JOSH R SHUFELT (NPI# 1821535113) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821535113 |
| Entity Type | Individual |
| Full Name | JOSH R SHUFELT |
| Credential | PA-C |
| Practice Address |
3000 Old Canton Rd Suite 305 Jackson MS 39216-4200 |
| Practice Telephone | 6019811550 |
| Practice Fax Number | 6019810804 |
| Mailing Telephone | 6019811550 |
| Mailing Fax Number | 6019810804 |
| Enumeration Date | 2017-01-24 |
| Last Update Date | 2017-01-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA00310 | MS | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3000 OLD CANTON RD SUITE 305 |
| City | JACKSON |
| State | MS |
| Zip Code | 39216-4200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568431963 | A Terrel Williams | Ophthalmology | 3000 Old Canton Rd, Suite 350, Jackson, MS 39216-4200 | 2006-03-16 |
| 1023402047 | Nancy H. Goldman, LLC | Clinical Neuropsychologist | 3000 Old Canton Rd, Suite 465, Jackson, MS 39216-4200 | 2015-03-27 |
| 1730476078 | Christopher Haley Carlton | Dentist | 3000 Old Canton Rd, Jackson, MS 39216-4200 | 2011-07-07 |
| 1336451624 | John P.f.h. Vanderloo | Family Medicine | 3000 Old Canton Rd, Ste 240, Jackson, MS 39216-4235 | 2010-07-02 |
| 1710201454 | Laura E Mccalop Do LLC | Ophthalmology | 3000 Old Canton Rd, Suite 305, Jackson, MS 39216-4200 | 2010-03-24 |
| 1265581599 | Lakeland Optical, LLP | Eyewear Supplier (Equipment, not the service) | 3000 Old Canton Rd, Suite 100, Jackson, MS 39216-4200 | 2007-01-09 |
| 1659468544 | Nancy Hope Goldman | Counselor | 3000 Old Canton Rd, Suite 465, Jackson, MS 39216-4200 | 2006-10-10 |
| 1629181425 | Thomas Hargrave Cabell | Ophthalmology | 3000 Old Canton Rd, Suite 405, Jackson, MS 39216-4200 | 2006-08-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861011553 | Ashley Melancon Prewitt | Registered Nurse | St. Dominic's North Campus, Behavioral Health, Jackson, MS 39216 | 2020-04-13 |
| 1194353391 | Brianna Arrington | Student in an Organized Health Care Education/Training Program | Med/ Peds, 2500 N. State St., Jackson, MS 39216 | 2020-04-01 |
| 1720616485 | Roshina Khalid Khan | Student in an Organized Health Care Education/Training Program | Department of Anesthesiology, Ummc, 2500 N. State St., Jackson, MS 39216 | 2020-03-30 |
| 1275183550 | Amanda Lynn Morellato | Dentist | Ummc School of Dentistry, 2500 North State Street, Jackson, MS 39216 | 2019-09-18 |
| 1396305553 | Abhishek Chhabra | Student in an Organized Health Care Education/Training Program | Lakeland Family Medicine Clinic, 878 Lakeland Dr., Jackson, MS 39216 | 2019-06-19 |
| 1427615996 | Hometown Diagnostics | Clinical Medical Laboratory | Translational Research Center Tr311, 2500 North State Street, Jackson, MS 39216 | 2019-05-21 |
| 1346807773 | Shukundala C Smith | Behavior Technician | New Learning Resources 2510 Lakeland Terrace, Jackson, MS 39216 | 2019-05-21 |
| 1063901098 | G Eli Howell Md Pllc | Plastic Surgery | 971 Lakeland Dr Ste 225, Jackson, MS 39216 | 2018-05-04 |
| 1588168132 | Caleb Zumbro | Student in an Organized Health Care Education/Training Program | Ummc Med/peds, 2500 N. State St., Jackson, MS 39216 | 2018-03-20 |
| 1639677230 | Walgreen Co | Pharmacy | 971 Lakeland Dr Ste 101, Jackson, MS 39216 | 2018-01-29 |
| Find all providers in zip 39216 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629206784 | Sarah Beth Poplawski | Physician Assistant | 205 N. East Avenue, Emergency Department, Jackson, MI 49201 | 2009-06-29 |
| 1225167356 | Marianne Elizabeth Lapointe | Physician Assistant | 815 Court St Ste 7, Jackson, CA 95642-2154 | 2007-03-05 |
| 1386780237 | Charles F Harris | Physician Assistant | 982 W. Broadway, Jackson, WY 83002 | 2007-01-29 |
| 1427109149 | Coreen Dian Garcia-sweets | Physician Assistant | 3235 E Michigan Ave Ste 100, Jackson, MI 49202-3971 | 2007-01-16 |
| 1861552556 | Marc A Fierro | Physician Assistant | 11333 Prospect Dr Ste 401, Jackson, CA 95642-9311 | 2006-12-11 |
| 1427146539 | James E Abernathy II | Physician Assistant | 294 Sumar Dr, Jackson, TN 38301 | 2006-10-11 |
| 1184633935 | Kelly Elizabeth Graver Pate | Physician Assistant | 9279 Locust St., Jackson, CA 95669 | 2006-08-07 |
| 1548241359 | Byron Michael Breeding | Physician Assistant | 144 Edenwood Dr, Jackson, TN 38301-3827 | 2005-11-09 |
| 1033735709 | Anna Marie Plumley | Physician Assistant | 1325 N West Ave, Jackson, MI 49202-2050 | 2020-06-18 |
| 1093347072 | Jessica Emil Ansara | Physician Assistant | 205 N East Ave, Jackson, MI 49201-1753 | 2020-02-07 |
| Find all providers in JACKSON | ||||
Please comment or provide details below to improve the information on JOSH R SHUFELT.
| 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.