Shairko Missouri, MD | |
1020 Thompson St, Jersey Shore, PA 17740-1729 | |
(570) 398-0100 | |
(570) 398-3999 |
Full Name | Shairko Missouri |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Location | 1020 Thompson St, Jersey Shore, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1215239488 | NPI | - | NPPES |
110196052A | Medicaid | MA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 293668 (Massachusetts) | Secondary |
207L00000X | Anesthesiology | 292115 (New York) | Secondary |
207L00000X | Anesthesiology | MD439818 (Pennsylvania) | Primary |
Entity Name | Professional Anesthesia Services Of North America Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1972994820 PECOS PAC ID: 1658698824 Enrollment ID: O20150327000075 |
Mailing Address | Practice Location Address |
---|---|
Shairko Missouri, MD 1020 Thompson St, Jersey Shore, PA 17740-1729 Ph: (570) 398-0100 | Shairko Missouri, MD 1020 Thompson St, Jersey Shore, PA 17740-1729 Ph: (570) 398-0100 |
Muhammad Anwar, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 1020 Thompson St, Jersey Shore, PA 17740 Phone: 570-398-5131 Fax: 570-398-3195 | |
Diane M Ridley, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1020 Thompson St, Jersey Shore, PA 17740 Phone: 570-398-5131 Fax: 570-398-3195 | |
Anthony T Wang, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1020 Thompson St, Jersey Shore, PA 17740 Phone: 570-398-5131 | |
Dr. John Alvaro Hunter, DDS Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1020 Thompson St, Jersey Shore, PA 17740 Phone: 570-398-0100 |