Thomas J Shula

MD | Pediatric Cardiology | Male

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Complete Profile:

Thomas J Shula basic information including his official name, gender, specialization, credentials etc. are as mentioned below.

Specialization :	Pediatrics Pediatric Cardiology
Provider Name :	Thomas J Shula
Credential :	MD
Gender :	Male

Business Address:

Thomas J Shula address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.

Primary Address :	444 Roxbury Rd Rockford, IL, 61107-5059 United States
Phone Number :	815-227-5600
Fax Number :	815-227-9242

Professional Identification Codes:

NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.

NPI Number :	1760486245
NPI Entity Type :	Individual
First Enrolment Date :	13 Jun, 2005
Last Updated On :	23 Feb, 2016

Medicare Participation:

Thomas J Shula participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.

Medicare PECOS ID :	4183792567
Medicare Enrollment ID :	I20110912000709
Primary Specialty :	Pediatric Medicine
Medical School :	University Of Pittsburgh School Of Medicine
Graduation Year :	1981
Accepts Medicare?	Yes. Thomas J Shula accepts medicare insurance.

Group Practice Association:

Thomas J Shula is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Thomas J Shula is associated with along with the number of members in that group. He may also accept medicare indirectly via these group practices.

Organisation Name :	Group Practice ID	No. of Members	Practice Address	Group Accepts Medicare
Osf Multi-specialty Group	3678889789	1468	444 Roxbury Rd Rockford, IL - 611075059 Ph: 8153983000	Yes
Osf Multi-specialty Group	3678889789	1468	8600 State Route 91 Suite 130 Peoria, IL - 616157829 Ph: 3096835050	Yes

Licenses and Specialities:

Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Thomas J Shula are as mentioned. Primary taxonomy code for Thomas J Shula, MD is 2080P0202X (Pediatrics Pediatric Cardiology).

Taxonomy Code	Speciality	Primary	License No.	State
174400000X	Specialist	No	036074760	IL
2080P0202X	Pediatrics Pediatric Cardiology	Yes	036-074760	IL

Legacy Identifiers:

Other legacy medical identifiers of Thomas J Shula such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.

Identifier	Identifier Type	State	Issuer
036074760	MEDICAID	IL

Mailing Address:

Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.

Mailing Address :	444 Roxbury Rd Rockford, IL, 61107-5059 United States
Phone Number :	815-227-5600
Fax Number :	815-227-9242

Business Location:

Patients can refer following map for directions to Thomas J Shula practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.