Shane C Wilson (NPI# 1477808467, PAC ID# 2466779244) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1477808467 |
| PAC ID by PECOS | 2466779244 |
| Professional Enrollment ID | I20150317001211 |
| Full Name | Shane C Wilson |
| Organization Legal Name | SCOTLAND COUNTY MEMORIAL HOSPITAL |
| Address |
450 E Sigler Ave A Memphis Medical Services Memphis MO 63555-1726 |
| Phone Number | 6604652828 |
| Gender | M |
| Medical School | A T STILL UN, ARIZONA SCHL OF DENT.Y & ORAL HLTH |
| Graduation Year | 2012 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 8224940366 |
| Number of Group Practice Members | 17 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 261310 | SCOTLAND COUNTY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 450 E Sigler Ave A, Memphis Medical Services, Memphis, MO 63555-1726 | 6604652828 | SCOTLAND COUNTY MEMORIAL HOSPITAL |
| Organization Legal Name | SCOTLAND COUNTY MEMORIAL HOSPITAL |
| Physicians | 12 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lisa M Rollison | General Surgery | Scotland County Memorial Hospital | 450 E Sigler Ave A, Memphis Medical Services, Memphis, MO 63555-1726 |
| Celeste M Miller-parish | General Surgery | Scotland County Memorial Hospital | 450 E Sigler Ave A, Memphis Medical Services, Memphis, MO 63555-1726 |
| Jessica E Christen | Nurse Practitioner | Scotland County Memorial Hospital | 450 E Sigler Ave A, Memphis Medical Services, Memphis, MO 63555-1726 |
| Kelsey M Davis-humes | Family Medicine | Scotland County Memorial Hospital | 450 E Sigler Ave A, Memphis Medical Services, Memphis, MO 63555-1726 |
| Neil E Hoyal | Family Medicine | Scotland County Memorial Hospital | 450 E Sigler Ave A, Memphis Medical Services, Memphis, MO 63555-1726 |
| Randall W Tobler | Gynecological Oncology | Scotland County Memorial Hospital | 450 E Sigler Ave A, Memphis Medical Services, Memphis, MO 63555-1726 |
| Julia E Mcnabb | Family Medicine | Scotland County Memorial Hospital | 450 E Sigler Ave A, Memphis Medical Services, Memphis, MO 63555-1726 |
| Jeffrey Davis | Family Medicine | Scotland County Memorial Hospital | 450 E Sigler Ave A, Memphis Medical Services, Memphis, MO 63555-1726 |
| William H Dixon | Family Medicine | Scotland County Memorial Hospital | 450 E Sigler Ave A, Memphis Medical Services, Memphis, MO 63555-1726 |
| Eldon Leon Frazier | Family Medicine | Scotland County Memorial Hospital | 450 E Sigler Ave A, Memphis Medical Services, Memphis, MO 63555-1726 |
| Street Address |
450 E SIGLER AVE A MEMPHIS MEDICAL SERVICES |
| City | MEMPHIS |
| State | MO |
| Zip | 63555-1726 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lisa M Rollison | General Surgery | Scotland County Memorial Hospital | 450 E Sigler Ave A, Memphis Medical Services, Memphis, MO 63555-1726 |
| Celeste M Miller-parish | General Surgery | Scotland County Memorial Hospital | 450 E Sigler Ave A, Memphis Medical Services, Memphis, MO 63555-1726 |
| Jessica E Christen | Nurse Practitioner | Scotland County Memorial Hospital | 450 E Sigler Ave A, Memphis Medical Services, Memphis, MO 63555-1726 |
| Kelsey M Davis-humes | Family Medicine | Scotland County Memorial Hospital | 450 E Sigler Ave A, Memphis Medical Services, Memphis, MO 63555-1726 |
| Neil E Hoyal | Family Medicine | Scotland County Memorial Hospital | 450 E Sigler Ave A, Memphis Medical Services, Memphis, MO 63555-1726 |
| Randall W Tobler | Gynecological Oncology | Scotland County Memorial Hospital | 450 E Sigler Ave A, Memphis Medical Services, Memphis, MO 63555-1726 |
| Julia E Mcnabb | Family Medicine | Scotland County Memorial Hospital | 450 E Sigler Ave A, Memphis Medical Services, Memphis, MO 63555-1726 |
| Jeffrey Davis | Family Medicine | Scotland County Memorial Hospital | 450 E Sigler Ave A, Memphis Medical Services, Memphis, MO 63555-1726 |
| William H Dixon | Family Medicine | Scotland County Memorial Hospital | 450 E Sigler Ave A, Memphis Medical Services, Memphis, MO 63555-1726 |
| Eldon Leon Frazier | Family Medicine | Scotland County Memorial Hospital | 450 E Sigler Ave A, Memphis Medical Services, Memphis, MO 63555-1726 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jeanne K Camden | Chiropractic | 321 N Clay, Memphis, MO 63555-1033 | |
| Darrell L Monroe | Chiropractic | 107 E Monroe St, Monroe Chiropractic Center, Memphis, MO 63555-1437 | |
| Dana P Valencia | Cardiovascular Disease (cardiology) | Blessing Corporate Services | 450 E Sigler Ave, Scotland County Hospital, Memphis, MO 63555-1726 |
| Lois K Quenneville | Physician Assistant | Scotland County Memorial Hospital | 450 E Sigler Ave A, Memphis, MO 63555-1726 |
| City | MEMPHIS |
| Zip Code | 63555 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | MEMPHIS + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Shane C Wilson.
| 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.