DR. MICHAEL VISE SHELTON


Address: 4222 Wendover Ave, Ste 600, Odessa, TX 79762-5983
Phone: 4325525656

DR. MICHAEL VISE SHELTON (NPI# 1003810995) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1003810995
Entity Type Individual
Full Name DR. MICHAEL VISE SHELTON
Credential M.D.
Practice Address 4222 Wendover Ave
Ste 600
Odessa
TX 79762-5983
Practice Telephone 4325525656
Practice Fax Number 4325520992
Mailing Telephone 4325525656
Mailing Fax Number 4325520992
Enumeration Date 2005-06-08
Last Update Date 2010-07-20
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine E8905 TX Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
TX 133690105 05
TX BLUE CROSS/BLUE SHIELD 89030X 01

Other Providers MICHAEL SHELTON

NPI Name Taxonomy Address Enumeration
1205205226 Michael Shelton Counselor 525 South 4th Street, Suite 471, Equilibria, Philadelphia, PA 19147 2015-09-21
1801917208 Michael Lynn Shelton Non-emergency Medical Transport (VAN) 622 Lazy Ln, Mount Carmel, TN 37645 2007-04-03
1225124407 Michael W Shelton Family Medicine 2715 Morrison St, Houston, TX 77009-7613 2006-10-05
1235241977 Michael E Shelton Dentist 1425 Mcarthur St, Manchester, TN 37355-2517 2006-08-31
1396372033 Michael Alan Shelton Student in an Organized Health Care Education/Training Program 111 Colchester Ave, Burlington, VT 05401-1473 2020-03-24
1346887320 Michael Shelton Behavior Technician 41521 W 11 Mile Rd, Novi, MI 48375-1803 2019-12-09
1326329426 Michael Jesse Shelton Pharmacist 919 W Mercury Blvd, Hampton, VA 23666-4322 2011-09-01
1124251103 Michael Tyshune Shelton Registered Nurse 315 N San Saba Ste 1075, San Antonio, TX 78207-3155 2009-08-25
1962687301 Michael Scott Shelton Occupational Therapy Assistant 5901 Broken Sound Pkwy Ste 500, Boca Raton, FL 33487-2791 2008-01-03
1639350051 Michael L. Shelton Anesthesiology 840 Montclair Rd, Suite 317, Birmingham, AL 35213-1920 2007-11-14

Office Location

Street Address 4222 WENDOVER AVE
STE 600
City ODESSA
State TX
Zip Code 79762-5983

Providers in the same location

NPI Name Taxonomy Address Enumeration
1528210762 Laura Lee Tarabocchia Nurse Practitioner 4222 Wendover Ave, #400, Odessa, TX 79762-5945 2008-10-21
1801090865 Lori Jo Wingate Nurse Practitioner 4222 Wendover Ave, 400, Odessa, TX 79762-5945 2007-06-13
1356374854 First Physicians, Pa Family Medicine 4222 Wendover Ave, Suite 600, Odessa, TX 79762-5945 2006-07-08
1245273325 Ronell Jean Carlson Nurse Practitioner 4222 Wendover Ave, Suite 600, Odessa, TX 79762-5945 2006-06-14
1598741480 Terry M Unruh Specialist 4222 Wendover Ave, Suite 800, Odessa, TX 79762-5945 2005-12-21
1467441642 David Barry Willingham Family Medicine 4222 Wendover Ave, Suite 600, Odessa, TX 79762-5945 2005-10-19
1912909789 Bret Alan Baker Physician Assistant 4222 Wendover Ave, Suite 600, Odessa, TX 79762-5945 2005-08-11
1053318915 Anne E Acreman Family Medicine 4222 Wendover Ave, Suite 400, Odessa, TX 79762-5945 2005-07-06

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1982256798 Winwood Dental and Orthodontics Pllc Dentist 3913 E 42nd Street, Odessa, TX 79762 2019-07-11
1265995716 Ryan Daniels Specialist/Technologist 4901 E University, Gym 111, Odessa, TX 79762 2019-04-11
1215429592 Michael Wayne Samp Respiratory Therapist, Registered 2807 Windsor Dr, Odessa, TX 79762 2018-06-03
1972003663 Kristi Young Registered Nurse 3800 E. 42nd St., Suite 203 Attn: Pediatric Dept, Odessa, TX 79762 2018-02-19
1427508902 Whitney Diakur Optometrist 5011 E. 42nd St, Odessa, TX 79762 2016-10-10
1295184927 Farqad Kamal Abuoudeh Dentist 6109 Tx-191 Frontage, Odessa, TX 79762 2016-06-03
1457714180 Daniel & Max, LLC Optometrist 5011 E. 42nd Street, Odessa, TX 79762 2016-03-31
1407225774 Neri Campos-gardea Massage Therapist 3952 E 42d, Odessa, TX 79762 2015-09-17
1508255886 Permian Er IIi Clinic/Center 6131 East Highway 191, Odessa, TX 79762 2015-01-09
1548675861 Tina Desai Dentist 6109 Texas 191, Odessa, TX 79762 2014-06-25
Find all providers in zip 79762

Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
- Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
- Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1376150102 Paul Joseph Baquirin Family Medicine 1403 E Century Ave, Odessa, TX 79762-7743 2020-09-25
1972868974 Carehere LLC Family Medicine 2330 W 10th St, Odessa, TX 79763-3782 2012-07-06
1376807362 Mavis Twum-barimah Family Medicine 6030 W University Blvd, Odessa, TX 79764-8530 2012-06-25
1962761791 Marvin Ryan Harvey Family Medicine 701 W 5th St Ste 3174, Odessa, TX 79763 2012-05-14
1841576378 Ashley Burdex Family Medicine 6030 W University, Odessa, TX 79761 2011-10-28
1043517204 Scotty Ortega Pa Family Medicine 4415 Hinkle St, Odessa, TX 79762-4626 2011-02-23
1265763130 Robert James Ailes Family Medicine 16641 Ivy Lake Dr, Odessa, FL 33556-6019 2010-01-16
1609020452 Leo Villaroman, Md, Pa Family Medicine 501 Golder Ave, Suite 203, Odessa, TX 79761-4411 2008-11-06
1568640365 John Garcia Md Pa Family Medicine 601 East 7th Street, Odessa, TX 79761 2008-02-04
1023224904 Odessa Medical Clinic PC Family Medicine 316 W Us Highway 40, Odessa, MO 64076-7445 2007-05-15
Find all providers in ODESSA

Competitor

Search similar providers

City ODESSA
Zip Code 79762

Improve Information

Please comment or provide details below to improve the information on DR. MICHAEL VISE SHELTON.

Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

Trending Searches