Shannon L Marshal (NPI# 1144452848, PAC ID# 3476609058) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1144452848 |
| PAC ID by PECOS | 3476609058 |
| Professional Enrollment ID | I20090923000404 |
| Full Name | Shannon L Marshal |
| Organization Legal Name | AHS OKLAHOMA HEART LLC |
| Address |
1023 E Cherry St B Cushing OK 74023-4105 |
| Phone Number | 9182251233 |
| Gender | F |
| Medical School | UNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE |
| Graduation Year | 2009 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 4587737135 |
| Number of Group Practice Members | 98 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 370183 | HILLCREST HOSPITAL HENRYETTA |
| 370001 | HILLCREST MEDICAL CENTER |
| 370099 | HILLCREST HOSPITAL CUSHING |
| 370202 | HILLCREST HOSPITAL SOUTH |
| Address | Phone | Organization |
|---|---|---|
| 1023 E Cherry St B, Cushing, OK 74023-4105 | 9182251233 | AHS OKLAHOMA HEART LLC |
| 1265 S Utica Ave, Suite 300, Tulsa, OK 74104-4243 | 9185920999 | AHS OKLAHOMA HEART LLC |
| 9228 S Mingo Rd, Suite 200, Tulsa, OK 74133-5722 | 9185920999 | AHS OKLAHOMA HEART LLC |
| 735 N Foreman, Okla Heart Institute, Vinita, OK 74301-1422 | 9182530154 | AHS OKLAHOMA HEART LLC |
| Organization Legal Name | AHS OKLAHOMA HEART LLC |
| Physicians | 103 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ashley Nichole Cornett | Physician Assistant | Ahs Oklahoma Heart LLC | 100 N Hickerson Dr, Okla Heart Institute, Cleveland, OK 74020-4003 |
| Saran D Oliver | Cardiovascular Disease (cardiology) | Ahs Oklahoma Heart LLC | 1265 S Utica Ave, Suite 300, Tulsa, OK 74104-4243 |
| Deborah Anne Palmer | Physician Assistant | Ahs Oklahoma Heart LLC | 9228 S Mingo Rd, Suite 200, Tulsa, OK 74133-5722 |
| Kassandre S Balocca | Physician Assistant | Ahs Oklahoma Heart LLC | 1305 E Taft, Okla Heart Institute, Sapulpa, OK 74066-6033 |
| Kristopher Wayne Mcdonald | Nurse Practitioner | Ahs Oklahoma Heart LLC | 1265 S Utica Ave, Suite 300, Tulsa, OK 74104-4243 |
| Jordan A Brewster | Cardiac Electrophysiology | Ahs Oklahoma Heart LLC | 1265 S Utica Ave, Suite 300, Tulsa, OK 74104-4243 |
| Kristin M Pruitt | Nurse Practitioner | Ahs Oklahoma Heart LLC | 1265 S Utica Ave, Suite 300, Tulsa, OK 74104-4243 |
| Isaac H Edmonds | Physician Assistant | Ahs Oklahoma Heart LLC | 1265 S Utica Ave, Suite 300, Tulsa, OK 74104-4243 |
| Cristin M Bruns | Endocrinology | Ahs Oklahoma Heart LLC | 1265 S Utica Ave, Suite 300, Tulsa, OK 74104-4243 |
| Christian S Hanson | Endocrinology | Ahs Oklahoma Heart LLC | 9228 S Mingo Rd, Suite 200, Tulsa, OK 74133-5722 |
| Street Address |
1023 E CHERRY ST B |
| City | CUSHING |
| State | OK |
| Zip | 74023-4105 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Roger D Desprez | Cardiovascular Disease (cardiology) | Ahs Oklahoma Heart LLC | 1023 E Cherry St B, Cushing, OK 74023-4105 |
| Frank J Gaffney | Cardiovascular Disease (cardiology) | Ahs Oklahoma Heart LLC | 1023 E Cherry St B, Cushing, OK 74023-4105 |
| Joshua E Lee | Physician Assistant | Ahs Oklahoma Heart LLC | 1023 E Cherry St B, Cushing, OK 74023-4105 |
| John S Tulloch | Cardiovascular Disease (cardiology) | Ahs Oklahoma Heart LLC | 1023 E Cherry St B, Cushing, OK 74023-4105 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amber Wright | Clinical Social Worker | 321 E Main St, Cushing, OK 74023-2643 | |
| Jessica F Zwanziger | Optometry | Cushing Vision Center PC | 2013 E Main St, Cushing, OK 74023-2910 |
| Robert D Mullins | Chiropractic | 1236 E Main St, Cushing, OK 74023-3000 | |
| Kasey P Simpson | Physical Therapy | 1525 E Main St, Cushing, OK 74023-3039 | |
| Laura Lynn Simpson | Physical Therapy | 1525 E Main St, Cushing, OK 74023-3039 | |
| Clinton W Beeson | Family Medicine | Pipeline Emergency Physicians LLC | 1027 E Cherry St, Hillcrest Hosp Cushing, Cushing, OK 74023-4101 |
| Charles William Olson Jr. | Family Medicine | Pipeline Emergency Physicians LLC | 1027 E Cherry St, Hillcrest Hosp Cushing, Cushing, OK 74023-4101 |
| James R Patterson | Certified Registered Nurse Anesthetist (crna) | Emergenchealth LLC | 1027 E Cherry St, Hc Hosp Cushing, Cushing, OK 74023-4101 |
| David W Campbell | Family Medicine | Pipeline Emergency Physicians LLC | 1027 E Cherry St, Hillcrest Hosp Cushing, Cushing, OK 74023-4101 |
| Billy C Beets Jr. | Family Medicine | Pipeline Emergency Physicians LLC | 1027 E Cherry St, Hillcrest Hosp Cushing, Cushing, OK 74023-4101 |
| Find all physicians in zip 74023 | |||
| City | CUSHING |
| Zip Code | 74023 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | CUSHING + NURSE PRACTITIONER |
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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.