Shadi M Haddadin (NPI# 1073611919, PAC ID# 7517046865) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is HEMATOLOGY/ONCOLOGY.
| Nation Provider ID (NPI) | 1073611919 |
| PAC ID by PECOS | 7517046865 |
| Professional Enrollment ID | I20080512000427 |
| Full Name | Shadi M Haddadin |
| Organization Legal Name | JEFFERSON CITY MEDICAL GROUP PC |
| Address |
1241 W Stadium Blvd Family Practice Jefferson Cty MO 65109-6023 |
| Phone Number | 5735565771 |
| Gender | M |
| Graduation Year | 2001 |
| Primary Specialty | HEMATOLOGY/ONCOLOGY |
| Secondary Specialties | INTERNAL MEDICINE |
| Group Practice PAC ID | 1850371089 |
| Number of Group Practice Members | 112 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 260011 | SSM HEALTH ST MARY'S HOSPITAL JEFFERSON CITY |
| 260047 | CAPITAL REGION MEDICAL CENTER |
| 260068 | BOONE HOSPITAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1241 W Stadium Blvd, Family Practice, Jefferson Cty, MO 65109-6023 | 5735565771 | JEFFERSON CITY MEDICAL GROUP PC |
| Organization Legal Name | JEFFERSON CITY MEDICAL GROUP PC |
| Physicians | 102 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robyn Ellen Powers | Nurse Practitioner | Jefferson City Medical Group PC | 3605 Country Club Dr, Jefferson City, MO 65109-1070 |
| Tracy J Guthrie | Nurse Practitioner | Jefferson City Medical Group PC | 2303 S Hwy 65 A, Missouri Valley Physicians A Division of Jcmg, Marshall, MO 65340-3735 |
| Joyce Wilson | Hand Surgery | Jefferson City Medical Group PC | 1225 W Stadium Blvd, Jefferson City, MO 65101 |
| Willis H Hoyt Iii | Otolaryngology | Jefferson City Medical Group PC | 1055 Ozark Care Dr, Suite A, Osage Beach, MO 65065-3016 |
| Douglas J Howland | Otolaryngology | Jefferson City Medical Group PC | 1055 Ozark Care Dr A, Ear Nose Throat and Sinus Surgery, Osage Beach, MO 65065-3016 |
| Judy A Wienke | Nurse Practitioner | Jefferson City Medical Group PC | 606 E Buchanan St, Family Health Clinic, California, MO 65018-1910 |
| Michael Steenbergen | Family Medicine | Jefferson City Medical Group PC | 1306 E Main St, Linn, MO 65051-2503 |
| Thomas Schneider | Pulmonary Disease | Jefferson City Medical Group PC | 1241 W Stadium Blvd, Jefferson City, MO 65109-6023 |
| Saira Babar | Family Medicine | Jefferson City Medical Group PC | 1735 Elm Ct, Jefferson City, MO 65101-4129 |
| Philip L Rumbaoa | Family Medicine | Jefferson City Medical Group PC | 5816 Osage Beach Pkwy, Suite 105, Osage Beach, MO 65065-3046 |
| Street Address |
1241 W STADIUM BLVD FAMILY PRACTICE |
| City | JEFFERSON CTY |
| State | MO |
| Zip | 65109-6023 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Thomas Schneider | Pulmonary Disease | Jefferson City Medical Group PC | 1241 W Stadium Blvd, Jefferson City, MO 65109-6023 |
| John G Charbonneau | Certified Registered Nurse Anesthetist (crna) | Mid Missouri Anesthesia Consultants PC | 1241 W Stadium Blvd, Jefferson City Medical Group, Jefferson City, MO 65109-6023 |
| Elliott D Roberts | Diagnostic Radiology | Jefferson City Medical Group PC | 1241 W Stadium Blvd, Jefferson City, MO 65109-6023 |
| Allyson J Ihms | Certified Registered Nurse Anesthetist (crna) | Jefferson City Medical Group PC | 1241 W Stadium Blvd, Jefferson City, MO 65109-6023 |
| Zebulon E Thomeczek | Certified Registered Nurse Anesthetist (crna) | Jefferson City Medical Group PC | 1241 W Stadium Blvd, Family Practice, Jefferson Cty, MO 65109-6023 |
| Bonnie R Smith | Diagnostic Radiology | Jefferson City Medical Group PC | 1241 W Stadium Blvd, Family Practice, Jefferson Cty, MO 65109-6023 |
| Indumathi R Baskar | Internal Medicine | Jefferson City Medical Group PC | 1241 W Stadium Blvd, Family Practice, Jefferson Cty, MO 65109-6023 |
| Deana M Berrey | Anesthesiology | Jefferson City Medical Group PC | 1241 W Stadium Blvd, Jefferson City, MO 65109-6023 |
| Amanda L Peters | Nurse Practitioner | Jefferson City Medical Group PC | 1241 W Stadium Blvd, Jefferson City, MO 65109-6023 |
| Philip J Wilson | Ophthalmology | Jefferson City Medical Group PC | 1241 W Stadium Blvd, Family Practice, Jefferson Cty, MO 65109-6023 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lindsey M Koelling | Registered Dietitian Or Nutrition Professional | Hy Vee Inc | 3721 W Truman Boulevard, Jefferson City, MO 65109-0536 |
| Eric I Vogt | Urology | Urology Care, Inc. | 3207 W Truman Blvd, Suite A, Jefferson City, MO 65109-0892 |
| Douglas A West | Urology | Urology Care, Inc. | 3207 W Truman Blvd, Suite A, Jefferson City, MO 65109-0892 |
| Jerry J Trulson | Urology | Urology Care, Inc. | 3207 W Truman Blvd, Suite A, Jefferson City, MO 65109-0892 |
| Michael S Severance | Urology | Urology Care, Inc. | 3207 W Truman Blvd, Suite A, Jefferson City, MO 65109-0892 |
| Robyn Ellen Powers | Nurse Practitioner | Jefferson City Medical Group PC | 3605 Country Club Dr, Jefferson City, MO 65109-1070 |
| Tanner W Coleman | Chiropractic | Jefferson City Medical Group PC | 3605 Country Club Dr, Jefferson City, MO 65109-1070 |
| Thomas D Robbins | Family Medicine | Jefferson City Medical Group PC | 3605 Country Club Dr, Jefferson City, MO 65109-1070 |
| Kaitlyn Belisle | Chiropractic | Health Quest Physicians Group, LLC | 3349 American Ave, Suite B, Jefferson City, MO 65109-1079 |
| Brian Conley | Pediatric Medicine | Ssm Regional Health Services | 3348 American Ave, Jefferson City, MO 65109-1079 |
| Find all physicians in zip 65109 | |||
| City | JEFFERSON CTY |
| Zip Code | 65109 |
| Specialty | HEMATOLOGY/ONCOLOGY |
| City + Specialty | JEFFERSON CTY + HEMATOLOGY/ONCOLOGY |
Please comment or provide details below to improve the information on Shadi M Haddadin.
| 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.