PAUL CLETUS SHARKEY JR. (NPI# 1912989690) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912989690 |
| Entity Type | Individual |
| Full Name | PAUL CLETUS SHARKEY JR. |
| Credential | MD |
| Practice Address |
3310 Patriot Dr Tyler TX 75701-6606 |
| Mailing Address |
Po Box 731912 Dallas TX 75373-1912 |
| Practice Telephone | 9039397870 |
| Enumeration Date | 2005-11-17 |
| Last Update Date | 2016-10-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207K00000X | Allergy & Immunology | H9268 | TX | Allopathic & Osteopathic Physicians |
| N | 2080P0214X |
Pediatrics Specialization: Pediatric Pulmonology |
H9268 | TX | Allopathic & Osteopathic Physicians |
| Street Address |
3310 PATRIOT DR |
| City | TYLER |
| State | TX |
| Zip Code | 75701-6606 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922080076 | Kerry Scruggs | Nurse Practitioner | 3310 Patriot Dr, Tyler, TX 75701-6606 | 2005-11-15 |
| 1407328164 | Jennifer Kaye Fowler | Nurse Practitioner | 3310 Patriot Dr, Tyler, TX 75701-6606 | 2018-12-19 |
| 1528439783 | Duana J Roberts | Nurse Practitioner | 3310 Patriot Dr, Tyler, TX 75701-6606 | 2015-10-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962057059 | Gonzalo Fernandez | Physical Therapy Assistant | 753 S Beckham Ave, Tyler, TX 75701 | 2019-08-06 |
| 1215422654 | Adrianna Bussell | Nurse Practitioner | 1000 South Beckham, Tyler, TX 75701 | 2018-06-28 |
| 1285128017 | Idowu Akintokunbo Akinyele | Dentist | Aspen Dental, 4164 S Broadway Ave, Tyler, TX 75701 | 2018-06-15 |
| 1992208912 | Heather Renee Vancleave | Occupational Therapy Assistant | 1228 Louann Lane, Tyler, TX 75701 | 2018-03-15 |
| 1497260533 | Smile Workshop Mckinney, Pllc | Dentist | 301 N. Custer Rd, Mckinney, TX 75701 | 2017-12-12 |
| 1396266441 | Eye Surgery Center of East Texas, Pllc | Clinic/Center | 2448 E 5th St, Tyler, TX 75701 | 2017-06-29 |
| 1962936369 | Collins Complete Family Care | Nurse Practitioner | 1910 E Se Loop 323 # 176, Tyler, TX 75701 | 2017-04-12 |
| 1386187052 | Fellowship Health Team LLC | Home Health | 1124 S Fleishel Ave, Tyler, TX 75701 | 2016-11-29 |
| 1205382454 | Brenton Robinson | Nurse Practitioner | 1100 East Lake St, 160, Tyler, TX 75701 | 2016-08-28 |
| 1851846208 | Care First Pharmacy, LLC | Pharmacy | 1910 Roseland Blvd A, Tyler, TX 75701 | 2016-08-15 |
| Find all providers in zip 75701 | ||||
| Taxonomy Code | 207K00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Allergy & Immunology |
| An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system. |
| Notes: Source: American Board of Medical Specialties, 2007, www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Allergy and Immunology, 2007. http://www.abai.org/ No subspecialty certificates in allergy and immunology are offered by the American Board of Allergy and Immunology (ABAI). The ABAI, however, does offer formal special pathways for physicians seeking dual certification in allergy/immunology and pediatric pulmonology; allergy/immunology and pediatric rheumatology; and allergy/immunology and adult rheumatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356416796 | Allergy Clinic Pa | Allergy & Immunology | 1128 Medical Drive, Tyler, TX 75701-2102 | 2006-11-21 |
| 1467445452 | Jack Richard Harris | Allergy & Immunology | 1128 Medical Dr, Tyler, TX 75701-2109 | 2005-08-25 |
| 1699209189 | Allergy Partners of Texas, Inc | Allergy & Immunology | 1128 Medical Dr, Tyler, TX 75701-2109 | 2017-04-12 |
| 1477513927 | Luis A Destarac | Allergy & Immunology | 912 S Fleishel Ave, Tyler, TX 75701-2018 | 2006-03-27 |
| 1497714984 | Jonathan William Buttram | Allergy & Immunology | 11937 Us Highway 271, Tyler, TX 75708-3154 | 2006-03-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689290116 | Bellaire Allergy & Asthma Pllc | Allergy & Immunology | 6750 West Loop S Ste 460, Bellaire, TX 77401-4108 | 2020-06-20 |
| 1437705290 | Pooja Paranjpe Md | Allergy & Immunology | 7150 N George Bush Hwy Ste 204, Garland, TX 75044-2210 | 2019-08-16 |
| 1235798109 | Maryam Saifi, Pllc | Allergy & Immunology | 4001 Barnett Dr, Plano, TX 75024-3421 | 2019-06-13 |
| 1891259016 | Allergy Partners of Texas, Inc | Allergy & Immunology | 3410 Far West Blvd Ste 146, Austin, TX 78731-3167 | 2019-01-23 |
| 1962997650 | Chelsea Lynn Russell | Allergy & Immunology | 540 Madison Oak Dr Ste 210, San Antonio, TX 78258-3920 | 2018-06-26 |
| 1972094365 | Southern Texas Allergy The Woodlands | Allergy & Immunology | 9191 Pinecroft Dr Ste 290, Shenandoah, TX 77380 | 2018-05-22 |
| 1720468416 | Ania K George Md Pa | Allergy & Immunology | 26400 Kuykendahl Rd Ste C220, The Woodlands, TX 77375 | 2015-06-08 |
| 1407234347 | Savannah Leigh Sommerhalder | Allergy & Immunology | 4801 Woodway Dr Ste 120e, Houston, TX 77056-1872 | 2015-05-12 |
| 1093106874 | Allergy Partners of Texas, Inc. | Allergy & Immunology | 7777 Forest Ln Ste B332, Dallas, TX 75230-6822 | 2015-02-14 |
| 1689085854 | South Texas Allergy & Asthma Medical Professionals Pllc | Allergy & Immunology | 10447 Hwy 151, San Antonio, TX 78251-4551 | 2014-05-09 |
| 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.