center | 320 W 18th St, Hopkinsville, KY 42240-1965 |
| J D Littleton | Internal Medicine | Jennie Stuart Medical Center | 320 W 18th St, Hopkinsville, KY 42240-1965 |
| Hope R Smith | Nurse Practitioner | Jennie Stuart Medical Center | 320 W 18th St, Hopkinsville, KY 42240-1965 |
| Prasannalaxmi Palabindela | Internal Medicine | Jennie Stuart Medical Center | 320 W 18th St, Hopkinsville, KY 42240-1965 |
| Street Address |
320 W 18TH ST |
| City | HOPKINSVILLE |
| State | KY |
| Zip | 42240-1965 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joshua M Lemay | Certified Registered Nurse Anesthetist (crna) | Lifelinc Anesthesia Pllc | 320 W 18th St, Hopkinsville, KY 42240-1965 |
| Joseph T Fuqua | Internal Medicine | Jennie Stuart Medical Center | 320 W 18th St, Hopkinsville, KY 42240-1965 |
| Tracey Bullard | Nurse Practitioner | App of Kentucky Ed, Pllc | 320 W 18th St, Hopkinsville, KY 42240-1965 |
| Jonathan F Thomas | Emergency Medicine | App of Kentucky Ed, Pllc | 320 W 18th St, Hopkinsville, KY 42240-1965 |
| Daniel L Etheridge | Certified Registered Nurse Anesthetist (crna) | Lifelinc Anesthesia Pllc | 320 W 18th St, Hopkinsville, KY 42240-1965 |
| Mark Owusu | Internal Medicine | Jennie Stuart Medical Center | 320 W 18th St, Hopkinsville, KY 42240-1965 |
| Adam D Kuzma | Certified Registered Nurse Anesthetist (crna) | Lifelinc Anesthesia Pllc | 320 W 18th St, Hopkinsville, KY 42240-1965 |
| Melissa A Patton | Pathology | Associated Pathologists LLC | 320 W 18th St, Hopkinsville, KY 42240-1965 |
| Leesa L Segler | Certified Registered Nurse Anesthetist (crna) | Lifelinc Anesthesia Pllc | 320 W 18th St, Hopkinsville, KY 42240-1965 |
| Callie J Hancock | Certified Registered Nurse Anesthetist (crna) | Lifelinc Anesthesia Pllc | 320 W 18th St, Hopkinsville, KY 42240-1965 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Autumn Lee Triplett | Nurse Practitioner | 111 Derrick Pl, Hopkinsville, KY 42240-1325 | |
| Theresa S Clark | Registered Dietitian Or Nutrition Professional | 530 Noel Ave, Hopkinsville, KY 42240-1386 | |
| Travis N Calhoun | Internal Medicine | 538 B Noel Ave, Hopkinsville, KY 42240-1386 | |
| Mark J Edmunds | Podiatry | 101 N Dr, Hopkinsville, KY 42240-1603 | |
| Charles W Bosch | Otolaryngology | 1830 High St, Suite B, Hopkinsville, KY 42240-1746 | |
| Vinna D Denison | Family Medicine | 320 N Dr, Hopkinsville, KY 42240-1806 | |
| Christina Marie Polete | Nurse Practitioner | Hopkinsville Family Care Psc | 315 A W 16th St, Hopkinsville, KY 42240-1903 |
| Michelle Lynn Ross | Physician Assistant | Fairview Physicians Network LLC | 219 W 17th St, Hopkinsville, KY 42240-1911 |
| Cyrus C Chapman Iii | Diagnostic Radiology | Pennyrile Radiology, Psc | 215 W 17th St, Hopkinsville, KY 42240-1911 |
| James M Clark | Diagnostic Radiology | Pennyrile Radiology, Psc | 215 W 17th St, Hopkinsville, KY 42240-1911 |
| Find all physicians in zip 42240 | |||
| City | HOPKINSVILLE |
| Zip Code | 42240 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | HOPKINSVILLE + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Pankajkumar C 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.