Medicare Doctors and Clinicians
5867774668 · Physician Assistant · 25250 Kelly Rd, Suite 100, Roseville, MI 48066-4473
Overview
Cameron Shadaia is a physician assistant enrolled with Centers for Medicare & Medicaid Services (CMS). The organization name is BEAUMONT MEDICAL GROUP- SPECIALTY SERVICES. The business address is 25250 Kelly Rd, Suite 100, Roseville, MI 48066-4473. Published on April 5, 2024.
Enrollment Information
NPI | 1467214247 Nation Provider Identifier (NPI)National Plan and Provider Enumeration System (NPPES) |
PAC ID | 9638517881 PECOS Associate Control (PAC) ID Medicare Provider Enrollment and Chain/Ownership System (PECOS) |
Professional Enrollment ID | I20240405003119 |
Full Name | CAMERON SHADAIA |
Gender | M |
Graduation Year | 2023 |
Primary Specialty | PHYSICIAN ASSISTANT |
Organization Legal Name | BEAUMONT MEDICAL GROUP- SPECIALTY SERVICES |
Group Practice PAC ID | 7214299866 |
Number of Group Practice Members | 781 |
Address | 25250 Kelly Rd Suite 100 Roseville MI 48066-4473 |
Telephone | 5867774668 |
Professional Accepts Medicare Assignment | Y - Accepts Medicare approved amount as payment in full |
Group Accepts Medicare Assignment | Y - Accepts Medicare approved amount as payment in full |
Provider Overview
NPI | 1467214247 Nation Provider Identifier (NPI)National Plan and Provider Enumeration System (NPPES) |
Provider Name | CAMERON SHADAIA |
Address | 3601 W 13 Mile Rd Royal Oak MI 48073-6712 |
Taxonomy Code | 363A00000X |
Enumeration Date | 2024-01-26 |
Organization Information
Organization Legal Name | BEAUMONT MEDICAL GROUP- SPECIALTY SERVICES |
Address | 25250 Kelly Rd Suite 100 Roseville MI 48066-4473 |
Telephone | 5867774668 |
Doctors with the same organization
Doctor Name | Primary Specialty | Organization Legal Name | Address |
---|---|---|---|
Kathleen Ruffolo | Nurse Practitioner | Beaumont Medical Group- Specialty Services | 25250 Kelly Rd, Suite 100, Roseville, MI 48066-4473 |
Christopher Donald Jaeger | Urology | Beaumont Medical Group- Specialty Services | 25250 Kelly Rd, Suite 100, Roseville, MI 48066-4473 |
Jared Johnson | Otolaryngology | Beaumont Medical Group- Specialty Services | 25250 Kelly Rd, Suite 100, Roseville, MI 48066-4473 |
Rizwan Alvi | Physical Medicine and Rehabilitation | Beaumont Medical Group- Specialty Services | 25250 Kelly Rd, Suite 100, Roseville, MI 48066-4473 |
Leah Frankel | Physician Assistant | Beaumont Medical Group- Specialty Services | 25250 Kelly Rd, Suite 100, Roseville, MI 48066-4473 |
Keith Kriesberg | Physician Assistant | Beaumont Medical Group- Specialty Services | 25250 Kelly Rd, Suite 100, Roseville, MI 48066-4473 |
Katrina Blanchard | Nurse Practitioner | Beaumont Medical Group- Specialty Services | 25250 Kelly Rd, Suite 100, Roseville, MI 48066-4473 |
Paige Wasik | Physician Assistant | Beaumont Medical Group- Specialty Services | 25250 Kelly Rd, Suite 100, Roseville, MI 48066-4473 |
Megan Renee Gorgia | Nurse Practitioner | Beaumont Medical Group- Specialty Services | 25250 Kelly Rd, Suite 100, Roseville, MI 48066-4473 |
Carina Ghafari | Physician Assistant | Beaumont Medical Group- Specialty Services | 25250 Kelly Rd, Suite 100, Roseville, MI 48066-4473 |
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Location Information
Street Address | 25250 KELLY RD SUITE 100 |
City | ROSEVILLE |
State | MI |
Zip Code | 48066-4473 |
Doctors in the same location
Doctor Name | Primary Specialty | Organization Legal Name | Address |
---|---|---|---|
Stephen Paul Dzul | Radiation Oncology | Beaumont Medical Group- Specialty Services | 25250 Kelly Rd, Suite 100, Roseville, MI 48066-4473 |
Hyunyoung Ahn | Obstetrics/Gynecology | Beaumont Medical Group- Specialty Services | 25250 Kelly Rd, Suite 100, Roseville, MI 48066-4473 |
Paige Wasik | Physician Assistant | Beaumont Medical Group- Specialty Services | 25250 Kelly Rd, Suite 100, Roseville, MI 48066-4473 |
Carina Ghafari | Physician Assistant | Beaumont Medical Group- Specialty Services | 25250 Kelly Rd, Suite 100, Roseville, MI 48066-4473 |
Matthew Major | General Surgery | Beaumont Medical Group- Specialty Services | 25250 Kelly Rd, Suite 100, Roseville, MI 48066-4473 |
Kathleen Ruffolo | Nurse Practitioner | Beaumont Medical Group- Specialty Services | 25250 Kelly Rd, Suite 100, Roseville, MI 48066-4473 |
Jared Johnson | Otolaryngology | Beaumont Medical Group- Specialty Services | 25250 Kelly Rd, Suite 100, Roseville, MI 48066-4473 |
Christopher Donald Jaeger | Urology | Beaumont Medical Group- Specialty Services | 25250 Kelly Rd, Suite 100, Roseville, MI 48066-4473 |
Keith Kriesberg | Physician Assistant | Beaumont Medical Group- Specialty Services | 25250 Kelly Rd, Suite 100, Roseville, MI 48066-4473 |
Sergey G Toshinskiy | Plastic and Reconstructive Surgery | Beaumont Medical Group- Specialty Services | 25250 Kelly Rd, Suite 100, Roseville, MI 48066-4473 |
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Doctors in the same zip code
Doctor Name | Primary Specialty | Organization Legal Name | Address |
---|---|---|---|
Faith Maria Miegoc | Physician Assistant | Oakwood Ambulatory LLC | 30695 Little Mack Ave, Suite 200, Roseville, MI 48066-1781 |
Robert David Edwards | Family Practice | Oakwood Ambulatory LLC | 30695 Little Mack Ave, Suite 200, Roseville, MI 48066-1781 |
Ruth A Chaplen | Nurse Practitioner | Barbara Ann Karmanos Cancer Institute | 30550 Utica Rd, Roseville, MI 48066-1528 |
Cora Coleman | Clinical Social Worker | Open Heart Community Care Services Inc | 28491 Utica Rd, Roseville, MI 48066-2593 |
Troy Silverthorn | Physical Therapy | Athletico Ltd | 30785 Gratiot Ave, Roseville, MI 48066-1712 |
Kathleen Wendel Duchak | Family Practice | Oakwood Ambulatory LLC | 30695 Little Mack Ave, Suite 200, Roseville, MI 48066-1781 |
Briana Harkiewicz | Nurse Practitioner | Oakwood Ambulatory LLC | 30695 Little Mack Ave, Suite 200, Roseville, MI 48066-1781 |
Babar Azeem Qadri | Physician Assistant | Promed Urgent Care PLLC | 19041 E 12 Mile Rd, Suite 102, Roseville, MI 48066-2609 |
Michael Valentine Kurzawa | Family Practice | Oakwood Ambulatory LLC | 30695 Little Mack Ave, Suite 200, Roseville, MI 48066-1781 |
Leia Meyers | Family Practice | Oakwood Ambulatory LLC | 30695 Little Mack Ave, Suite 200, Roseville, MI 48066-1781 |
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Similar Physicians
Doctors with similar names
Doctor Name | Primary Specialty | Organization Legal Name | Address |
---|---|---|---|
Ivy M Cameron | Nurse Practitioner | 900 S Auburn St, Kennewick, WA 99336-5621 | |
Pamela R Shadaia | Clinical Social Worker | Mclaren Flint | G3200 Beecher Rd, Suite Mbi, Flint, MI 48532-3613 |
Amy A Cameron | Physician Assistant | Massachusetts General Physicians Organization Inc | 55 Fruit St, Boston, MA 02114-2696 |
Cameron Loe | Optometry | Estrella Mountain Eye Care PLLC | 13065 W Mcdowell Rd, Suite B105, Avondale, AZ 85392-6442 |
Amy Cameron | Clinical Psychologist | Ricbt, Inc. | 640 George Washington Hwy, Suite B200, Lincoln, RI 02865-4244 |
Ray H Cameron | Otolaryngology | Dickinson County Healthcare System | 1721 S Stephenson Ave, Iron Mountain, MI 49801-3637 |
Cameron S Luo | Neurology | 5120 Charlestown Rd, Suite 5, New Albany, IN 47150-9497 | |
Cameron Hui | Physical Therapy | Dynamic Therapy Services LLC | 774 Christiana Rd, Suite 3, Newark, DE 19713-4219 |
Amy J Cameron | Physician Assistant | St Charles Health System Inc | 2500 Ne Neff Rd, Bend, OR 97701-6015 |
Cameron W Roe | Chiropractic | 2100 W White St, Suite 230, Anna, TX 75409-5516 |
Improve Information
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Dataset Information
This dataset includes over one million physicians and other clinicians currently enrolled in Medicare. The dataset contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation. Each physician is registered with National Provider Identifier (NPI), PECOS Associate Control (PAC) ID, full name, specialty, phone, organization, hospital, address, medical school, etc.
Subject | Transparency and Disclosure |
Jurisdiction | Federal |
Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Source | data.cms.gov |
Dataset Details
The Centers for Medicare & Medicaid Services gives useful information about doctors, clinicians, and groups listed on Medicare Care Compare. The data is available in the Provider Data Catalog (PDC) for the performance year (PY) of the Quality Payment Program. The informatoin include: demographic data describing individual doctors and clinicians; clinician, group, and virtual group Merit-based Incentive Payment System (MIPS) performance information; clinician overall MIPS Final Score and performance category score information; and clinician utilization data. The Doctors and Clinicians data contains the following information:
- The clinician/enrollment record/group/address data: Clinicians may have multiple Medicare enrollment records and/or single enrollments linking to multiple practice locations.
- Performance information for Merit-Based Incentive Payment System (MIPS) Quality, Promoting Interoperability, and Improvement Activities performance information submitted by clinicians.
- Merit-Based Incentive Payment System (MIPS) Final Scores and performance category scores for clinicians.
- performance information for Merit-Based Incentive Payment System (MIPS) Quality, Promoting Interoperability, and Improvement Activities performance information submitted by groups.
- Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS measures submitted by groups.
This dataset includes over one million doctors, clinicians, and groups enrolled in Medicare. The data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA). The data for each entity includes National Provider Identifier (NPI), PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.