RODNEY G SHULTZ (NPI# 1245216084) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245216084 |
| Entity Type | Individual |
| Full Name | RODNEY G SHULTZ |
| Credential | PA-C, DC |
| Practice Address |
1017 W Hebron Pkwy Carrollton TX 75010-1113 |
| Practice Telephone | 9729399495 |
| Practice Fax Number | 9729390230 |
| Mailing Telephone | 9729399495 |
| Mailing Fax Number | 9729390230 |
| Enumeration Date | 2005-12-22 |
| Last Update Date | 2011-12-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 111N00000X | Chiropractor | 9687 | TX | Chiropractic Providers |
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
05867 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BLUECROSS BLUESHIELD | 606671 | 01 |
| Street Address |
1017 W HEBRON PKWY |
| City | CARROLLTON |
| State | TX |
| Zip Code | 75010-1113 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649744400 | Cecilia Marcelle Mccoy | Nurse Practitioner | 1017 W Hebron Pkwy, Carrollton, TX 75010-1113 | 2019-01-15 |
| 1992236665 | Yeasol Michelle Lee | Family Medicine | 1017 W Hebron Pkwy, Carrollton, TX 75010-1113 | 2017-03-24 |
| 1730533308 | Elizabeth Kathryn Morley | Physician Assistant | 1017 W Hebron Pkwy, Carrollton, TX 75010-1113 | 2016-04-19 |
| 1033288121 | Sam Rostami | Family Medicine | 1017 W Hebron Pkwy, Carrollton, TX 75010-1113 | 2006-11-06 |
| 1346353273 | Martha Rodriguez - Ruiz | Family Medicine | 1017 W Hebron Pkwy, Carrollton, TX 75010-1113 | 2006-08-16 |
| 1386656502 | Vincent Paul | Family Medicine | 1017 W Hebron Pkwy, Carrollton, TX 75010-1113 | 2006-08-13 |
| 1972529899 | Suzanne Renee Robinson | Nurse Practitioner | 1017 W Hebron Pkwy, Carrollton, TX 75010-1113 | 2006-07-14 |
| 1538106588 | Andrea Y Dennis | Nurse Practitioner | 1017 W Hebron Pkwy, Carrollton, TX 75010-1113 | 2006-05-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043782907 | Timothy C. Pringle Md Pa | Surgery | 4541 N. Josey Lane, Suite 140, Carrollton, TX 75010 | 2018-12-17 |
| 1184106411 | Cindy T Vu | Occupational Therapy Assistant | 1877 Cheyenne, Carrollton, TX 75010 | 2018-09-04 |
| 1639686256 | Little Lantern Hospice LLC | Hospice Care, Community Based | 4541 North Josey Lane, Suite 110-b, Carrollton, TX 75010 | 2018-01-04 |
| 1235681610 | Kahini Shah | Physical Therapist | 1012 W Hebron Pkwy Ste 124, Carrollton, TX 75010 | 2016-11-01 |
| 1881148849 | Wais Azesh | Dentist | 1233 Apache Lake Dr, Carrollton, TX 75010 | 2016-08-08 |
| 1225485055 | Julia Buckelew | Physical Therapist | 4100 Fairway Dr Ste 400, Carrollton, TX 75010 | 2016-05-23 |
| 1811355639 | Fastpass Ucc, Pllc | Clinic/Center | 4228 N Josey Ln Ste 150, Carrollton, TX 75010 | 2016-02-08 |
| 1326404393 | Miaojuan Li | Nurse Practitioner | 4100 Fairway Dr Ste 300, Carrollton, TX 75010 | 2016-01-06 |
| 1912376112 | Envoy Hospice North LLC | Hospice Care, Community Based | 4040 Tx-121, Carrollton, TX 75010 | 2015-09-17 |
| 1932593936 | Lifeway Hospice, LLC | Hospice Care, Community Based | 4040 State Highway 121, Suite 140, Carrollton, TX 75010 | 2015-03-27 |
| Find all providers in zip 75010 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871005736 | Revelation House Calls Inc | Physician Assistant | 1628 W Hebron Pkwy Ste 135, Carrollton, TX 75010-6335 | 2017-11-01 |
| 1336514736 | Genevieve Rochefort | Physician Assistant | 148 Liberty Way, Carrollton, VA 23314-2697 | 2015-12-10 |
| 1477793495 | Miny K. Mathew | Physician Assistant | 4325 N Josey Ln Ste 300, Carrollton, TX 75010-4638 | 2009-03-03 |
| 1003811886 | David J Scholl | Physician Assistant | 157 Clinic Ave Ste 101, Carrollton, GA 30117-4454 | 2005-06-17 |
| 1083215214 | Prital Patel | Physician Assistant | 909 S Park St, Carrollton, GA 30117-4456 | 2020-11-04 |
| 1952829178 | Mary E Maxwell | Physician Assistant | 165 Clinic Ave, Carrollton, GA 30117-4413 | 2017-09-08 |
| 1396281416 | Stuart Smith | Physician Assistant | 705 Dixie St, Carrollton, GA 30117-3818 | 2017-01-12 |
| 1104282862 | Lindsay Nicole Deal | Physician Assistant | 4343 N Josey Ln, Carrollton, TX 75010-4603 | 2016-01-11 |
| 1124497649 | Matthew Hunt | Physician Assistant | 4333 N Josey Ln, Plaza II, Suite 302, Carrollton, TX 75010-4629 | 2015-09-15 |
| 1033517958 | Matthew Tassinari | Physician Assistant | 3012 E Hebron Pkwy, Suite 116, Carrollton, TX 75010-4464 | 2014-12-09 |
| Find all providers in CARROLLTON | ||||
| City | CARROLLTON |
| Zip Code | 75010 |
Please comment or provide details below to improve the information on RODNEY G SHULTZ.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.