Shaun M Shore (NPI# 1649299710, PAC ID# 3476590241) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1649299710 |
| PAC ID by PECOS | 3476590241 |
| Professional Enrollment ID | I20050413000367 |
| Full Name | Shaun M Shore |
| Organization Legal Name | NPPA SERVICES |
| Address |
1650 W College St Baylor Regional Mc Grapevine TX 76051-3565 |
| Phone Number | 8174811588 |
| Gender | M |
| Credential | PA |
| Graduation Year | 2004 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 2163711177 |
| Number of Group Practice Members | 10 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 450403 | MEDICAL CENTER OF MCKINNEY |
| 670082 | BAYLOR SCOTT AND WHITE MEDICAL CENTER MCKINNEY |
| Address | Phone | Organization |
|---|---|---|
| 1650 W College St, Baylor Regional Mc, Grapevine, TX 76051-3565 | 8174811588 | NPPA SERVICES |
| 1141 N Loop 1604, Nppa Srvs Admin, San Antonio, TX 78232-1339 | 2108445952 | NPPA SERVICES |
| Organization Legal Name | NPPA SERVICES |
| Physicians | 21 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jose E Fuentez Jr. | Physician Assistant | Nppa Services | 1141 N Loop 1604, Nppa Srvs Admin, San Antonio, TX 78232-1339 |
| Dineen J Napier | Physician Assistant | Nppa Services | 1141 N Loop 1604, Nppa Srvs Admin, San Antonio, TX 78232-1339 |
| Karla N Frick | Physician Assistant | Nppa Services | 10401 W Thunderbird Blvd, Sun City, AZ 85351-3004 |
| Morgan Gossen | Physician Assistant | Nppa Services | 5501 N Portland Ave, Oklahoma City, OK 73112-2074 |
| Deborah M Astemborski | Nurse Practitioner | Nppa Services | 10401 W Thunderbird Blvd, Sun City, AZ 85351-3004 |
| Stephanie Siu-ying Choi | Physician Assistant | Nppa Services | 1141 N Loop 1604, Nppa Srvs Admin, San Antonio, TX 78232-1339 |
| Sandra L Ballehr | Physician Assistant | Nppa Services | 10401 W Thunderbird Blvd, Sun City, AZ 85351-3004 |
| Helena D Bruce | Physician Assistant | Nppa Services | 1141 N Loop 1604, Nppa Srvs Admin, San Antonio, TX 78232-1339 |
| Rachel L Stein | Nurse Practitioner | Nppa Services | 1141 N Loop 1604, Nppa Srvs Admin, San Antonio, TX 78232-1339 |
| Sergio Garcia Martinez | Physician Assistant | Nppa Services | 1141 N Loop 1604, Nppa Srvs Admin, San Antonio, TX 78232-1339 |
| Street Address |
1650 W COLLEGE ST BAYLOR REGIONAL MC |
| City | GRAPEVINE |
| State | TX |
| Zip | 76051-3565 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ryan Andrew Digiovanni | Anesthesiology | U S Anesthesia Partners of Texas, Pa | 1650 W College St, Grapevine, TX 76051-3565 |
| Jacquelyn Larussa | Emergency Medicine | Century Integrated Partners, Inc | 1650 W College St, Baylor Medical Center Grapevine, Grapevine, TX 76051-3565 |
| Mansoor Sajid | Pathology | Pathologists Bio-medical Laboratories Pllc | 1650 W College St, Grapevine, TX 76051-3565 |
| Samantha Lee Graling | Certified Registered Nurse Anesthetist (crna) | U S Anesthesia Partners of Texas, Pa | 1650 W College St, Grapevine, TX 76051-3565 |
| Mohammed K Paika | Internal Medicine | Healthtexas Provider Network | 1650 W College St, 150 Baylor Scott and White Hospital Medicine Grapevine, Grapevine, TX 76051-3565 |
| Rommel V Lantajo | Nurse Practitioner | Questcare Intensivists Pllc | 1650 W College St, Grapevine, TX 76051-3565 |
| Rebecca Liu | Pulmonary Disease | Questcare Pulmonary In-patient Services Pllc | 1650 W College St, Grapevine, TX 76051-3565 |
| Jason Palmer | Certified Registered Nurse Anesthetist (crna) | U S Anesthesia Partners of Texas, Pa | 1650 W College St, Grapevine, TX 76051-3565 |
| Rajender K Agarwal | Hospitalist | Healthtexas Provider Network | 1650 W College St, 150 Baylor Scott and White Hospital Medicine Grapevine, Grapevine, TX 76051-3565 |
| Huned M Husain | Family Medicine | 1650 W College St, Grapevine, TX 76051-3565 | |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Carla Battaglia Pulliam | Psychologist, Clinical | 315 W Wall, Suite 200, Grapevine, TX 76051 | |
| Sudha A Ved | Anesthesiology | Parkhill Physician Group Pllc | 1900 Enchanted Way, Suite 100, Grapevine, TX 76051-0965 |
| Sarah E Hubbs | Nurse Practitioner | Parkhill Physician Group Pllc | 1900 Enchanted Way, Suite 100, Grapevine, TX 76051-0965 |
| Judith Michelle Van Antwerp | Anesthesiology | Parkhill Physician Group Pllc | 1900 Enchanted Way, Suite 100, Grapevine, TX 76051-0965 |
| Antonia Lisa Guerra-watson | Psychologist, Clinical | 2311 Mustang Dr, Suite 200, Grapevine, TX 76051-1010 | |
| Melanie A Burman | Clinical Social Worker | 2311 Mustang Dr, Suite 300, Grapevine, TX 76051-1010 | |
| Donna C Abbott | Psychologist, Clinical | 2311 Mustang Dr, Suite 200, Grapevine, TX 76051-1010 | |
| Daniel W Jackson Jr. | Clinical Psychologist | 2311 Mustang Dr, Grapevine, TX 76051-1010 | |
| Eideh D Atway | Podiatry | 1245 Falcon Dr, Grapevine, TX 76051-1117 | |
| Loretta D Mays | Physician Assistant | Align Health Pllc | 1323 W Northwest Hwy, Suite 300, Grapevine, TX 76051-1500 |
| Find all physicians in zip 76051 | |||
| City | GRAPEVINE |
| Zip Code | 76051 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | GRAPEVINE + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Shaun M Shore.
| 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.