Charles O Shoetan (NPI# 1114095023, PAC ID# 0244136869) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY PRACTICE.
| Nation Provider ID (NPI) | 1114095023 |
| PAC ID by PECOS | 0244136869 |
| Professional Enrollment ID | I20110414000776 |
| Full Name | Charles O Shoetan |
| Organization Legal Name | UT PHYSICIANS |
| Address |
1602 Garth Rd Baytown TX 77520-2410 |
| Phone Number | 2818372700 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1976 |
| Primary Specialty | FAMILY PRACTICE |
| Group Practice PAC ID | 8426960360 |
| Number of Group Practice Members | 1307 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 450876 | LUBBOCK HEART HOSPITAL LP |
| 450162 | GRACE MEDICAL CENTER |
| 450068 | MEMORIAL HERMANN TEXAS MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1602 Garth Rd, Baytown, TX 77520-2410 | 2818372700 | UT PHYSICIANS |
| 1602 Garth Rd, Ut Physicians Family Medicine Baytown Health Cente, Baytown, TX 77520-2410 | 2818372700 | UT PHYSICIANS |
| 350 Blossom St, Webster, TX 77598-4206 | 2813167800 | KND DEVELOPMENT 59 LLC |
| Organization Legal Name | UT PHYSICIANS |
| Physicians | 1441 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Susan V Mathew | Internal Medicine | Ut Physicians | 6411 Fannin St, Houston, TX 77030-1501 |
| Isaac E Van Sligtenhorst | Family Medicine | Ut Physicians | 4755 Aldine Mail Route Rd, Houston, TX 77039-5934 |
| Terri M Bowden | Nurse Practitioner | Ut Physicians | 10125 Katy Fwy, Suite 100, Houston, TX 77024-1204 |
| Zayde A Radwan | Orthopedic Surgery | Ut Physicians | 10905 Memorial Hermann Dr, Suite 130, Pearland, TX 77584-3773 |
| Alexandra N Duran | Psychiatry | Ut Physicians | 2800 S Macgregor Way, Harris County Psychiatric Center, Houston, TX 77021-1032 |
| Noelle S Knight | Clinical Social Worker | Ut Physicians | 7364 Antoine Dr, Houston, TX 77088-7230 |
| Veronica Renee Johnson | Internal Medicine | Ut Physicians | 6700 W Loop S, Suite 500, Bellaire, TX 77401-4120 |
| Rebecca L Casarez | Certified Clinical Nurse Specialist (cns) | Ut Physicians | 7000 Fannin, 2453 Ut Physicians Autism Center, Houston, TX 77030-5400 |
| Mona B. Patel | Nurse Practitioner | Ut Physicians | 2929 W Holcombe Blvd, Houston, TX 77025-1534 |
| Elizabeth A Hopson | Family Medicine | Ut Physicians | 818 Ringold, Ut Physicians Family Medicine Acres Home Clinic, Houston, TX 77088-6368 |
| Street Address |
1602 GARTH RD |
| City | BAYTOWN |
| State | TX |
| Zip | 77520-2410 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Wael A Aboughali | Family Medicine | Ut Physicians | 1602 Garth Rd, Ut Physicians Family Medicine Baytown Health Cente, Baytown, TX 77520-2410 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kimberly S Broderick | Physical Therapy | Cabatherapy Services | 3818 Decker Dr, Baytown, TX 77520-1662 |
| Mallory D Pagan | Physical Therapy | Cabatherapy Services | 3818 Decker Dr, Baytown, TX 77520-1662 |
| Jeremy B Jennings | Physical Therapy | Cabatherapy Services | 3818 Decker Dr, Baytown, TX 77520-1662 |
| Courtney A Zink | Physical Therapy | Cabatherapy Services | 3818 Decker Dr, Baytown, TX 77520-1662 |
| Brett Balcerak | Physical Therapy | Cabatherapy Services | 3818 Decker Dr, Baytown, TX 77520-1662 |
| John M Infante | Physical Therapy | Cabatherapy Services | 3818 Decker Dr, Baytown, TX 77520-1662 |
| Gary Joe Dixon Ii | Physical Therapy | Cabatherapy Services | 3818 Decker Dr, Baytown, TX 77520-1662 |
| Aaditya Vaidya | Physical Therapy | Aerio Rehab Services Inc | 910 N Hwy 146 A, Baytown, TX 77520-2252 |
| Maulik Vamanrai Pancholi | Physical Therapy | Aerio Rehab Services Inc | 910 N Hwy 146 A, Baytown, TX 77520-2252 |
| Jary M Lesser | Psychiatry | Vericare of Texas Pa | 2000 Beaumont St, Baytown, TX 77520-3114 |
| Find all physicians in zip 77520 | |||
| City | BAYTOWN |
| Zip Code | 77520 |
| Specialty | FAMILY PRACTICE |
| City + Specialty | BAYTOWN + FAMILY PRACTICE |
Please comment or provide details below to improve the information on Charles O Shoetan.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.