Mark W Shelton (NPI# 1174574214, PAC ID# 6002709359) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is VASCULAR SURGERY.
| Nation Provider ID (NPI) | 1174574214 |
| PAC ID by PECOS | 6002709359 |
| Professional Enrollment ID | I20040422001511 |
| Full Name | Mark W Shelton |
| Organization Legal Name | CENTENNIAL SURGICAL ASSOCIATES LLC |
| Address |
397 Wallace Rd C302 Nashville TN 37211-8022 |
| Phone Number | 6158347201 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF TEXAS MEDICAL SCHOOL AT HOUSTON |
| Graduation Year | 1985 |
| Primary Specialty | VASCULAR SURGERY |
| Secondary Specialties | GENERAL SURGERY |
| Group Practice PAC ID | 2961508338 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 440227 | TRISTAR STONECREST MEDICAL CENTER |
| 440197 | TRISTAR SOUTHERN HILLS MEDICAL CENTER |
| 440133 | SAINT THOMAS MIDTOWN HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 397 Wallace Rd, C302, Nashville, TN 37211-8022 | 6158347201 | CENTENNIAL SURGICAL ASSOCIATES LLC |
| 397 Wallace Rd, Suite C414, Nashville, TN 37211-8029 | 6157819499 | CENTENNIAL SURGICAL ASSOCIATES LLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_110_overall | Preventive Care and Screening: Influenza Immunization | 100% | |
| MIPS_EC_111_overall | Pneumococcal Vaccination Status for Older Adults | 96% | |
| MIPS_EC_128_overall | Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan | 100% | |
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% | |
| MIPS_EC_134_overall | Preventive Care and Screening: Screening for Clinical Depression and Follow-Up Plan | 100% | |
| MIPS_EC_226_overall | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 100% |
| Organization Legal Name | CENTENNIAL SURGICAL ASSOCIATES LLC |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James T Ettien | General Surgery | Centennial Surgical Associates LLC | 3901 Central Pike, Suite 456, Hermitage, TN 37076-3419 |
| Suhail H Allos | General Surgery | Centennial Surgical Associates LLC | 397 Wallace Rd, C302, Nashville, TN 37211-8022 |
| William Yi | General Surgery | Centennial Surgical Associates LLC | 397 Wallace Rd, C302, Nashville, TN 37211-8022 |
| Street Address |
397 WALLACE RD C302 |
| City | NASHVILLE |
| State | TN |
| Zip | 37211-8022 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Steven L Beaty Sr. | Certified Registered Nurse Anesthetist (crna) | Nashville Anesthesia Pllc | 397 Wallace Rd, Suite 407, Nashville, TN 37211-8028 |
| Karl Philip Kuhn | Pulmonary Disease | 397 Wallace Rd, Suite 415, Nashville, TN 37211-8028 | |
| Stephen James Obermeier | Anesthesiology | Nashville Anesthesia Pllc | 397 Wallace Rd, Suite 407, Nashville, TN 37211-8028 |
| Robert G Bishop | Family Medicine | Columbia Medical Group-southern Hills Inc | 397 Wallace Rd, Suite 100, Nashville, TN 37211-8025 |
| Christopher David Holloway | Family Medicine | Columbia Medical Group-southern Hills Inc | 397 Wallace Rd, Suite 100, Nashville, TN 37211-8025 |
| Kimberly Rogers | Nurse Practitioner | Centennial Heart LLC | 397 Wallace Rd, Suite 102, Nashville, TN 37211-8002 |
| Megan P Hollis | Nurse Practitioner | Tennessee Oncology Pllc | 397 Wallace Rd, Suite C201, Nashville, TN 37211-4854 |
| Troy L Sasser | Certified Registered Nurse Anesthetist (crna) | Nashville Anesthesia Pllc | 397 Wallace Rd, Suite 407, Nashville, TN 37211-8028 |
| Tracy Jean Osborne | Internal Medicine | Columbia Medical Group-southern Hills Inc | 397 Wallace Rd, Suite 100, Nashville, TN 37211-8025 |
| Ashley L Mccarthy | Certified Registered Nurse Anesthetist (crna) | Nashville Anesthesia Pllc | 397 Wallace Rd, Suite 407, Nashville, TN 37211-8028 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ehab Hana | Family Medicine | Saint Thomas Medical Partners | 6005 Nolensville Rd, Suite 205, Nashville, TN 37211 |
| Jacob B Page | Nurse Practitioner | Middle Tennessee Internal Medicine Associates, Pllc | 6005 Nolensville Rd, Suite 105, Nashville, TN 37211 |
| Julie C Stinson-reynolds | Internal Medicine | Middle Tennessee Internal Medicine Associates, Pllc | 6005 Nolensville Rd, Suite 105, Nashville, TN 37211 |
| Elizabeth Jasarevski | Nurse Practitioner | Middle Tennessee Internal Medicine Associates, Pllc | 6005 Nolensville Rd, Suite 105, Nashville, TN 37211 |
| James William Dedmon | Chiropractic | 193 Thompson Ln, Nashville, TN 37211-2411 | |
| Suzanne D Butler | Psychiatry | Lifecare Family Services | 145 Thompson Ln, Nashville, TN 37211-2411 |
| Allison J Jones | Optometry | 181 Thompson Lane, Nashville, TN 37211-2411 | |
| Kasharah C Garrett | Nurse Practitioner | Lifecare Family Services | 145 Thompson Ln, Nashville, TN 37211-2411 |
| Hayley M Mcmichael | Nurse Practitioner | Lifecare Family Services | 145 Thompson Ln, Nashville, TN 37211-2411 |
| Donna Humbert | Clinical Social Worker | Lifecare Family Services | 145 Thompson Ln, Nashville, TN 37211-2411 |
| Find all physicians in zip 37211 | |||
| City | NASHVILLE |
| Zip Code | 37211 |
| Specialty | VASCULAR SURGERY |
| City + Specialty | NASHVILLE + VASCULAR SURGERY |
Please comment or provide details below to improve the information on Mark W Shelton.
| 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.