Jeffrey M Shadle (NPI# 1386632735, PAC ID# 9830246792) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1386632735 |
| PAC ID by PECOS | 9830246792 |
| Professional Enrollment ID | I20090615000312 |
| Full Name | Jeffrey M Shadle |
| Organization Legal Name | JEFFREY M SHADLE MD PA |
| Address |
4682 Mcdermott Rd Suite 100 Plano TX 75024-7772 |
| Phone Number | 9725966400 |
| Gender | M |
| Medical School | UNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE |
| Graduation Year | 1998 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 3678620531 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 450651 | MEDICAL CITY PLANO |
| Address | Phone | Organization |
|---|---|---|
| 4682 Mcdermott Rd, Suite 100, Plano, TX 75024-7772 | 9725966400 | JEFFREY M SHADLE MD PA |
| Organization Legal Name | JEFFREY M SHADLE MD PA |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rakhi Sarkar | Family Medicine | Jeffrey M Shadle Md Pa | 4682 Mcdermott Rd, Suite 100, Plano, TX 75024-7772 |
| Street Address |
4682 MCDERMOTT RD SUITE 100 |
| City | PLANO |
| State | TX |
| Zip | 75024-7772 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rakhi Sarkar | Family Medicine | Jeffrey M Shadle Md Pa | 4682 Mcdermott Rd, Suite 100, Plano, TX 75024-7772 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Aimee Clarke | Clinical Social Worker | 8105 Rasor Blvd, Suite 120, Plano, TX 75024-0116 | |
| Robert Melvin Birenbaum | Optometry | 7500 Windrose Ave, Suite B180, Plano, TX 75024-0163 | |
| Michelle Elizabeth Dang | Anesthesiology | U S Anesthesia Partners of Texas, Pa | 7211 Preston Rd, Suite 2100, Plano, TX 75024-0258 |
| David Lewis Perkins | Anesthesiology | U S Anesthesia Partners of Texas, Pa | 7211 Preston Rd, Suite 2100, Plano, TX 75024-0258 |
| Florence A Nwagwu | Anesthesiology | Orthomed Staffing LLC | 7211 Preston Rd, Suite 2100, Plano, TX 75024-0258 |
| Lisa Kim Fulfor | Clinical Social Worker | 8105 Rasor Blvd, Suite 225, Plano, TX 75024-0265 | |
| Evelyn Elaine Conley | Clinical Social Worker | 8105 Rasor Blvd, Suite 120, Plano, TX 75024-0336 | |
| Harinineeraja Meda | Family Medicine | 4508 Legacy Dr, Suite 400, Plano, TX 75024-2189 | |
| Rajiv M Joseph | Neurology | 7920 Preston Rd, Suite 100, Plano, TX 75024-2345 | |
| Haideh B Karimi | Optometry | 7920 Preston Rd, Suite 200, Plano, TX 75024-2346 | |
| Find all physicians in zip 75024 | |||
| City | PLANO |
| Zip Code | 75024 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | PLANO + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Jeffrey M Shadle.
| 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.