Michael D Shortt (NPI# 1972640266, PAC ID# 9133345614) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1972640266 |
| PAC ID by PECOS | 9133345614 |
| Professional Enrollment ID | I20140717002231 |
| Full Name | Michael D Shortt |
| Organization Legal Name | HOPKINS COUNTY PHYSICIAN SERVICES |
| Address |
105 II Medical Plaza Sulphur Springs TX 75482-2105 |
| Phone Number | 9038855439 |
| Gender | M |
| Graduation Year | 2005 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 3779656434 |
| Number of Group Practice Members | 25 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 450236 | HOPKINS COUNTY MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 650 E Lennon Dr, Emory, TX 75440-3227 | 9034737234 | HOPKINS COUNTY PHYSICIAN SERVICES |
| 105 II Medical Plaza, Sulphur Springs, TX 75482-2105 | 9038855439 | HOPKINS COUNTY PHYSICIAN SERVICES |
| 520 Douglas Blvd, Tyler, TX 75702-8307 | 9035931721 | TRINITY CLINIC |
| 620 S Fleishel Ave, Christus Trinity Clinic, Tyler, TX 75701-2041 | 9035108888 | TRINITY CLINIC |
| 620 S Fleishel Ave, Tyler, TX 75701-2041 | 9035108888 | TRINITY CLINIC |
| 630 S Fleishel Ave, Tyler, TX 75701-2041 | 9035108888 | TRINITY CLINIC |
| 630 S Fleishel Ave, Christus Trinity Clinic, Tyler, TX 75701-2041 | 9035108888 | TRINITY CLINIC |
| Organization Legal Name | HOPKINS COUNTY PHYSICIAN SERVICES |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael David Duchamp | Orthopedic Surgery | Hopkins County Physician Services | 650 E Lennon Dr, Emory, TX 75440-3227 |
| Trung Nguyen | Family Practice | Hopkins County Physician Services | 105 II Medical Plaza, Sulphur Springs, TX 75482-2105 |
| Street Address |
105 II MEDICAL PLAZA |
| City | SULPHUR SPRINGS |
| State | TX |
| Zip | 75482-2105 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Trung Nguyen | Family Practice | Hopkins County Physician Services | 105 II Medical Plaza, Sulphur Springs, TX 75482-2105 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ashlei Thomas | Clinical Social Worker | Senior Psychological Care Dallas I LLC | 411 Airport Rd, Sulphur Springs, TX 75482-2005 |
| Laterica K House | Nurse Practitioner | Senior Psychcare of Dallas I Pllc | 411 Airport Rd, Sulphur Springs, TX 75482-2005 |
| Jessica Christine Reddin | Clinical Social Worker | Lakes Regional Mental Health Mental Retardation Center | 655 Airport Rd, Sulphur Springs, TX 75482-2009 |
| Ashley Elizabeth Hammons | Nurse Practitioner | Access Physicians, Pllc | 115 Airport Rd, Sulphur Springs, TX 75482-2105 |
| Richard Graves | Orthopedic Surgery | Trinity Clinic | 105 -ii Medical Plz, Christus Trinity Clinic, Sulphur Springs, TX 75482-2105 |
| Kevin W Caton | Certified Registered Nurse Anesthetist (crna) | Texas Regional Anesthesia Medical Group Pa | 115 Airport Rd, Sulphur Springs, TX 75482-2105 |
| Daniel Pace | Certified Registered Nurse Anesthetist (crna) | Texas Regional Anesthesia Medical Group Pa | 115 Airport Rd, Sulphur Springs, TX 75482-2105 |
| Kara D Petty | Nurse Practitioner | Access Physicians, Pllc | 115 Airport Rd, Sulphur Springs, TX 75482-2105 |
| Eddie L Fontenot | Certified Registered Nurse Anesthetist (crna) | Texas Regional Anesthesia Medical Group Pa | 115 Airport Rd, Sulphur Springs, TX 75482-2105 |
| Bridgette D Coker | Family Medicine | Trinity Clinic | 105 -ii Medical Plz, Christus Trinity Clinic, Sulphur Springs, TX 75482-2105 |
| Find all physicians in zip 75482 | |||
| City | SULPHUR SPRINGS |
| Zip Code | 75482 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | SULPHUR SPRINGS + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Michael D Shortt.
| 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.