Shane R Ogle (NPI# 1760741813, PAC ID# 6305001413) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CHIROPRACTIC.
| Nation Provider ID (NPI) | 1760741813 |
| PAC ID by PECOS | 6305001413 |
| Professional Enrollment ID | I20120622000188 |
| Full Name | Shane R Ogle |
| Organization Legal Name | OGLE CHIROPRACTIC AND REHAB CENTER LLC |
| Address |
100 Lafayette Cir Suite A Waynesville MO 65583-2430 |
| Phone Number | 5737744177 |
| Gender | M |
| Medical School | LOGAN COLLEGE OF CHIROPRACTIC |
| Graduation Year | 2012 |
| Primary Specialty | CHIROPRACTIC |
| Group Practice PAC ID | 2860627189 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 100 Lafayette Cir, Suite A, Waynesville, MO 65583-2430 | 5737744177 | OGLE CHIROPRACTIC AND REHAB CENTER LLC |
| Organization Legal Name | OGLE CHIROPRACTIC AND REHAB CENTER LLC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tabitha L Ogle | Chiropractic | Ogle Chiropractic and Rehab Center LLC | 100 Lafayette Cir, Suite A, Waynesville, MO 65583-2430 |
| Street Address |
100 LAFAYETTE CIR SUITE A |
| City | WAYNESVILLE |
| State | MO |
| Zip | 65583-2430 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tabitha L Ogle | Chiropractic | Ogle Chiropractic and Rehab Center LLC | 100 Lafayette Cir, Suite A, Waynesville, MO 65583-2430 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lisa L Smith | Nurse Practitioner | Pcrmc Medical Group, Inc | 1000 Gw Ln, Waynesville, MO 65583-2339 |
| Sammy L Radcliff | Nurse Practitioner | Pcrmc Medical Group, Inc | 1000 Gw Ln, Waynesville, MO 65583-2339 |
| Kimberly D Bohlmann | Family Practice | Pcrmc Medical Group, Inc | 1000 Gw Ln, Waynesville, MO 65583-2339 |
| Amanda F Brumley | Clinical Social Worker | Benton Street Counseling LLC | 119 N Benton St, Waynesville, MO 65583-2501 |
| Jerry W Brown | Optometry | 1390 State Route F, Waynesville, MO 65583-2827 | |
| Ma Teresa Sison Enciso | Physical Therapy | Ma Teresa Sison Enciso Pt PC Corp | 124 Ichord Ave, Waynesville, MO 65583-5406 |
| City | WAYNESVILLE |
| Zip Code | 65583 |
| Specialty | CHIROPRACTIC |
| City + Specialty | WAYNESVILLE + CHIROPRACTIC |
Please comment or provide details below to improve the information on Shane R Ogle.
| 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.