Mark E Shirley (NPI# 1578504528, PAC ID# 8921092453) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY PRACTICE.
| Nation Provider ID (NPI) | 1578504528 |
| PAC ID by PECOS | 8921092453 |
| Professional Enrollment ID | I20040408001082 |
| Full Name | Mark E Shirley |
| Organization Legal Name | PHYSICIANS CLINIC INC |
| Address |
10710 Fort St Omaha NE 68134-1204 |
| Phone Number | 4023547500 |
| Gender | M |
| Credential | DO |
| Medical School | THE UNIVERSITY OF HEALTH SCIENCES, COLLEGE OF OSTEO MEDICINE |
| Graduation Year | 1994 |
| Primary Specialty | FAMILY PRACTICE |
| Secondary Specialties | SPORTS MEDICINE |
| Group Practice PAC ID | 4880506062 |
| Number of Group Practice Members | 347 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 281359 | MEMORIAL COMMUNITY HOSPITAL MCH & HEALTH SYSTEM |
| Address | Phone | Organization |
|---|---|---|
| 1 Edmundson Pl, 310 Methodist Physicians Clinic Council Bluffs, Council Bluffs, IA 51503-4658 | 7123964360 | PHYSICIANS CLINIC INC |
| 10710 Fort St, Omaha, NE 68134-1204 | 4023547500 | PHYSICIANS CLINIC INC |
| Organization Legal Name | PHYSICIANS CLINIC INC |
| Physicians | 386 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael Klug | Internal Medicine | Physicians Clinic Inc | 16120 W Dodge Rd, Omaha, NE 68118-2049 |
| Jami Jo Dowell | Nurse Practitioner | Physicians Clinic Inc | 1400 Senate Ave, 105 Methodist Physicians Clinic Red Oak, Red Oak, IA 51566-1271 |
| Stephen Tetrault | Family Medicine | Physicians Clinic Inc | 17675 Welch Plz, Omaha, NE 68135-3453 |
| Maureen A Boyle-manganaro | Obstetrics/gynecology | Physicians Clinic Inc | 320 Ebaugh St, Methodist Physicians Clinic Glenwood, Glenwood, IA 51534-1811 |
| Stephanie R Revord | Nurse Practitioner | Physicians Clinic Inc | 3353 L St, Omaha, NE 68107-2500 |
| Umasankari Sundaram | Endocrinology | Physicians Clinic Inc | 7831 Chicago Ct, Omaha, NE 68114-3654 |
| Karen T Bagniewski | Nurse Practitioner | Physicians Clinic Inc | 10710 Fort St, Omaha, NE 68134-1204 |
| Angela R Vogel | Nurse Practitioner | Physicians Clinic Inc | 933 E Pierce St, Methodist Jennie Edmundson, Council Bluffs, IA 51503-4626 |
| Jennifer D Stone | Family Medicine | Physicians Clinic Inc | 1001 Risen Son Blvd, Council Bluffs, IA 51503-1910 |
| Anand R Deshmukh | Cardiovascular Disease (cardiology) | Physicians Clinic Inc | 1120 N 103rd Plaza, Omaha, NE 68114-1119 |
| Street Address |
10710 FORT ST |
| City | OMAHA |
| State | NE |
| Zip | 68134-1204 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Karen T Bagniewski | Nurse Practitioner | Physicians Clinic Inc | 10710 Fort St, Omaha, NE 68134-1204 |
| Kimberly A Butts | Family Medicine | Physicians Clinic Inc | 10710 Fort St, Omaha, NE 68134-1204 |
| Jennifer R Van Meeteren | Nurse Practitioner | Physicians Clinic Inc | 10710 Fort St, Omaha, NE 68134-1204 |
| Frederick W Feuerstein | Family Medicine | Physicians Clinic Inc | 10710 Fort St, Omaha, NE 68134-1204 |
| Carol A Stessman | Family Medicine | Physicians Clinic Inc | 10710 Fort St, Omaha, NE 68134-1204 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Barbara J Escamilla | Clinical Social Worker | 3625 No 104th Ave, Omaha, NE 68134-1002 | |
| Richard C Steskal | Chiropractic | 10615 Fort St, Omaha, NE 68134-1203 | |
| Lukas Hoover Rathjen | Physical Therapy | Community Rehab, LLC | 6103 N 72nd St, Ati Physical Therapy, Omaha, NE 68134-2103 |
| Sayler J Boylan | Chiropractic | 5148 N 90th St, Omaha, NE 68134-2830 | |
| Thomas A Siwa | Chiropractic | Northwest Chiropractic PC | 5148 N 90th St, Omaha, NE 68134-2830 |
| Colleen T Snoza | Physical Therapy | Makovicka Harms Group PC | 4201 N 90th St, Omaha, NE 68134-4136 |
| Deepthi Samindla | Family Medicine | Oneworld Community Health Centers, Inc. | 4229 N 90th St, Omaha, NE 68134-4136 |
| Ian D Mitchell | Nurse Practitioner | Oneworld Community Health Centers Inc | 4229 N 90th St, Omaha, NE 68134-4136 |
| Amanda Jo Holmgreen | Clinical Psychologist | Deer Oaks Mental Health Associates PC | 7350 Graceland Dr, Omaha, NE 68134-4328 |
| Cindy M Shupe | Nurse Practitioner | Endeveren Family Medicine LLC | 3015 N 90th St, Suite 1, Omaha, NE 68134-4713 |
| Find all physicians in zip 68134 | |||
| City | OMAHA |
| Zip Code | 68134 |
| Specialty | FAMILY PRACTICE |
| City + Specialty | OMAHA + FAMILY PRACTICE |
Please comment or provide details below to improve the information on Mark E Shirley.
| 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.