Jawad Sheqwara, M.D
Individual provider Active NPI Hematology & Oncology Physician · Waycross, GA
NPI 1285881201 · NPPES record last updated Aug 20, 2014
Key facts
- NPI
- 1285881201
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Hematology & Oncology Physician 207RH0003X
- License
- 071285 (GA)
- Practice address
- 1706 Alice St
Waycross, GA 31501-5216 - Phone
- (912) 490-4673
- Fax
- (912) 490-4674
- NPI assigned
- Aug 20, 2008
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Hematology/Oncology
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Henry Ford Health System
Practice addresses (Care Compare)
2799 W Grand Blvd
Detroit, MI 48202-2608
Phone (313) 916-2600
Hospital & facility affiliations
- Henry Ford Home Health Care
- Henry Ford Health Hospital
- Henry Ford Health West Bloomfield Hospital
- Wyandotte Hospital and Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160719001078 | MI | Practitioner - Hematology/Oncology |
7618109380 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301092099 | MI | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Henry Ford Pathology | Current | Accepting new patients | |
| Henry Ford Health System | Current | Accepting new patients | |
| Henry Ford Health System | Internal Medicine | Current |
Accepting new patients |
| Henry Ford Health System | Current |
Accepting new patients | |
| Henry Ford Maplegrove Center | Past | Accepting new patients |
Locations
1 Ford Pl
Ste 2E
Detroit, MI 48202
Phone (313) 874-3953
2799 W Grand Blvd
Detroit, MI 48202
Phone (313) 876-2062
Interoperability endpoints
- jsheqwara14127@direct.hfhs.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 4301092099 | MI | |
| Hematology & Oncology Physician | 207RH0003X | 071285 | GA | Yes |
Addresses
Primary practice location
1706 Alice St
Waycross, GA 31501-5216
Mailing address
1900 Tebeau St
Waycross, GA 31501-6357
Phone (912) 490-4673
Other providers in Waycross, GA
- Satilla Rheumatology and Internal Medicine, PC
- Satilla Spine Center
- Serenity Health & Wellness, LLC
- Roxy J Sheffield
- Don Michael Shepherd
- Betsy Monalisa Shider
- Shirley Davis
- Robert Earl Shonk
- Shuman Healthcare
- Shuman Healthcare Specialty Pharmacy Inc.
All providers in Waycross, GA · Hematology & Oncology Physician in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 20, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.