Jared T Shahan (NPI# 1518144773, PAC ID# 6608951769) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1518144773 |
| PAC ID by PECOS | 6608951769 |
| Professional Enrollment ID | I20140627000598 |
| Full Name | Jared T Shahan |
| Organization Legal Name | ACCESS TOTAL CARE, LLC |
| Address |
1700 Wildcat Dr Suite B Portland TX 78374-2838 |
| Phone Number | 3618842904 |
| Gender | M |
| Medical School | TEXAS TECH UNIVERSITY HEALTH SCIENCE CENTER SCHOOL OF MEDICINE |
| Graduation Year | 2005 |
| Primary Specialty | FAMILY MEDICINE |
| Secondary Specialties | EMERGENCY MEDICINE |
| Group Practice PAC ID | 8224399092 |
| Number of Group Practice Members | 9 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 14254 Spid Dr, Suite 207, Corpus Christi, TX 78418-6278 | 3618842904 | ACCESS TOTAL CARE, LLC |
| 1700 Wildcat Dr, Suite B, Portland, TX 78374-2838 | 3618842904 | ACCESS TOTAL CARE, LLC |
| Organization Legal Name | ACCESS TOTAL CARE, LLC |
| Physicians | 8 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tracy Lynn Culver | Nurse Practitioner | Access Total Care, LLC | 14254 Spid Dr, Suite 207, Corpus Christi, TX 78418-6278 |
| Dixie M Andelman | Nurse Practitioner | Access Total Care, LLC | 1700 Wildcat Dr, Suite B, Portland, TX 78374-2838 |
| Bernice Aizon | Nurse Practitioner | Access Total Care, LLC | 1700 Wildcat Dr, Suite B, Portland, TX 78374-2838 |
| Ruviola Sanchez | Nurse Practitioner | Access Total Care, LLC | 1700 Wildcat Dr, Suite B, Portland, TX 78374-2838 |
| Lonnie R Schwirtlich | Emergency Medicine | Access Total Care, LLC | 14254 Spid Dr, Suite 207, Corpus Christi, TX 78418-6278 |
| Rudolfo C Deleon Jr. | Nurse Practitioner | Access Total Care, LLC | 14254 Spid Dr, Suite 207, Corpus Christi, TX 78418-6278 |
| Cherrie A Aquino | Nurse Practitioner | Access Total Care, LLC | 1700 Wildcat Dr, Suite B, Portland, TX 78374-2838 |
| Street Address |
1700 WILDCAT DR SUITE B |
| City | PORTLAND |
| State | TX |
| Zip | 78374-2838 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dixie M Andelman | Nurse Practitioner | Access Total Care, LLC | 1700 Wildcat Dr, Suite B, Portland, TX 78374-2838 |
| Bernice Aizon | Nurse Practitioner | Access Total Care, LLC | 1700 Wildcat Dr, Suite B, Portland, TX 78374-2838 |
| Ruviola Sanchez | Nurse Practitioner | Access Total Care, LLC | 1700 Wildcat Dr, Suite B, Portland, TX 78374-2838 |
| Mary Ann Gansle | Psychologist, Clinical | 1700 Wildcat Dr, Suite D, Portland, TX 78374-2817 | |
| Cherrie A Aquino | Nurse Practitioner | Access Total Care, LLC | 1700 Wildcat Dr, Suite B, Portland, TX 78374-2838 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Umamaheswara Rao Maruvada | Psychiatry | Coastal Plains Community Mhmr | 200 Marriott Dr, Portland, TX 78374-2213 |
| Rebecca Ann Kraatz | Psychologist, Clinical | Coastal Plains Community Mhmr | 200 Marriott Dr, Portland, TX 78374-2213 |
| Murthy V.s. Mangipudi | Psychiatry | Coastal Plains Community Mhmr | 200 Marriott Dr, Portland, TX 78374-2213 |
| Krishnaiah Rayasam | Psychiatry | Coastal Plains Community Mhmr | 200 Marriott Dr, Portland, TX 78374-2213 |
| Maria Elvira Chavez | Physical Therapy | Humpal Physical Therapy, P.C. | 114 Lang Rd, Portland, TX 78374-2654 |
| Rebecca K Smith | Physical Therapy | Humpal Physical Therapy, P.C. | 114 Lang Rd, Portland, TX 78374-2654 |
| Robert M Barton Jr | Optometry | 1540 Wildcat Dr, Portland, TX 78374-2814 | |
| Dianne M Perdue | Nurse Practitioner | Minuteclinic Diagnostic of Texas LLC | 1627 Wildcat Dr, Portland, TX 78374-2815 |
| Karen L Morrissey | Nurse Practitioner | Minuteclinic Diagnostic of Texas LLC | 1627 Wildcat Dr, Portland, TX 78374-2815 |
| Dwayne A Kubecka | Chiropractic | 1500 Wildcat Dr G, Portland, TX 78374-2825 | |
| Find all physicians in zip 78374 | |||
| City | PORTLAND |
| Zip Code | 78374 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | PORTLAND + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Jared T Shahan.
| 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.