KELLY SHOOK


Address: 4303 Victory Dr, Austin, TX 78704-8870
Phone: 5124623627

KELLY SHOOK (NPI# 1336363381) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1336363381
Entity Type Individual
Full Name KELLY SHOOK
Credential PA
Practice Address 4303 Victory Dr
Austin
TX 78704-8870
Practice Telephone 5124623627
Practice Fax Number 5124623431
Mailing Telephone 5124623627
Mailing Fax Number 5124623431
Enumeration Date 2007-04-12
Last Update Date 2009-11-11
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant PA04675 TX Physician Assistants & Advanced Practice Nursing Providers

Other Providers KELLY SHOOK

NPI Name Taxonomy Address Enumeration
1083977870 Kelly Miller Shook Counselor 1251 Pinnacle Church Road, Nebo, NC 28761-5753 2012-06-18
1164693099 Kelly M Shook Audiologist 2211 Park Ave, Minneapolis, MN 55404-3711 2008-03-19

Office Location

Street Address 4303 VICTORY DR
City AUSTIN
State TX
Zip Code 78704-8870

Providers in the same location

NPI Name Taxonomy Address Enumeration
1760479059 Nathan Henry Pekar Family Medicine 4303 Victory Dr, Austin, TX 78704-7507 2005-10-01
1255841706 Emily Cuyler Nurse Practitioner 4303 Victory Dr, Austin, TX 78704-7507 2017-10-10
1205362555 Shelley Hardin Salinas Physical Therapist 4303 Victory Dr, Austin, TX 78704-7507 2017-05-05
1396102604 Value Oriented Medical Clinic Pllc Family Medicine 4303 Victory Dr, Austin, TX 78704-7507 2016-01-19
1497197651 Katharine Hope Jones Nurse Practitioner 4303 Victory Dr, Austin, TX 78704-7507 2013-07-29
1720332760 Margaret Suzanne Stephens Counselor 4303 Victory Dr, Austin, TX 78704-7507 2012-10-30
1659639797 Alisande Davis Physician Assistant 4303 Victory Dr, Austin, TX 78704-7507 2012-04-26
1447585385 Elizabeth Vasquez Nurse Practitioner 4303 Victory Dr, Austin, TX 78704-7507 2009-10-09
1164655171 Shawn R Agenbroad-elander Nurse Practitioner 4303 Victory Dr, Austin, TX 78704-7507 2009-08-25
1730311465 Toth Enterprises II Pharmacy 4303 Victory Dr, Austin, TX 78704-7507 2009-08-13
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1801494018 340b Partners Pharmacy - Dallas LLC Pharmacy 2800 S Ih 35 Frontage Rd, Suite 105, Austin, TX 78704 2020-10-12
1740802206 Roots, Aba Therapy and Consulting Services LLC Behavioral Analyst 3715 S. 1st St, #464, Austin, TX 78704 2020-05-07
1447896071 Stefanie Van Hoose Mott Nurse Practitioner 2800 South Ih 35 Frontage Road #100, Austin, TX 78704 2019-11-19
1902463219 Melanie Rabalais Lpc, Pllc Counselor 3111 Dickson Dr, Suite 33, Austin, TX 78704 2019-05-22
1023590866 Roberto Carlos Guerra Physical Therapy Assistant 2515 S Ih 35, Ste 320, Austin, TX 78704 2018-08-29
1750875118 Kristen Gabrielle Ferrante Dentist 2330 S Lamar Blvd, Austin, TX 78704 2018-06-19
1366944555 Beryl Hoelscher Registered Nurse 706 W Ben White Blvd Ste 233a, Austin, TX 78704 2018-03-02
1780103861 Remedy Pediatrics Pllc Pediatrics 2512 South Interstate 35 Frontage Rd., Suite 310, Austin, TX 78704 2017-09-11
1285176172 Leah Nichole Burandt Physician Assistant 2512 S Interstate 35 Ste 310, Austin, TX 78704 2016-11-09
1659822690 Kristin Jarrett Physical Therapist 1524 S I-35, Suite 300, Austin, TX 78704 2016-10-14
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Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1174123111 Stephanie Rae Moench Physician Assistant 1704 Enfield Rd Apt 102, Austin, TX 78703-3348 2020-10-28
1376140400 April L Thepsoumane Physician Assistant 4808 Hale Dr, Austin, TX 78749-3711 2020-10-01
1366050353 Katherine Elizabeth Mankus Physician Assistant 12319 N Mopac Expy Ste 250, Austin, TX 78758-2499 2020-07-16
1629695044 Brittany Ho Physician Assistant 12601 Scofield Farms Dr, Austin, TX 78727-4542 2020-07-01
1679197925 Malia Scott Physician Assistant 2217 Park Bend Dr, Austin, TX 78758-5365 2020-06-02
1659992451 Christopher Kent Brown Physician Assistant 2200 W 35th St Bldg 8, Austin, TX 78703-1222 2020-05-03
1982236550 Stephen Young Physician Assistant 10001 S Ih 35 Ste 320, Austin, TX 78747-1705 2020-02-11
1528608908 Megan Paige Sutphin Physician Assistant 1333 Shore District Dr Apt 1655, Austin, TX 78741-1317 2020-01-13
1235771403 Central Ortho Assists Pllc Physician Assistant 501 Congress, Suite 150, Austin, TX 78701 2019-10-09
1619528569 Lauren Michelle Feierstein Physician Assistant 4505 Duval St Apt 115, Austin, TX 78751-3225 2019-09-23
Find all providers in AUSTIN

Competitor

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City AUSTIN
Zip Code 78704

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Dataset Information

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.

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