DR. JONATHAN J SHIE (NPI# 1619322393) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619322393 |
| Entity Type | Individual |
| Full Name | DR. JONATHAN J SHIE |
| Credential | MD |
| Practice Address |
1441 S Midlothian Pkwy Midlothian TX 76065-5591 |
| Practice Telephone | 4698009600 |
| Practice Fax Number | 4698009610 |
| Mailing Telephone | 4698009600 |
| Mailing Fax Number | 4698009610 |
| Enumeration Date | 2016-04-29 |
| Last Update Date | 2020-01-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | S3874 | TX | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
1441 S MIDLOTHIAN PKWY |
| City | MIDLOTHIAN |
| State | TX |
| Zip Code | 76065-5591 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083681381 | Matthew C Moreland | Family Medicine | 1441 S Midlothian Pkwy, Suite 100, Midlothian, TX 76065-5591 | 2006-03-06 |
| 1033620323 | Charlotte Delane Moss | Family Medicine | 1441 S Midlothian Pkwy, Midlothian, TX 76065-5591 | 2017-10-13 |
| 1528593209 | Damian Rodriguez | Physical Therapist | 1441 S Midlothian Pkwy, Midlothian, TX 76065-5591 | 2017-05-01 |
| 1699174300 | Ashlea Poirot Miller | Physical Therapist | 1441 S Midlothian Pkwy, Suite 170, Midlothian, TX 76065-5591 | 2014-08-19 |
| 1497173173 | Stephanie Pagan | Pediatrics | 1441 S Midlothian Pkwy, Midlothian, TX 76065-5591 | 2014-03-31 |
| 1043584121 | P & H Corporation | Pharmacy | 1441 S Midlothian Pkwy, #140, Midlothian, TX 76065-5591 | 2012-03-07 |
| 1972811818 | Jessica D. Acuff | Nurse Practitioner | 1441 S Midlothian Pkwy, Suite 100, Midlothian, TX 76065-5591 | 2010-09-14 |
| 1316263205 | Christopher Donald Schmitt | Podiatrist | 1441 S Midlothian Pkwy, Suite 120, Midlothian, TX 76065-5591 | 2010-04-16 |
| 1659522381 | Stefanie Carreon | Nurse Practitioner | 1441 S Midlothian Pkwy, Suite 100, Midlothian, TX 76065-5591 | 2008-09-30 |
| 1891941175 | Mamta R Patel | Physician Assistant | 1441 S Midlothian Pkwy, Suite 100, Midlothian, TX 76065-5591 | 2008-08-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487271375 | Methodist Hospitals of Dallas | General Acute Care Hospital | 1201 E Us Hwy 287, Midlothian, TX 76065 | 2020-06-26 |
| 1568085033 | Kyle Jason Mitchell | Social Worker | 4025 E Us 287, Midlothian, TX 76065 | 2020-05-19 |
| 1912549833 | Prestige Dermatology of Midlothian | Dermatology | 320 Hawkins Run Rd., Suite 1, Midlothian, TX 76065 | 2019-10-11 |
| 1669939336 | John Morgan Buie | Dentist | 2410 Fm 663, Suite 200, Midlothian, TX 76065 | 2019-02-28 |
| 1891264685 | Aaric Shammah Services LLC | Community/Behavioral Health | 6610 Dempsey Ln, Midlothian, TX 76065 | 2018-11-21 |
| 1952883399 | Tabitha Jayne Schwark | Occupational Therapy Assistant | 938 Mill Pond Dr., Midlothian, TX 76065 | 2018-09-01 |
| 1306348867 | Linda Susan Rose | Licensed Vocational Nurse | 4081 Walnut Ln, Midlothian, TX 76065 | 2018-03-01 |
| 1922524362 | Jacqueline C. Avalos | Counselor | 5431 Montgomery Rd., Midlothian, TX 76065 | 2017-08-17 |
| 1215322169 | Midtown 2013 Re, LLC | Assisted Living Facility | 910 S. 9th Street, Midlothian, TX 76065 | 2015-03-30 |
| 1902218852 | Katherine Pederson | Family Medicine | 2230 Bryan Pl Ste 200, Midlothian, TX 76065 | 2014-05-27 |
| Find all providers in zip 76065 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790311603 | Rachell Alissia Sullivan | Family Medicine | 6010 Park View Dr, Midlothian, TX 76065-8933 | 2020-03-23 |
| 1376176586 | Jessie Cheng | Family Medicine | 381 Crofton Village Ter, Midlothian, VA 23114-4750 | 2020-02-16 |
| 1659840981 | Rachel Bailey | Family Medicine | 4421 Stigall Dr, Midlothian, VA 23112-3217 | 2018-11-15 |
| 1326546151 | Bellgrade Medical | Family Medicine | 2621 Promenade Pkwy Ste 101, Midlothian, VA 23113-4905 | 2018-01-26 |
| 1861845844 | Ekaterina Bratysheva | Family Medicine | 13540 Hull Street Road, Midlothian, VA 23112 | 2016-07-14 |
| 1437534864 | Mark Merritt | Family Medicine | 32 Spinnaker Cove Dr, Midlothian, VA 23112-2131 | 2015-07-27 |
| 1902218852 | Katherine Pederson | Family Medicine | 2230 Bryan Pl Ste 200, Midlothian, TX 76065 | 2014-05-27 |
| 1902248941 | Virginia Physicians,inc | Family Medicine | 11301 Polo Pl, Suite B, Midlothian, VA 23113-4803 | 2013-07-18 |
| 1336459171 | Bon Secours St. Francis Medical Center Inc | Family Medicine | 13700 St Francis Blvd Ste 302, Midlothian, VA 23114-3222 | 2010-10-14 |
| 1821309675 | Elias Flores Lara Jr. | Family Medicine | 151 Walton Way Ste 107, Midlothian, TX 76065-8010 | 2010-06-27 |
| Find all providers in MIDLOTHIAN | ||||
| City | MIDLOTHIAN |
| Zip Code | 76065 |
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| 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.