STEVEN TROY SHEARER (NPI# 1912983990) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912983990 |
| Entity Type | Individual |
| Full Name | STEVEN TROY SHEARER |
| Credential | PAC |
| Practice Address |
4622 Country Club Rd Suite 180 Winston-salem NC 27104-3770 |
| Mailing Address |
Po Box 60447 Charlotte NC 28260-0447 |
| Practice Telephone | 3367689535 |
| Practice Fax Number | 3367684155 |
| Mailing Telephone | 7043847840 |
| Enumeration Date | 2005-12-21 |
| Last Update Date | 2020-10-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 103495 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
103495 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 8102709 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114056512 | Steven Lynn Shearer | Psychologist | 6525 N Charles St, Suite 238, Towson, MD 21204-6872 | 2007-03-04 |
| 1619048436 | Steven Shearer | Pharmacist | 1190 N 6th St, Monmouth, IL 61462-9672 | 2006-11-13 |
| Street Address |
4622 COUNTRY CLUB RD SUITE 180 |
| City | WINSTON-SALEM |
| State | NC |
| Zip Code | 27104-3770 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871579870 | Bret David Borchelt | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 4622 Country Club Rd, Ste 180, Winston-salem, NC 27104-3770 | 2005-12-21 |
| 1124004122 | David Allen Duncan | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 4622 Country Club Rd, Suite 180, Winston-salem, NC 27104-3770 | 2005-12-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447807664 | Cameron Grant Ford | Psychologist | 614 Country Club Road, Winston-salem, NC 27104 | 2019-08-22 |
| 1104310374 | Novant Medical Group, Inc. | Internal Medicine | 4937 Old Country Club Rd, Winston Salem, NC 27104 | 2018-06-20 |
| 1982100509 | Dillon James Magalski | Student in an Organized Health Care Education/Training Program | Piedmont Plaza 1, 1920 West First Street, Wake Forest Baptist Medical Center, Winston-salem, NC 27104 | 2018-04-03 |
| 1891290144 | Breann M Poling | Student in an Organized Health Care Education/Training Program | Wake Forest Baptist Medical Center, Department Of, Family Medicine Piedmont Plaza I 1920 West First Street, Winston Salem, NC 27104 | 2018-03-28 |
| 1689178600 | Christopher Vasil | Student in an Organized Health Care Education/Training Program | Piedmont Plaza I, 1920 West First Street, Department of Family Medicine, Winston Salem, NC 27104 | 2018-03-23 |
| 1407379126 | April Lynn Lowe | Registered Nurse | 940 N Peace Haven Rd, Winstonsalem, NC 27104 | 2017-07-25 |
| 1164950804 | Donald Joyce | Student in an Organized Health Care Education/Training Program | 1920 West First St, Piedmont Plaza I Building, 3rd Floor, Winston-salem, NC 27104 | 2017-05-25 |
| 1255867289 | Benjamin Hansen | Pharmacist | 2150 Country Club Rd Ste 300, Winston Salem, NC 27104 | 2017-05-11 |
| 1770020976 | Jane Reed | Physical Medicine & Rehabilitation | 2627 E Greenbrier Road, Winston Salem, NC 27104 | 2017-01-25 |
| 1053728261 | Ashraf Alsaedi | Pharmacist | 1659 Stratford Rd Nw, Winston Salem, NC 27104 | 2014-07-20 |
| Find all providers in zip 27104 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487068540 | Anne Tyson Edwards | Physician Assistant | 2020 Peacehaven Rd., Winston-salem, NC 27106 | 2014-06-17 |
| 1841469590 | Forsyth Memorial Hospital, Inc | Physician Assistant | 390 Salem Avenue, Dba Salem Family Practice At Gateway, Winston-salem, NC 27101 | 2008-02-27 |
| 1336334853 | Ellee L Wallace | Physician Assistant | 2025 Frontis Plaza Blvd., Suite 120 Forsyth Comprehensive Neurology, Winston-salem, NC 27103 | 2007-09-07 |
| 1861611527 | Wayne Vonseggen | Physician Assistant | Wfu Baptist Medical Center, Medical Center Blvd, Winston-salem, NC 27157-0000 | 2007-04-24 |
| 1831272087 | Christopher Culley | Physician Assistant | 4622 Country Club Road, Suite 180, Winston-salem, NC 27023-3770 | 2006-10-23 |
| 1568562320 | Deborah Friel Zimmermann | Physician Assistant | 2927 Lyndhurst Avenue, Winston-salem, NC 27103 | 2006-09-22 |
| 1669434148 | Charles Jeffrey Beach | Physician Assistant | 140 Kimel Park Dr, Winston-salem, NC 27103-6946 | 2006-04-03 |
| 1922086909 | Blanche E. Brais | Physician Assistant | 105 Vest Mill Cir, Winston-salem, NC 27103-2943 | 2006-01-09 |
| 1134773609 | Lorae Marie Schafer | Physician Assistant | 186 Kimel Park Dr, Winston-salem, NC 27103 | 2019-08-01 |
| 1811378185 | Melissa Ann Holmes | Physician Assistant | 1 Medical Center Blvd, Winston-salem, NC 27103 | 2015-06-12 |
| Find all providers in WINSTON-SALEM | ||||
| City | WINSTON-SALEM |
| Zip Code | 27104 |
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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.