Dr John A Shivdat, DO | |
1120 Morningside Dr, Perry, GA 31069-2906 | |
(478) 988-1706 | |
(478) 988-1794 |
Full Name | Dr John A Shivdat |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Experience | 32 Years |
Location | 1120 Morningside Dr, Perry, Georgia |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1376599746 | NPI | - | NPPES |
6848109 | Medicaid | NJ | |
P00630321 | Other | NJ | MEDICARE RAILROAD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 47527 (Georgia) | Secondary |
207P00000X | Emergency Medicine | 25MB06152500 (New Jersey) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Jfk Medical Center | Edison, NJ | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Middlesex Emergency Physicians, P.a. | 9931002854 | 24 |
Entity Name | Middlesex Emergency Physicians, P.a. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1811921760 PECOS PAC ID: 9931002854 Enrollment ID: O20040129000034 |
Entity Name | Plainfield Emergency Physicians, Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1659309680 PECOS PAC ID: 7719972728 Enrollment ID: O20040419001065 |
Mailing Address | Practice Location Address |
---|---|
Dr John A Shivdat, DO 1074 Grand Oaks Gln Nw, Marietta, GA 30064-5423 Ph: (770) 424-0901 | Dr John A Shivdat, DO 1120 Morningside Dr, Perry, GA 31069-2906 Ph: (478) 988-1706 |
Stephanie Christin Burch, ATC Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 213a Farm Estates Rd, Perry, GA 31069 Phone: 478-442-6874 | |
Dr. Glenda H. Davis, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1120 Morningside Dr, Perry, GA 31069 Phone: 478-988-1706 Fax: 478-988-1794 |