Shahid Wazir (NPI# 1548440803, PAC ID# 7315139961) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CARDIOVASCULAR DISEASE (CARDIOLOGY).
| Nation Provider ID (NPI) | 1548440803 |
| PAC ID by PECOS | 7315139961 |
| Professional Enrollment ID | I20101014000501 |
| Full Name | Shahid Wazir |
| Organization Legal Name | METHODIST MEDICAL CENTER OF ILLINOIS |
| Address |
1800 Broadway St Pekin IL 61554-3822 |
| Phone Number | 3093463416 |
| Gender | M |
| Graduation Year | 2001 |
| Primary Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| Secondary Specialties | INTERNAL MEDICINE |
| Group Practice PAC ID | 1355259714 |
| Number of Group Practice Members | 203 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140209 | METHODIST MEDICAL CENTER OF ILLINOIS |
| 140013 | PROCTOR HOSPITAL |
| 140120 | PEKIN MEMORIAL HOSPITAL |
| 140067 | OSF SAINT FRANCIS MEDICAL CENTER |
| 140040 | GALESBURG COTTAGE HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1506 W Garfield Ave, Bartonville, IL 61607-1755 | 3096972416 | PROCTOR HEALTH SYSTEMS |
| 1800 Broadway St, Pekin, IL 61554-3822 | 3093463416 | METHODIST MEDICAL CENTER OF ILLINOIS |
| 112 Ne Crescent Ave, Mmg Cardiology, Peoria, IL 61606-1901 | 3096724670 | METHODIST MEDICAL CENTER OF ILLINOIS |
| 221 Ne Glen Oak, Peoria, IL 61636-0001 | 3096725522 | METHODIST MEDICAL CENTER OF ILLINOIS |
| 221 Ne Glen Oak Ave, Peoria, IL 61636-0001 | METHODIST MEDICAL CENTER OF ILLINOIS | |
| 5401 N Knoxville Ave, Peoria, IL 61614-5021 | PROCTOR HEALTH SYSTEMS | |
| 5401 N Knoxville Ave, Suite 418, Peoria, IL 61614-5073 | 3096724670 | PROCTOR HEALTH SYSTEMS |
| 815 Main St, Peoria, IL 61602-1076 | 3096724908 | METHODIST MEDICAL CENTER OF ILLINOIS |
| 815 Main St, Methodist Family Medicine, Peoria, IL 61602-1076 | 3096724977 | METHODIST MEDICAL CENTER OF ILLINOIS |
| 815 Main St, A, Peoria, IL 61602-1080 | 3096724977 | METHODIST MEDICAL CENTER OF ILLINOIS |
| Organization Legal Name | METHODIST MEDICAL CENTER OF ILLINOIS |
| Physicians | 227 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kari M Hoffman | Nurse Practitioner | Methodist Medical Center of Illinois | 815 Main St A, Peoria, IL 61602-1080 |
| Alanna M Trettin | Physician Assistant | Methodist Medical Center of Illinois | 815 Main St, A, Peoria, IL 61602-1080 |
| Cheryl Herrmann | Certified Clinical Nurse Specialist (cns) | Methodist Medical Center of Illinois | 112 Necrescent Ave, Peoria, IL 61606-1901 |
| Lionel J Malebranche | Cardiovascular Disease (cardiology) | Methodist Medical Center of Illinois | 112 Ne Crescent Ave, Mmg Cardiology, Peoria, IL 61606-1901 |
| Melanie L Andrews | Family Medicine | Methodist Medical Center of Illinois | 221 Ne Glen Oak, Peoria, IL 61636-0001 |
| Anne M Look | Nurse Practitioner | Methodist Medical Center of Illinois | 112 Crescent Ave, Peoria, IL 61611-3257 |
| John K Kula | Anesthesiology | Methodist Medical Center of Illinois | 221 Neglen Oak Ave, Peoria, IL 61636-0001 |
| Nicholas L Warnecke | Physician Assistant | Methodist Medical Center of Illinois | 1800 Broadway St, Pekin, IL 61554-3822 |
| Melissa S Terhark | Certified Registered Nurse Anesthetist (crna) | Methodist Medical Center of Illinois | 221 Ne Glen Oak Ave, Peoria, IL 61636-0001 |
| Robert B Adams | Family Practice | Methodist Medical Center of Illinois | 200 River Rd, East Peoria, IL 61611-2095 |
| Street Address |
1800 BROADWAY ST |
| City | PEKIN |
| State | IL |
| Zip | 61554-3822 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nicholas L Warnecke | Physician Assistant | Methodist Medical Center of Illinois | 1800 Broadway St, Pekin, IL 61554-3822 |
| Pawan Sarda | Cardiovascular Disease (cardiology) | Methodist Medical Center of Illinois | 1800 Broadway St, Pekin, IL 61554-3822 |
| Tahir Ilahi | Cardiovascular Disease (cardiology) | Methodist Medical Center of Illinois | 1800 Broadway St, Pekin, IL 61554-3822 |
| Olaniyi O Osofisan | Cardiovascular Disease (cardiology) | Methodist Medical Center of Illinois | 1800 Broadway St, Pekin, IL 61554-3822 |
| Vivian Philipp | Qualified Audiologist | Permanente Medical Group Inc | 1800 Broadway St, Redwood City, CA 94063-2086 |
| Alexander A Adler | Cardiovascular Disease (cardiology) | Methodist Medical Center of Illinois | 1800 Broadway St, Pekin, IL 61554-3822 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brendon J Johnson | Optometry | 2611 Broadway St, Pekin, IL 61554-2501 | |
| Douglas C Harrington | Obstetrics/gynecology | 2709 Broadway St, Pekin, IL 61554-2676 | |
| Raymond Rs Heyde | Ophthalmology | Heyde Eye Center S.c | 111 N 4th St, Pekin, IL 61554-3248 |
| William E Fish | Optometry | Heyde Eye Center S.c | 111 N 4th St, Pekin, IL 61554-3248 |
| Jerry B Witt | Chiropractic | 611 Margaret St, Pekin, IL 61554-3355 | |
| Jijun Liu | Medical Oncology | Oncology Hematology Associates of Central Illinois PC | 1641 Broadway St, Pekin, IL 61554-3805 |
| Lindsey Lorraine Grys | Nurse Practitioner | Oncology Hematology Associates of Central Illinois PC | 1641 Broadway St, Pekin, IL 61554-3805 |
| Gordon W. James | Nephrology | Renalcare Associates, S.c. | 2355 Broadway, Renalcare Associates Sc, Pekin, IL 61554-3902 |
| Lesley E Brinkman Mosiman | Obstetrics/gynecology | 2401 Broadway St, Pekin, IL 61554-3905 | |
| Curtis W Fisher Ii | Family Medicine | 2401 Broadway St, Suite B, Pekin, IL 61554-3905 | |
| Find all physicians in zip 61554 | |||
| City | PEKIN |
| Zip Code | 61554 |
| Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| City + Specialty | PEKIN + CARDIOVASCULAR DISEASE (CARDIOLOGY) |
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| 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.