Jack Shearer (NPI# 1265402721, PAC ID# 0941246557) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PAIN MANAGEMENT.
| Nation Provider ID (NPI) | 1265402721 |
| PAC ID by PECOS | 0941246557 |
| Professional Enrollment ID | I20050913000625 |
| Full Name | Jack Shearer |
| Organization Legal Name | PMO MEDICAL PLLC |
| Address |
401 E Broadway Ct A Pain Management of Oklahoma Sand Springs OK 74063-7931 |
| Phone Number | 9182463456 |
| Gender | M |
| Credential | DO |
| Medical School | OKLAHOMA COLLEGE OF OSTEOPATHIC MEDICINE AND SURGERY |
| Graduation Year | 2001 |
| Primary Specialty | PAIN MANAGEMENT |
| Secondary Specialties | ANESTHESIOLOGY |
| Group Practice PAC ID | 1153603832 |
| Number of Group Practice Members | 12 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 370113 | INTEGRIS GROVE HOSPITAL |
| 370004 | INTEGRIS MIAMI HOSPITAL |
| 370018 | JANE PHILLIPS MEMORIAL MEDICAL CENTER, INC |
| Address | Phone | Organization |
|---|---|---|
| 601 E 13th St H, Pain Management of Oklahoma, Grove, OK 74344-2962 | 9187862243 | PMO MEDICAL PLLC |
| 401 E Broadway Ct A, Pain Management of Oklahoma, Sand Springs, OK 74063-7931 | 9182463456 | PMO MEDICAL PLLC |
| Organization Legal Name | PMO MEDICAL PLLC |
| Physicians | 13 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Claire Slaughter White | Nurse Practitioner | Pmo Medical Pllc | 601 E 13th St H, Pain Management of Oklahoma, Grove, OK 74344-2962 |
| Brianna L Youngwolfe | Nurse Practitioner | Pmo Medical Pllc | 701 W Queens St, 100 Pain Management of Oklahoma, Broken Arrow, OK 74012-1785 |
| Judy Vorheis | Nurse Practitioner | Pmo Medical Pllc | 1201 E Wade Watts Ave, Mcalester, OK 74501-5655 |
| Marilyn Sue Taylor | Physician Assistant | Pmo Medical Pllc | 1751 N Aspen Ave, Broken Arrow, OK 74012-1197 |
| Jeffrey L Halford | Physical Medicine and Rehabilitation | Pmo Medical Pllc | 1751 N Aspen Ave, Broken Arrow, OK 74012-1197 |
| Jennifer L Campbell | Nurse Practitioner | Pmo Medical Pllc | 401 E Broadway Ct A, Pain Management of Oklahoma, Sand Springs, OK 74063-7931 |
| Harold Pierre | Anesthesiology | Pmo Medical Pllc | 401 E Broadway Ct A, Pain Management of Oklahoma, Sand Springs, OK 74063-7931 |
| Jo-anna Coppin Lohr | Nurse Practitioner | Pmo Medical Pllc | 1751 N Aspen Ave, Broken Arrow, OK 74012-1197 |
| Matthew Joseph Burrous | Nurse Practitioner | Pmo Medical Pllc | 601 E 13th St H, Pain Management of Oklahoma, Grove, OK 74344-2962 |
| Brent W Henderson | Anesthesiology | Pmo Medical Pllc | 1751 N Aspen Ave, Broken Arrow, OK 74012-1197 |
| Street Address |
401 E BROADWAY CT A PAIN MANAGEMENT OF OKLAHOMA |
| City | SAND SPRINGS |
| State | OK |
| Zip | 74063-7931 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jennifer L Campbell | Nurse Practitioner | Pmo Medical Pllc | 401 E Broadway Ct A, Pain Management of Oklahoma, Sand Springs, OK 74063-7931 |
| Harold Pierre | Anesthesiology | Pmo Medical Pllc | 401 E Broadway Ct A, Pain Management of Oklahoma, Sand Springs, OK 74063-7931 |
| Angela M Mariani | Nurse Practitioner | Pmo Medical Pllc | 401 E Broadway Ct A, Pain Management of Oklahoma, Sand Springs, OK 74063-7931 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Russell Dale Gilstrap | Nurse Practitioner | 3900 S 113th W Ave, Sand Springs, OK 74063-2724 | |
| Jeffrey W Tallant | Chiropractic | 3949 S Hwy 97, Sand Springs, OK 74063-3829 | |
| William H Dudney | Family Medicine | Asmg Sand Springs | 3905 S Hwy 97, Sand Springs, OK 74063-3829 |
| Michele Tobey | Nurse Practitioner | Asmg Sand Springs | 3905 S Hwy 97, Sand Springs, OK 74063-3829 |
| Gary R Lee | Emergency Medicine | Asmg Sand Springs | 3905 S Hwy 97, Sand Springs, OK 74063-3829 |
| Jennifer Havens Zahn | Nurse Practitioner | Asmg Sand Springs | 3905 S Hwy 97, Sand Springs, OK 74063-3829 |
| Ashley Ann Bruce | Physician Assistant | Ahs Oklahoma Physician Group LLC | 20 E 34th St, Utica Park Clinic San Springs, Sand Springs, OK 74063-4001 |
| Lisa G King | Internal Medicine | Ahs Oklahoma Physician Group LLC | 20 E 34th St, Utica Park Clinic San Springs, Sand Springs, OK 74063-4001 |
| Kristen Elise Giordano | Physician Assistant | Ahs Oklahoma Physician Group LLC | 20 E 34th St, Utica Park Clinic San Springs, Sand Springs, OK 74063-4001 |
| Lisha R Porch-petitt | Certified Clinical Nurse Specialist (cns) | Ahs Oklahoma Physician Group LLC | 20 E 34th St, Utica Park Clinic San Springs, Sand Springs, OK 74063-4001 |
| Find all physicians in zip 74063 | |||
| City | SAND SPRINGS |
| Zip Code | 74063 |
| Specialty | PAIN MANAGEMENT |
| City + Specialty | SAND SPRINGS + PAIN MANAGEMENT |
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| 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.