Shane M Pahlavan (NPI# 1124271689, PAC ID# 6204097058) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OTOLARYNGOLOGY.
| Nation Provider ID (NPI) | 1124271689 |
| PAC ID by PECOS | 6204097058 |
| Professional Enrollment ID | I20120423000219 |
| Full Name | Shane M Pahlavan |
| Organization Legal Name | THE EAR, NOSE AND THROAT CENTERS OF TEXAS, PLLC |
| Address |
1111 Raintree Cir Suite 280 Allen TX 75013-4901 |
| Phone Number | 9729841050 |
| Gender | M |
| Medical School | UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON |
| Graduation Year | 2006 |
| Primary Specialty | OTOLARYNGOLOGY |
| Group Practice PAC ID | 4385709054 |
| Number of Group Practice Members | 17 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 670082 | BAYLOR SCOTT AND WHITE MEDICAL CENTER MCKINNEY |
| Address | Phone | Organization |
|---|---|---|
| 1111 Raintree Cir, Suite 280, Allen, TX 75013-4901 | 9729841050 | THE EAR, NOSE AND THROAT CENTERS OF TEXAS, PLLC |
| 5220 W University Dr, Suite 150, Mckinney, TX 75071-7418 | 9729841050 | THE EAR, NOSE AND THROAT CENTERS OF TEXAS, PLLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% |
| Organization Legal Name | THE EAR, NOSE AND THROAT CENTERS OF TEXAS, PLLC |
| Physicians | 17 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jennifer Hannah Dang | Otolaryngology | The Ear, Nose and Throat Centers of Texas, Pllc | 5220 W University Dr, Suite 150, Mckinney, TX 75071-7418 |
| Cherie L Booth | Otolaryngology | The Ear, Nose and Throat Centers of Texas, Pllc | 4001 W 15th St, Suite 225, Plano, TX 75093-5838 |
| Paige K Harrelson | Physician Assistant | The Ear, Nose and Throat Centers of Texas, Pllc | 4001 W 15th St, Suite 225, Plano, TX 75093-5838 |
| Gretchen Ann Champion | Otolaryngology | The Ear, Nose and Throat Centers of Texas, Pllc | 1111 Raintree Cir, Suite 280, Allen, TX 75013-4901 |
| Benjamin J Martino | Otolaryngology | The Ear, Nose and Throat Centers of Texas, Pllc | 4001 W 15th St, Suite 225, Plano, TX 75093-5838 |
| Joshua C James | Otolaryngology | The Ear, Nose and Throat Centers of Texas, Pllc | 4001 W 15th St, Suite 225, Plano, TX 75093-5838 |
| Elizabeth Parks Wooten | Qualified Audiologist | The Ear, Nose and Throat Centers of Texas, Pllc | 4001 W 15th St, Suite 225, Plano, TX 75093-5838 |
| Allison M Harris | Qualified Audiologist | The Ear, Nose and Throat Centers of Texas, Pllc | 4001 W 15th St, Suite 225, Plano, TX 75093-5838 |
| Nandini Jasrotia | Qualified Audiologist | The Ear, Nose and Throat Centers of Texas, Pllc | 1111 Raintree Cir, Suite 280, Allen, TX 75013-4901 |
| Schyler N House | Qualified Audiologist | The Ear, Nose and Throat Centers of Texas, Pllc | 5220 W University Dr, Suite 150, Mckinney, TX 75071-7418 |
| Street Address |
1111 RAINTREE CIR SUITE 280 |
| City | ALLEN |
| State | TX |
| Zip | 75013-4901 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Monisha Gidvani | Obstetrics/gynecology | Magella Medical Associates Billing Inc | 1111 Raintree Cir, Suite 290, Allen, TX 75013-4905 |
| Gretchen Ann Champion | Otolaryngology | The Ear, Nose and Throat Centers of Texas, Pllc | 1111 Raintree Cir, Suite 280, Allen, TX 75013-4901 |
| Wesley J Merritt | Pain Management | Pain Care of Texas, Inc. | 1111 Raintree Cir, Suite 170, Allen, TX 75013-4902 |
| Nandini Jasrotia | Qualified Audiologist | The Ear, Nose and Throat Centers of Texas, Pllc | 1111 Raintree Cir, Suite 280, Allen, TX 75013-4901 |
| Deborah M Holubec | Pain Management | Pain Care of Texas, Inc. | 1111 Raintree Cir, Suite 170, Allen, TX 75013-4902 |
| Jerry T Holubec | Pain Management | Pain Care of Texas, Inc. | 1111 Raintree Cir, Suite 170, Allen, TX 75013-4902 |
| Mark Doerner | Internal Medicine | 1111 Raintree Cir, Suite 240, Allen, TX 75013-4902 | |
| Malcolm O Perry Iii | Urology | 1111 Raintree Cir, Suite 240, Allen, TX 75013-4902 | |
| Todd P Rinker | Qualified Audiologist | The Ear, Nose and Throat Centers of Texas, Pllc | 1111 Raintree Cir, Suite 280, Allen, TX 75013-4901 |
| Mladen Predanic | Obstetrics/gynecology | Magella Medical Associates Billing Inc | 1111 Raintree Cir, Suite 290, Allen, TX 75013-4905 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lyle D Haskell | Podiatry | 1105 Central Expressway N, Suite 220, Allen, TX 75013 | |
| Jeffrey Landau | Urology | 1105 N Central Expwy, Suite 350, Allen, TX 75013 | |
| Jeffery B Wood | Optometry | 321 N Allen Dr, Allen, TX 75013-2539 | |
| William C Kritzer Jr. | Optometry | 321 N Allen Dr, Allen, TX 75013-2539 | |
| Edward Topfer | Optometry | 202 N Allen Dr, Suite C, Allen, TX 75013-2549 | |
| Michael B Fisher | Physical Therapy | 301 N Allen Dr, Suite A, Allen, TX 75013-2559 | |
| Susan Elizabeth Kent Arce | Psychologist, Clinical | 400 N Allen Dr, Suite 208, Allen, TX 75013-2570 | |
| Sanjay Kumar Patel | Ophthalmology | Rc Eye Associates Pa | 400 N Allen Dr, Suite 108, Allen, TX 75013-2578 |
| Rudolf Churner Iii | Ophthalmology | Rc Eye Associates Pa | 400 N Allen Dr, Suite 108, Allen, TX 75013-2578 |
| James W. Norbury Jr. | Ophthalmology | Rc Eye Associates Pa | 400 N Allen Dr, Suite 108, Allen, TX 75013-2578 |
| Find all physicians in zip 75013 | |||
| City | ALLEN |
| Zip Code | 75013 |
| Specialty | OTOLARYNGOLOGY |
| City + Specialty | ALLEN + OTOLARYNGOLOGY |
Please comment or provide details below to improve the information on Shane M Pahlavan.
| 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.