Thomas J Shula
MD | Pediatric Cardiology | Male
Thomas J Shula, MD is a Rockford, Illinois based Pediatric doctor with medical specialization in
Pediatric Cardiology.
Current practice location of Thomas J Shula is
444 Roxbury Rd, Rockford, Illinois - 61107-5059. He can be contacted on phone at
815-227-5600 and fax number 815-227-9242.
Thomas J Shula is a sole proprietor of his business.
NPI number (Unique professional ID) for Thomas J Shula is
1760486245 which was assigned by NPPES on 13 Jun, 2005 and it was last updated on 23 Feb, 2016.
Thomas J Shula license number is
036-074760 for Pediatrics Pediatric Cardiology (2080P0202X) in Illinois.
Thomas J Shula provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.
Complete Profile:
Thomas J Shula basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
Specialization : | Pediatrics Pediatric Cardiology |
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Provider Name : | Thomas J Shula |
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Credential : | MD |
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Gender : | Male |
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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 |
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Phone Number : | 815-227-5600 |
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Fax Number : | 815-227-9242 |
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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 |
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NPI Entity Type : | Individual |
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First Enrolment Date : | 13 Jun, 2005 |
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Last Updated On : | 23 Feb, 2016 |
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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 |
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Medicare Enrollment ID : | I20110912000709 |
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Primary Specialty : | Pediatric Medicine |
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Medical School : | University Of Pittsburgh School Of Medicine |
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Graduation Year : | 1981 |
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Accepts Medicare? | Yes. Thomas J Shula accepts medicare insurance. |
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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 |
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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 |
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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 |
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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 |
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Phone Number : | 815-227-5600 |
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Fax Number : | 815-227-9242 |
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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. Last updated on 08 January, 2024.