Gwen Marie Shattuck (NPI# 1497204432, PAC ID# 4880974740) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1497204432 |
| PAC ID by PECOS | 4880974740 |
| Professional Enrollment ID | I20161212000167 |
| Full Name | Gwen Marie Shattuck |
| Organization Legal Name | CHARLESTON HEMATOLOGY ONCOLOGY ASSOCIATES PA |
| Address |
2085 Henry Tecklenburg Dr 2nd Floor Charleston SC 29414-5733 |
| Phone Number | 8435772276 |
| Gender | F |
| Graduation Year | 2016 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 3173521002 |
| Number of Group Practice Members | 11 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 420065 | BON SECOURS-ST FRANCIS XAVIER HOSPITAL |
| 420087 | ROPER HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 125 Doughty St, Suite 500, Charleston, SC 29403-5744 | 8435772276 | CHARLESTON HEMATOLOGY ONCOLOGY ASSOCIATES PA |
| 125 Doughty St, Charleston, SC 29403-5744 | 8435772276 | CHARLESTON HEMATOLOGY ONCOLOGY ASSOCIATES PA |
| 2085 Henry Tecklenburg Dr, 2nd Floor, Charleston, SC 29414-5733 | 8435772276 | CHARLESTON HEMATOLOGY ONCOLOGY ASSOCIATES PA |
| 2085 Henry Tecklenburg Dr, Charleston, SC 29414-5733 | 8435772276 | CHARLESTON HEMATOLOGY ONCOLOGY ASSOCIATES PA |
| Organization Legal Name | CHARLESTON HEMATOLOGY ONCOLOGY ASSOCIATES PA |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Elizabeth S Christian | Hematology/oncology | Charleston Hematology Oncology Associates Pa | 125 Doughty St, Suite 500, Charleston, SC 29403-5744 |
| Pamela B Stuckey | Nurse Practitioner | Charleston Hematology Oncology Associates Pa | 125 Doughty St, Suite 500, Charleston, SC 29403-5744 |
| Street Address |
2085 HENRY TECKLENBURG DR 2ND FLOOR |
| City | CHARLESTON |
| State | SC |
| Zip | 29414-5733 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Megan K Baker | Surgical Oncology | Roper Saint Francis Physicians Network | 2085 Henry Tecklenburg Dr, Suite 310, Charleston, SC 29414-7713 |
| Carlysle Barfield | Rheumatology | 2085 Henry Tecklenburg Dr, Suite 104, Charleston, SC 29414-7711 | |
| Ashley Abide Jeter | Hematology/oncology | Charleston Oncology Pa | 2085 Henry Tecklenburg Dr, 2nd Floor, Charleston, SC 29414-5733 |
| Tina R Withrow | Nurse Practitioner | Charleston Oncology Pa | 2085 Henry Tecklenburg Dr, 2nd Floor, Charleston, SC 29414-5733 |
| Kathleen H Giarla | Nurse Practitioner | Roper Saint Francis Physicians Network | 2085 Henry Tecklenburg Dr, Suite 320, Charleston, SC 29414-7713 |
| Charles S Holladay | Hematology/oncology | Charleston Oncology Pa | 2085 Henry Tecklenburg Dr, 2nd Floor, Charleston, SC 29414-5733 |
| Kimberly Michelle Green | Hematopoietic Cell Transplantation and Cellular Th | Charleston Oncology Pa | 2085 Henry Tecklenburg Dr, 2nd Floor, Charleston, SC 29414-5733 |
| Shelly C Shand | Hematology/oncology | Charleston Oncology Pa | 2085 Henry Tecklenburg Dr, 2nd Floor, Charleston, SC 29414-5733 |
| Leah Wells | Nurse Practitioner | Roper Saint Francis Physicians Network | 2085 Henry Tecklenburg Dr, Suite 320, Charleston, SC 29414-7713 |
| Julia H Saylors | Hematology/oncology | Charleston Oncology Pa | 2085 Henry Tecklenburg Dr, 2nd Floor, Charleston, SC 29414-5733 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stacy H Lawton | Nurse Practitioner | Minuteclinic Diagnostic South Carolina LLC | 2566 Ashley River Rd, Charleston, SC 29414-4605 |
| Sherrill G Bradsher | Nurse Practitioner | Minuteclinic Diagnostic South Carolina LLC | 2566 Ashley River Rd, Charleston, SC 29414-4605 |
| Anthony C Azzolino | Chiropractic | 2352 Ashley River Rd, Charleston, SC 29414-4752 | |
| Marcus R Hostetler | Chiropractic | 2411 Savannah Hwy, Suite 3, Charleston, SC 29414-5320 | |
| William S Ottinger | Obstetrics/gynecology | Charleston Ob/gyn LLC | 1027 Physicians Dr, Suite 110, Charleston, SC 29414-5351 |
| Margaret Crosby Papadea | Obstetrics/gynecology | Charleston Ob/gyn LLC | 1027 Physicians Dr, Suite 110, Charleston, SC 29414-5351 |
| Jennifer Fouquette Fisher | Obstetrics/gynecology | Charleston Ob/gyn LLC | 1027 Physicians Dr, Suite 110, Charleston, SC 29414-5351 |
| Denise Hays Devine | Obstetrics/gynecology | Charleston Ob/gyn LLC | 1027 Physicians Dr, Suite 110, Charleston, SC 29414-5351 |
| Roy D Mckinney | Optometry | 3050 Ashley Town Ctr Dr, Charleston, SC 29414-5664 | |
| Sasha Milleman Perez | Family Medicine | Palmetto Primary Care Physicians | 3030 Ashley Town Ctr Dr, Suite 102a, Charleston, SC 29414-5678 |
| Find all physicians in zip 29414 | |||
| City | CHARLESTON |
| Zip Code | 29414 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | CHARLESTON + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Gwen Marie Shattuck.
| 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.