Cameron Shadaia · 25250 Kelly Rd, Suite 100, Roseville, MI 48066-4473 · Physician Assistant · Beaumont Medical Group- Specialty Services (2024)

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 NamePrimary SpecialtyOrganization Legal NameAddress
Kathleen Ruffolo Nurse PractitionerBeaumont Medical Group- Specialty Services25250 Kelly Rd, Suite 100, Roseville, MI 48066-4473
Christopher Donald Jaeger UrologyBeaumont Medical Group- Specialty Services25250 Kelly Rd, Suite 100, Roseville, MI 48066-4473
Jared Johnson OtolaryngologyBeaumont Medical Group- Specialty Services25250 Kelly Rd, Suite 100, Roseville, MI 48066-4473
Rizwan Alvi Physical Medicine and RehabilitationBeaumont Medical Group- Specialty Services25250 Kelly Rd, Suite 100, Roseville, MI 48066-4473
Leah Frankel Physician AssistantBeaumont Medical Group- Specialty Services25250 Kelly Rd, Suite 100, Roseville, MI 48066-4473
Keith Kriesberg Physician AssistantBeaumont Medical Group- Specialty Services25250 Kelly Rd, Suite 100, Roseville, MI 48066-4473
Katrina Blanchard Nurse PractitionerBeaumont Medical Group- Specialty Services25250 Kelly Rd, Suite 100, Roseville, MI 48066-4473
Paige Wasik Physician AssistantBeaumont Medical Group- Specialty Services25250 Kelly Rd, Suite 100, Roseville, MI 48066-4473
Megan Renee Gorgia Nurse PractitionerBeaumont Medical Group- Specialty Services25250 Kelly Rd, Suite 100, Roseville, MI 48066-4473
Carina Ghafari Physician AssistantBeaumont Medical Group- Specialty Services25250 Kelly Rd, Suite 100, Roseville, MI 48066-4473
Find all doctors with the same organization

Location Information

Street Address 25250 KELLY RD
SUITE 100
City ROSEVILLE
State MI
Zip Code 48066-4473

Doctors in the same location

Doctor NamePrimary SpecialtyOrganization Legal NameAddress
Stephen Paul Dzul Radiation OncologyBeaumont Medical Group- Specialty Services25250 Kelly Rd, Suite 100, Roseville, MI 48066-4473
Hyunyoung Ahn Obstetrics/GynecologyBeaumont Medical Group- Specialty Services25250 Kelly Rd, Suite 100, Roseville, MI 48066-4473
Paige Wasik Physician AssistantBeaumont Medical Group- Specialty Services25250 Kelly Rd, Suite 100, Roseville, MI 48066-4473
Carina Ghafari Physician AssistantBeaumont Medical Group- Specialty Services25250 Kelly Rd, Suite 100, Roseville, MI 48066-4473
Matthew Major General SurgeryBeaumont Medical Group- Specialty Services25250 Kelly Rd, Suite 100, Roseville, MI 48066-4473
Kathleen Ruffolo Nurse PractitionerBeaumont Medical Group- Specialty Services25250 Kelly Rd, Suite 100, Roseville, MI 48066-4473
Jared Johnson OtolaryngologyBeaumont Medical Group- Specialty Services25250 Kelly Rd, Suite 100, Roseville, MI 48066-4473
Christopher Donald Jaeger UrologyBeaumont Medical Group- Specialty Services25250 Kelly Rd, Suite 100, Roseville, MI 48066-4473
Keith Kriesberg Physician AssistantBeaumont Medical Group- Specialty Services25250 Kelly Rd, Suite 100, Roseville, MI 48066-4473
Sergey G Toshinskiy Plastic and Reconstructive SurgeryBeaumont Medical Group- Specialty Services25250 Kelly Rd, Suite 100, Roseville, MI 48066-4473
Find all doctors in the same location

Doctors in the same zip code

Doctor NamePrimary SpecialtyOrganization Legal NameAddress
Faith Maria Miegoc Physician AssistantOakwood Ambulatory LLC30695 Little Mack Ave, Suite 200, Roseville, MI 48066-1781
Robert David Edwards Family PracticeOakwood Ambulatory LLC30695 Little Mack Ave, Suite 200, Roseville, MI 48066-1781
Ruth A Chaplen Nurse PractitionerBarbara Ann Karmanos Cancer Institute30550 Utica Rd, Roseville, MI 48066-1528
Cora Coleman Clinical Social WorkerOpen Heart Community Care Services Inc28491 Utica Rd, Roseville, MI 48066-2593
Troy Silverthorn Physical TherapyAthletico Ltd30785 Gratiot Ave, Roseville, MI 48066-1712
Kathleen Wendel Duchak Family PracticeOakwood Ambulatory LLC30695 Little Mack Ave, Suite 200, Roseville, MI 48066-1781
Briana Harkiewicz Nurse PractitionerOakwood Ambulatory LLC30695 Little Mack Ave, Suite 200, Roseville, MI 48066-1781
Babar Azeem Qadri Physician AssistantPromed Urgent Care PLLC19041 E 12 Mile Rd, Suite 102, Roseville, MI 48066-2609
Michael Valentine Kurzawa Family PracticeOakwood Ambulatory LLC30695 Little Mack Ave, Suite 200, Roseville, MI 48066-1781
Leia Meyers Family PracticeOakwood Ambulatory LLC30695 Little Mack Ave, Suite 200, Roseville, MI 48066-1781
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Similar Physicians

Doctors with similar names

Doctor NamePrimary SpecialtyOrganization Legal NameAddress
Ivy M Cameron Nurse Practitioner900 S Auburn St, Kennewick, WA 99336-5621
Pamela R Shadaia Clinical Social WorkerMclaren FlintG3200 Beecher Rd, Suite Mbi, Flint, MI 48532-3613
Amy A Cameron Physician AssistantMassachusetts General Physicians Organization Inc55 Fruit St, Boston, MA 02114-2696
Cameron Loe OptometryEstrella Mountain Eye Care PLLC13065 W Mcdowell Rd, Suite B105, Avondale, AZ 85392-6442
Amy Cameron Clinical PsychologistRicbt, Inc.640 George Washington Hwy, Suite B200, Lincoln, RI 02865-4244
Ray H Cameron OtolaryngologyDickinson County Healthcare System1721 S Stephenson Ave, Iron Mountain, MI 49801-3637
Cameron S Luo Neurology5120 Charlestown Rd, Suite 5, New Albany, IN 47150-9497
Cameron Hui Physical TherapyDynamic Therapy Services LLC774 Christiana Rd, Suite 3, Newark, DE 19713-4219
Amy J Cameron Physician AssistantSt Charles Health System Inc2500 Ne Neff Rd, Bend, OR 97701-6015
Cameron W Roe Chiropractic2100 W White St, Suite 230, Anna, TX 75409-5516

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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.

Cameron Shadaia · 25250 Kelly Rd, Suite 100, Roseville, MI 48066-4473 · Physician Assistant · Beaumont Medical Group- Specialty Services (2024)
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