John B Shelton
PROVIDENCE HEALTH ALLIANCE


Address: 6101 Woodway Dr, 200 Providence Family Health Clinic, Waco, TX 76712-6117
Phone: 2545376300

John B Shelton (NPI# 1083688964, PAC ID# 0446394571) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.

Physician Overview

Nation Provider ID (NPI) 1083688964
PAC ID by PECOS 0446394571
Professional Enrollment ID I20100212000483
Full Name John B Shelton
Organization Legal Name PROVIDENCE HEALTH ALLIANCE
Address 6101 Woodway Dr
200 Providence Family Health Clinic
Waco
TX 76712-6117
Phone Number 2545376300
Gender M
Medical School TEXAS A & M UNIVERSITY COLLEGE OF MEDICINE
Graduation Year 1997
Primary Specialty FAMILY MEDICINE
Group Practice PAC ID 6305731068
Number of Group Practice Members 121
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
450042 PROVIDENCE HEALTH CENTER
450101 BAYLOR SCOTT & WHITE MEDICAL CENTER HILLCREST

Other Locations

Address Phone Organization
6101 Woodway Dr, 200 Providence Family Health Clinic, Waco, TX 76712-6117 2545376300 PROVIDENCE HEALTH ALLIANCE

Organization Information

Organization Legal Name PROVIDENCE HEALTH ALLIANCE
Physicians 117

Physicians with the same organization

Name Specialty Organization Address
Adel Nasser Physician Assistant Providence Health Alliance 600 Franklin Ave, Suite B C, Waco, TX 76701-0002
Heather Branch Nurse Practitioner Providence Health Alliance 7104 New Sanger Rd, Providence Family Medicine, Waco, TX 76712-3928
Sang-joon Park Psychiatry Providence Health Alliance 301 Londonderry Dr, Waco, TX 76712-7915
David Glen Morris Physician Assistant Providence Health Alliance 305 Londonderry Dr, Waco, TX 76712-7929
Matthew T Pattillo Pulmonary Disease Providence Health Alliance 340 Richland W Cir, Waco Lung Associates, Waco, TX 76712-7919
William H Turney General Surgery Providence Health Alliance 6600 Fish Pond Rd, Waco, TX 76710-2582
Eric Chudej Family Medicine Providence Health Alliance 1401 Jane Ln, West, TX 76691-1013
Chad S Conner Orthopedic Surgery Providence Health Alliance 7125 Sanger Rd, Suite 516, Waco, TX 76712-4054
Colin R Bailey Family Medicine Providence Health Alliance 2100 Lake Shore Dr, Waco, TX 76708-1271
Scott E Blattman Family Medicine Providence Health Alliance 301 Richland W Cir, Providence Internal Medicine Clinic, Waco, TX 76712-7932

Office Location

Street Address 6101 WOODWAY DR
200 PROVIDENCE FAMILY HEALTH CLINIC
City WACO
State TX
Zip 76712-6117

Physicians in the same location

Name Specialty Organization Address
Todd E Blattman Family Medicine Providence Health Alliance 6101 Woodway Dr, 230 Providence Pediatric Clinic, Waco, TX 76712-6117
Lauren Riddle Family Medicine Providence Health Alliance 6101 Woodway Dr, 200 Providence Family Health Clinic, Waco, TX 76712-6117
Samuel W Ralston Family Medicine Providence Health Alliance 6101 Woodway Dr, 200 Providence Family Health Clinic, Waco, TX 76712-6117
Gerard A Marroquin Family Medicine Providence Health Alliance 6101 Woodway Dr, 200 Providence Family Health Clinic, Waco, TX 76712-6117

Physicians in the same zip code

Name Specialty Organization Address
Ntiense Covey Clinical Social Worker 200 W Hwy 6, Suite 217, Waco, TX 76712
Todd Moffatt General Surgery 1000 W Hwy 6, Suite 410, Waco, TX 76712
Eric F Oneill Plastic and Reconstructive Surgery 1000 W Hwy 6, Suite 500, Waco, TX 76712
Lute George Oas Radiation Oncology Texas Oncology Pa 1700 W Hwy 6, Waco, TX 76712-2452
Justin Wylie Wray Radiation Oncology Texas Oncology Pa 1700 W Hwy 6, Waco, TX 76712-2452
David J Schickner Neurosurgery David J. Schickner, M.d., P.a. 6901 Medical Pkwy, Waco, TX 76712-2589
Charles W Guy Plastic and Reconstructive Surgery 101 Burnett Ct, Suite B, Waco, TX 76712-3100
Mark A Antonacci Emergency Medicine Premier Physicians - II Pa 9110 Jordan Ln, Suite 200, Woodway, TX 76712-3369
Nina Wilson Nurse Practitioner Premier Physicians - II Pa 9110 Jordan Ln, Suite 200, Woodway, TX 76712-3369
Travis Gene Volcik Nurse Practitioner Premier Physicians - II Pa 9110 Jordan Ln, Suite 200, Woodway, TX 76712-3369
Find all physicians in zip 76712

Competitor

Search similar physicians

City WACO
Zip Code 76712
Specialty FAMILY MEDICINE
City + Specialty WACO + FAMILY MEDICINE

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Dataset Information

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.

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