Shelby Odell Church (NPI# 1942365564, PAC ID# 1052486313) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
Nation Provider ID (NPI) | 1942365564 |
PAC ID by PECOS | 1052486313 |
Professional Enrollment ID | I20080820000758 |
Full Name | Shelby Odell Church |
Organization Legal Name | BEAUMONT FAMILY PRACTICE ASSOCIATES PA |
Address |
6450 Folsom Dr Beaumont TX 77706-7269 |
Phone Number | 4098350524 |
Gender | M |
Medical School | UNIVERSITY OF NEBRASKA COLLEGE OF MEDICINE |
Graduation Year | 1998 |
Primary Specialty | PHYSICIAN ASSISTANT |
Group Practice PAC ID | 5092744797 |
Number of Group Practice Members | 7 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
450034 | CHRISTUS HOSPITAL |
Address | Phone | Organization |
---|---|---|
6450 Folsom Dr, Beaumont, TX 77706-7269 | 4098350524 | BEAUMONT FAMILY PRACTICE ASSOCIATES PA |
Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
---|---|---|---|
ACI_EC_TRANS_EP_1 | e-Prescribing | 63% | |
ACI_EC_TRANS_HIE_1 | Health Information Exchange | 15% | |
ACI_EC_TRANS_MR_1 | Medication Reconciliation | 98% | |
ACI_EC_TRANS_PEA_1 | Provide Patient Access | 91% | |
ACI_EC_TRANS_PEA_2 | View, Download, or Transmit (VDT) | 7% | |
ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
ACI_EC_TRANS_PSE_1 | Patient-Specific Education | 2% | |
ACI_EC_TRANS_SM_1 | Secure Messaging | 63% | |
MIPS_EC_047_overall | Care Plan | 78% | |
MIPS_EC_431_overall | Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling | 13% |
Organization Legal Name | BEAUMONT FAMILY PRACTICE ASSOCIATES PA |
Physicians | 8 |
Name | Specialty | Organization | Address |
---|---|---|---|
Aaran M Gassiott | Nurse Practitioner | Beaumont Family Practice Associates Pa | 6450 Folsom Dr, Beaumont, TX 77706-7269 |
Jay C Proctor Iii | Family Medicine | Beaumont Family Practice Associates Pa | 6450 Folsom Dr, Beaumont, TX 77706-7269 |
Tracy Foster | Nurse Practitioner | Beaumont Family Practice Associates Pa | 6450 Folsom Dr, Beaumont, TX 77706-7269 |
Amber N Fling | Nurse Practitioner | Beaumont Family Practice Associates Pa | 6450 Folsom Dr, Beaumont, TX 77706-7269 |
Harry J Doyle | Nurse Practitioner | Beaumont Family Practice Associates Pa | 6450 Folsom Dr, Beaumont, TX 77706-7269 |
William Joseph Kujawski | Nurse Practitioner | Beaumont Family Practice Associates Pa | 6450 Folsom Dr, Beaumont, TX 77706-7269 |
Amber N Dupree | Nurse Practitioner | Beaumont Family Practice Associates Pa | 6450 Folsom Dr, Beaumont, TX 77706-7269 |
Street Address |
6450 FOLSOM DR |
City | BEAUMONT |
State | TX |
Zip | 77706-7269 |
Name | Specialty | Organization | Address |
---|---|---|---|
Aaran M Gassiott | Nurse Practitioner | Beaumont Family Practice Associates Pa | 6450 Folsom Dr, Beaumont, TX 77706-7269 |
Jay C Proctor Iii | Family Medicine | Beaumont Family Practice Associates Pa | 6450 Folsom Dr, Beaumont, TX 77706-7269 |
Tracy Foster | Nurse Practitioner | Beaumont Family Practice Associates Pa | 6450 Folsom Dr, Beaumont, TX 77706-7269 |
Amber N Fling | Nurse Practitioner | Beaumont Family Practice Associates Pa | 6450 Folsom Dr, Beaumont, TX 77706-7269 |
Harry J Doyle | Nurse Practitioner | Beaumont Family Practice Associates Pa | 6450 Folsom Dr, Beaumont, TX 77706-7269 |
William Joseph Kujawski | Nurse Practitioner | Beaumont Family Practice Associates Pa | 6450 Folsom Dr, Beaumont, TX 77706-7269 |
Amber N Dupree | Nurse Practitioner | Beaumont Family Practice Associates Pa | 6450 Folsom Dr, Beaumont, TX 77706-7269 |
Name | Specialty | Organization | Address |
---|---|---|---|
Joshua B Rhodes | Optometry | Blount Kimball Medical Optometry Pa | 5910 Muela Creek Dr, Suite A, Beaumont, TX 77706-1009 |
Leigh B Kimball | Optometry | Blount Kimball Medical Optometry Pa | 5910 Muela Creek Dr, Suite A, Beaumont, TX 77706-1009 |
Samir N Patel | Optometry | Blount Kimball Medical Optometry Pa | 5910 Muela Creek Dr, Suite A, Beaumont, TX 77706-1009 |
James M Bruyn | Podiatry | 6025 Metropolitan Dr, Suite 290, Beaumont, TX 77706-2407 | |
Abigail E Craanen | Physical Therapy | Brain and Spine Center of Southeast Texas, Pllc | 6025 Metropolitan Dr, Suite 205, Beaumont, TX 77706-2409 |
Clifton William Hancock | Orthopedic Surgery | Brain and Spine Center of Southeast Texas, Pllc | 6025 Metropolitan Dr, Suite 205, Beaumont, TX 77706-2409 |
Eliseo Cummings | Chiropractic | Brain and Spine Center of Southeast Texas, Pllc | 6025 Metropolitan Dr, Suite 205, Beaumont, TX 77706-2409 |
Christle D Colbert | Physical Medicine and Rehabilitation | Brain and Spine Center of Southeast Texas, Pllc | 6025 Metropolitan Dr, Suite 205, Beaumont, TX 77706-2409 |
Sujin Yu | Neurology | Brain and Spine Center of Southeast Texas, Pllc | 6025 Metropolitan Dr, Suite 205, Beaumont, TX 77706-2409 |
Erwin Lo | Neurosurgery | Brain and Spine Center of Southeast Texas, Pllc | 6025 Metropolitan Dr, Suite 205, Beaumont, TX 77706-2409 |
Find all physicians in zip 77706 |
City | BEAUMONT |
Zip Code | 77706 |
Specialty | PHYSICIAN ASSISTANT |
City + Specialty | BEAUMONT + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Shelby Odell Church.
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.