Shane J Millard (NPI# 1568444941, PAC ID# 5496849085) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1568444941 |
| PAC ID by PECOS | 5496849085 |
| Professional Enrollment ID | I20070913000046 |
| Full Name | Shane J Millard |
| Organization Legal Name | BRAUN URGENT CARE KAILUA LLC |
| Address |
130 Kailua Rd Suite 111 Kailua HI 96734-3420 |
| Phone Number | 8082614411 |
| Gender | M |
| Graduation Year | 2004 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 6901119346 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | M |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 120006 | ADVENTIST HEALTH CASTLE |
| Address | Phone | Organization |
|---|---|---|
| 130 Kailua Rd, Suite 111, Kailua, HI 96734-3420 | 8082614411 | BRAUN URGENT CARE KAILUA LLC |
| Organization Legal Name | BRAUN URGENT CARE KAILUA LLC |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Hobie Etta Feagai | Nurse Practitioner | Braun Urgent Care Kailua LLC | 130 Kailua Rd, Suite 111, Kailua, HI 96734-3420 |
| Romey J Sealy | Nurse Practitioner | Braun Urgent Care Kailua LLC | 130 Kailua Rd, Suite 111, Kailua, HI 96734-3420 |
| Christina M Prudencio | Nurse Practitioner | Braun Urgent Care Kailua LLC | 130 Kailua Rd, Suite 111, Kailua, HI 96734-3420 |
| Elisabeth J Chang | Family Practice | Braun Urgent Care Kailua LLC | 130 Kailua Rd, Kailua, HI 96734-3420 |
| Street Address |
130 KAILUA RD SUITE 111 |
| City | KAILUA |
| State | HI |
| Zip | 96734-3420 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Hobie Etta Feagai | Nurse Practitioner | Braun Urgent Care Kailua LLC | 130 Kailua Rd, Suite 111, Kailua, HI 96734-3420 |
| Romey J Sealy | Nurse Practitioner | Braun Urgent Care Kailua LLC | 130 Kailua Rd, Suite 111, Kailua, HI 96734-3420 |
| Christina M Prudencio | Nurse Practitioner | Braun Urgent Care Kailua LLC | 130 Kailua Rd, Suite 111, Kailua, HI 96734-3420 |
| Elisabeth J Chang | Family Practice | Braun Urgent Care Kailua LLC | 130 Kailua Rd, Kailua, HI 96734-3420 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Daniel Douglas Smith | Psychiatry | 229 Aiokoa St, Kailua, HI 96734-1668 | |
| Raymond I Fodor | Otolaryngology | 970 N Kalaheo Ave, Suite A323, Kailua, HI 96734-1839 | |
| James L Spira | Psychologist, Clinical | 970 N Kalahheo Ave Rm, A314, Kailua, HI 96734-1870 | |
| Philip R Foti | Internal Medicine | 970 N Kalaheo Ave, Suite A307, Kailua, HI 96734-1870 | |
| Rita J Shuford | Clinical Psychologist | Turning Corners Group LLC | 970 N Kalaheo Ave, Kailua, HI 96734-1870 |
| Glenn T Bessinger | Dermatology | Hawaii Dermatology Centers, Inc | 970 N Kalaheo Ave, Suite C108, Kailua, HI 96734-1871 |
| Sarah M Howell | Dermatology | Hawaii Dermatology Centers, Inc | 970 N Kalaheo Ave, Suite C108, Kailua, HI 96734-1871 |
| Eun K Strawser | Osteopathic Manipulative Medicine | 970 N Kalaheo Ave, Suite C109, Kailua, HI 96734-1871 | |
| Thomas G Crabtree | Plastic and Reconstructive Surgery | 970 N Kalaheo Ave, Suite C108, Kailua, HI 96734-1871 | |
| Alan R Spector | Clinical Social Worker | 970 N Kalaheo Ave, Suite C208, Kailua, HI 96734-1872 | |
| Find all physicians in zip 96734 | |||
| City | KAILUA |
| Zip Code | 96734 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | KAILUA + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Shane J Millard.
| 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.