| Shamim Amini, MD | |
|
800 Ste Genevieve Dr, Ste Genevieve, MO 63670-1434 | |
| (805) 907-2072 | |
| Not Available |
| Full Name | Shamim Amini |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 800 Ste Genevieve Dr, Ste Genevieve, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265486617 | NPI | - | NPPES |
| 1265486617 | Medicaid | MO | |
| 00A962500 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 2010002667 (Missouri) | Primary |
| Entity Name | Ste Genevieve County Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184658387 PECOS PAC ID: 3274432802 Enrollment ID: O20040102000645 |
| Entity Name | Ste Genevieve County Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619026580 PECOS PAC ID: 3274432802 Enrollment ID: O20040204000815 |
| Entity Name | Ste Genevieve County Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073587655 PECOS PAC ID: 3274432802 Enrollment ID: O20040312000516 |
| Entity Name | Texas County Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790740363 PECOS PAC ID: 9436041696 Enrollment ID: O20040401000307 |
| Entity Name | Our Urgent Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902815863 PECOS PAC ID: 5799782496 Enrollment ID: O20061020000531 |
| Entity Name | Iron County Hospital District |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1477648178 PECOS PAC ID: 0941207526 Enrollment ID: O20061104000718 |
| Entity Name | Cep America Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619332046 PECOS PAC ID: 6608056171 Enrollment ID: O20150312000325 |
| Mailing Address | Practice Location Address |
|---|---|
| Shamim Amini, MD 800 Ste Genevieve Dr, Sainte Genevieve, MO 63670-1434 Ph: (805) 907-2072 | Shamim Amini, MD 800 Ste Genevieve Dr, Ste Genevieve, MO 63670-1434 Ph: (805) 907-2072 |
Dr. Henry Joseph Konzelmann, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 800 Ste Genevieve Dr, Ste Genevieve, MO 63670 Phone: 573-883-4438 | |
Michael A Kolda, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 800 Ste Genevieve Dr, Ste Genevieve, MO 63670 Phone: 573-883-2751 |