Tamara L Shaw (NPI# 1740397173, PAC ID# 2668401126) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1740397173 |
| PAC ID by PECOS | 2668401126 |
| Professional Enrollment ID | I20050805000249 |
| Full Name | Tamara L Shaw |
| Organization Legal Name | KANSAS MEDICAL CENTER LLC |
| Address |
9840 E 21st St N Kmc Emergency Department At Webb Rd Wichita KS 67206-3589 |
| Phone Number | 3163004811 |
| Gender | F |
| Credential | NP |
| Graduation Year | 2003 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 2668476862 |
| Number of Group Practice Members | 46 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 171311 | ROOKS COUNTY HEALTH CENTER |
| 171346 | ANTHONY MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 411 Walnut St, Mch Professional Services, Cottonwood Falls, KS 66845-2818 | 6207675126 | MORRIS COUNTY HOSPITAL |
| 604 N Washington St, Mch Professional Services, Council Grove, KS 66846-1422 | 6207675126 | MORRIS COUNTY HOSPITAL |
| 118 E 12th St, Convenient Care Clinic, Newton, KS 67114-1931 | 3162819700 | NEWTON HEALTHCARE CORPORATION |
| 1210 N Washington St, Doctors Without Delay, Plainville, KS 67663-1632 | 7854342622 | ROOKS COUNTY HEALTH CENTER |
| 9840 E 21st St N, Kmc Emergency Department At Webb Rd, Wichita, KS 67206-3589 | 3163004811 | KANSAS MEDICAL CENTER LLC |
| Organization Legal Name | KANSAS MEDICAL CENTER LLC |
| Physicians | 46 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Miranda L Vancil | Nurse Practitioner | Kansas Medical Center LLC | 1410 N Woodlawn Blvd, Family Health Center, Derby, KS 67037-2953 |
| Ahmad Qaddour | Cardiovascular Disease (cardiology) | Kansas Medical Center LLC | 510 E Carthage St, Meade, KS 67864-0820 |
| Gerald T Estep | Emergency Medicine | Kansas Medical Center LLC | 9840 E 21st St N, Kmc Emergency Department At Webb Rd, Wichita, KS 67206-3589 |
| Jill C Gallagher | Certified Registered Nurse Anesthetist (crna) | Kansas Medical Center LLC | 1124 W 21st St, Andover Anesthesia, Andover, KS 67002-5500 |
| Jason A Hampl | Family Medicine | Kansas Medical Center LLC | 307 W Hwy 54 300, Flint Hills Medical Clinic, Andover, KS 67002-7846 |
| Casandra Lea Butler | Internal Medicine | Kansas Medical Center LLC | 1124 W 21st St, Andover, KS 67002-5500 |
| Melissa Martinez-huckleby | Nurse Practitioner | Kansas Medical Center LLC | 9300 E 29th St N, Suite 310, Wichita, KS 67226-2160 |
| Paige H Dodson | Family Medicine | Kansas Medical Center LLC | 1124 W 21st St, Emergency Medicine, Andover, KS 67002-5500 |
| Jeff Andrew Carpenter | Certified Registered Nurse Anesthetist (crna) | Kansas Medical Center LLC | 1124 W 21st St, Andover Anesthesia, Andover, KS 67002-5500 |
| Edward Wade | Anesthesiology | Kansas Medical Center LLC | 1124 W 21st St, Andover Anesthesia, Andover, KS 67002-5500 |
| Street Address |
9840 E 21ST ST N KMC EMERGENCY DEPARTMENT AT WEBB RD |
| City | WICHITA |
| State | KS |
| Zip | 67206-3589 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gerald T Estep | Emergency Medicine | Kansas Medical Center LLC | 9840 E 21st St N, Kmc Emergency Department At Webb Rd, Wichita, KS 67206-3589 |
| Jennifer M Chambers Daney | Nurse Practitioner | Kansas Medical Center LLC | 9840 E 21st St N, Kmc Emergency Department At Webb Rd, Wichita, KS 67206-3589 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jed D Holmes | Family Medicine | Primary Care Associates, LLC | 7111 E 21st St N A, Wichita, KS 67206-1078 |
| Yeni Chavez-rodriguez | Physician Assistant | Primary Care Associates, LLC | 7111 E 21st St N A, Wichita, KS 67206-1078 |
| Charlene C Bui | Physician Assistant | Primary Care Associates, LLC | 7111 E 21st St N A, Wichita, KS 67206-1078 |
| Sandra L Martens | Registered Dietitian Or Nutrition Professional | Primary Care Associates, LLC | 7111 E 21st St N A, Wichita, KS 67206-1078 |
| Thanh N Truong | Internal Medicine | Primary Care Associates, LLC | 7111 E 21st St N A, Wichita, KS 67206-1078 |
| Angela M Leiker | Family Medicine | Primary Care Associates, LLC | 7111 E 21st St N A, Wichita, KS 67206-1078 |
| Darla K Rivera | Family Medicine | Primary Care Associates, LLC | 7111 E 21st St N A, Wichita, KS 67206-1078 |
| David M Netherton | Family Medicine | Primary Care Associates, LLC | 7111 E 21st St N A, Wichita, KS 67206-1078 |
| Claudia Ximena Wendell | Family Medicine | Primary Care Associates, LLC | 7111 E 21st St N A, Wichita, KS 67206-1078 |
| Jason T Tauke | Cardiovascular Disease (cardiology) | Jason T Tauke Md Pa | 7111 E 21st St N A, Primary Care Associates, Wichita, KS 67206-1078 |
| Find all physicians in zip 67206 | |||
| City | WICHITA |
| Zip Code | 67206 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | WICHITA + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Tamara L Shaw.
| 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.