Shireen Haque, MD | |
1266 Highway 515 S, Jasper, GA 30143-4872 | |
(706) 301-5434 | |
(706) 301-5438 |
Full Name | Shireen Haque |
---|---|
Gender | Female |
Speciality | Anesthesiology |
Experience | 18 Years |
Location | 1266 Highway 515 S, Jasper, Georgia |
Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1306036934 | NPI | - | NPPES |
5918210 | Medicaid | NC | |
1000744 | Medicaid | LA | |
NC1944A | Medicaid | NC | |
NC1473 | Medicaid | SC | |
1306036934 | Medicaid | VA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 0101252856 (Virginia) | Secondary |
207L00000X | Anesthesiology | 201100645 (North Carolina) | Secondary |
207L00000X | Anesthesiology | 73579 (Georgia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Wellstar North Fulton Hospital | Roswell, GA | Hospital |
Northside Hospital Gwinnett | Lawrenceville, GA | Hospital |
Floyd Medical Center | Rome, GA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Georgia Group Services, Llc | 0840338018 | 65 |
Mak Anesthesia Holdings, Llc | 4284917204 | 170 |
North Atlanta Anesthesia Professionals, Llc | 5496134348 | 425 |
Entity Name | Mountainside Anesthesia Consultants, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1346327152 PECOS PAC ID: 2365430899 Enrollment ID: O20040504000685 |
Entity Name | North Atlanta Professional Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1316959869 PECOS PAC ID: 0840291944 Enrollment ID: O20070116000197 |
Entity Name | Georgia Group Services, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093947236 PECOS PAC ID: 0840338018 Enrollment ID: O20091109000203 |
Entity Name | Wellstar Medical Group, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558664003 PECOS PAC ID: 6709065402 Enrollment ID: O20110127000374 |
Entity Name | Mak Anesthesia Holdings, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1912452939 PECOS PAC ID: 4284917204 Enrollment ID: O20170216001563 |
Entity Name | Fortis Health, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1659960276 PECOS PAC ID: 8325446305 Enrollment ID: O20211005002270 |
Entity Name | North Atlanta Anesthesia Professionals, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1982349296 PECOS PAC ID: 5496134348 Enrollment ID: O20220623000371 |
Mailing Address | Practice Location Address |
---|---|
Shireen Haque, MD 1300 Ridenour Blvd Nw Ste 300, Kennesaw, GA 30152-4402 Ph: (707) 702-1806 | Shireen Haque, MD 1266 Highway 515 S, Jasper, GA 30143-4872 Ph: (706) 301-5434 |
Rosemarie Spillane, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1266 Highway 515 S, Jasper, GA 30143 Phone: 706-692-2441 |