Clinton R Shoultz (NPI# 1619912599, PAC ID# 8022207505) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1619912599 |
| PAC ID by PECOS | 8022207505 |
| Professional Enrollment ID | I20110114000116 |
| Full Name | Clinton R Shoultz |
| Address |
715 S 9th St Petersburg IN 47567-1820 |
| Gender | M |
| Medical School | INDIANA UNIVERSITY - SCHOOL OF OPTOMETRY |
| Graduation Year | 2001 |
| Primary Specialty | OPTOMETRY |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 715 S 9th St, Petersburg, IN 47567-1820 |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_117_overall | Diabetes: Eye Exam | 100% | |
| MIPS_EC_140_overall | Age-Related Macular Degeneration (AMD): Counseling on Antioxidant Supplement | 100% |
| Street Address |
715 S 9TH ST |
| City | PETERSBURG |
| State | IN |
| Zip | 47567-1820 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Todd Michael Boucher | Physician Assistant | Button Family Practice PC | 715 S 9th St, Colorado City, CO 81212-4911 |
| Patricia L Berndt | Nurse Practitioner | Button Family Practice PC | 715 S 9th St, Colorado City, CO 81212-4911 |
| Marcus A Button | Family Medicine | Button Family Practice PC | 715 S 9th St, Colorado City, CO 81212-4911 |
| Darlene M Mcphee | Nurse Practitioner | Button Family Practice PC | 715 S 9th St, Colorado City, CO 81212-4911 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert C Greene | Chiropractic | 712 E Main St, Petersburg, IN 47567-1231 | |
| Renee Abrassart Ramsey | Optometry | 601 E Main St, Petersburg, IN 47567-1247 | |
| Lynnette M Matteson | Nurse Practitioner | Good Samaritan Hospital Physician Services Inc | 611 E Main St, 110 Good Samaritan Psi Rhc, Petersburg, IN 47567-1270 |
| Chelsea M Cummins | Nurse Practitioner | Little Company of Mary Hospital of Indiana Inc | 1003 E Illinois, Petersburg Family Medicine, Petersburg, IN 47567-8068 |
| Toni M Martin | Nurse Practitioner | Deaconess Clinic Inc | 106 W Pike Ave, Petersburg, IN 47567-8750 |
| Gary J Keepes | Family Medicine | Deaconess Clinic Inc | 106 W Pike Ave, Petersburg, IN 47567-8750 |
| Alexandria Jo Carie-kroeger | Nurse Practitioner | Deaconess Clinic Inc | 106 W Pike Ave, Petersburg, IN 47567-8750 |
| Nathanial D Grow | Family Medicine | Deaconess Clinic Inc | 106 W Pike Ave, Petersburg, IN 47567-8750 |
| City | PETERSBURG |
| Zip Code | 47567 |
| Specialty | OPTOMETRY |
| City + Specialty | PETERSBURG + OPTOMETRY |
Please comment or provide details below to improve the information on Clinton R Shoultz.
| 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.