JOHN P SHEA MD PA (NPI# 1598884645) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598884645 |
| Entity Type | Organization |
| Organization Name | JOHN P SHEA MD PA |
| Other Organization Name | SHEA EAR, NOSE & THROAT CLINIC |
| Practice Address |
11797 South I-35 W # 132 Burleson TX 76028-7035 |
| Practice Telephone | 8175511010 |
| Practice Fax Number | 8175510662 |
| Mailing Telephone | 8175511010 |
| Mailing Fax Number | 8175510662 |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2008-04-25 |
| Authorized Official Name | DR. JOHN P SHEA (OWNER) |
| Authorized Official Telephone | 8175511010 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207YX0602X |
Otolaryngology Specialization: Otolaryngic Allergy |
E2857 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 123528502 | 05 |
| Other Name | Type Code |
|---|---|
| Shea Ear, Nose & Throat Clinic | Doing Business As Name - Organization |
| Street Address |
11797 SOUTH I-35 W # 132 |
| City | BURLESON |
| State | TX |
| Zip Code | 76028-7035 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710083787 | John Patrick Shea | Otolaryngology | 11797 South I-35 W, #132, Burleson, TX 76028-7035 | 2006-09-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679104657 | Ballard Family Dentistry In Burleson | Dentist | 2701 Sw Wilshire Blvd, Burleson, TX 76028 | 2020-01-29 |
| 1013567205 | Amy Burden | Family Medicine | 240 E Renfro St Ste 203, Burleson, TX 76028 | 2019-09-19 |
| 1962985903 | Bobbie Jo Deweese | Registered Nurse | 279 W Hidden Creek Pkwy Ste 1209, Burleson, TX 76028 | 2018-09-14 |
| 1154803096 | Martha Jepchirchir | Registered Nurse | 1084 Meadow Scape Dr, Burleson, TX 76028 | 2018-09-06 |
| 1407334022 | Catherine Cornelia Wilson | Registered Nurse | 12500 South Fwy Ste 100, Burleson, TX 76028 | 2018-08-06 |
| 1174001911 | Amanda Kaye Contino | Registered Nurse | 120 Ne Wilshire Blvd, Burleson, TX 76028 | 2018-08-03 |
| 1275019671 | Lacey Paulett Anderson | Speech-Language Pathologist | 1101 Whispering Spring Ct, Burleson, TX 76028 | 2018-07-18 |
| 1720572647 | Keith Anderson Orthodontics Pllc | Dentist | 310 Nw John Jones Dr, Suite 108, Burleson, TX 76028 | 2018-06-15 |
| 1033602537 | Justin Randal Sanders | Nurse Practitioner | 924 County Road 914, Burleson, TX 76028 | 2018-06-08 |
| 1861992695 | Taylor Henry | Family Medicine | 739 Tanglewood Drive, Burleson, TX 76028 | 2018-02-19 |
| Find all providers in zip 76028 | ||||
| Taxonomy Code | 207YX0602X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| Specialization | Otolaryngic Allergy |
| An otolaryngologist who specializes in the diagnosis and treatment of otolaryngic allergies and other allergic diseases. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) is issued by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235381690 | Ear, Nose, Throat and Allergy Clinic Pllc | Otolaryngology | 4140 Southwest Fwy Ste 510, Houston, TX 77027-7311 | 2008-10-16 |
| 1891983086 | Richard L Mabry | Otolaryngology | 1115 Redman Ln, Duncanville, TX 75137-2035 | 2007-10-12 |
| 1083825467 | Seth H Evans | Otolaryngology | 1180 Seton Parkway, Suite 330, Kyle, TX 78640-6179 | 2007-05-25 |
| 1306945704 | George Ray Vieyra | Otolaryngology | 8501 Timber Crest St, San Antonio, TX 78250-4408 | 2006-09-22 |
| 1548277882 | David John Bailey | Otolaryngology | 1105 W Frank Ave Ste 260, Lufkin, TX 75904-3340 | 2006-08-01 |
| 1891113338 | Ear, Nose, Throat & Allergy Clinic of Dallas | Otolaryngology | 5952 Royal Ln Ste 120, Dallas, TX 75230-7847 | 2014-04-02 |
| 1558680454 | David J. Bailey, M.d., Pa | Otolaryngology | 1111 W Frank Ave, Ste. 301, Lufkin, TX 75904-3303 | 2010-05-18 |
| 1255590618 | Dick Barlow Mdpa | Otolaryngology | 2935 Park Plaza Ln, Port Arthur, TX 77642-5516 | 2008-06-02 |
| 1154503308 | Joshua C. James | Otolaryngology | 8080 State Highway 121, Ste 120, Mckinney, TX 75070-2901 | 2007-11-29 |
| 1942394663 | Michael C Byrd | Otolaryngology | 4191 Bellaire Blvd Ste 200, Houston, TX 77025-1003 | 2006-10-03 |
| Find all providers with the same taxonomy | ||||
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| 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.