CHARLES SHOALMIRE JR. (NPI# 1891955043) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1891955043 |
Entity Type | Individual |
Full Name | CHARLES SHOALMIRE JR. |
Credential | APN |
Practice Address |
2604 Saint Michael Dr Ste 345 Texarkana TX 75503-2378 |
Practice Telephone | 9038385500 |
Mailing Telephone | 9038385500 |
Enumeration Date | 2008-06-11 |
Last Update Date | 2015-09-10 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
609517 | TX | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
2604 SAINT MICHAEL DR STE 345 |
City | TEXARKANA |
State | TX |
Zip Code | 75503-2378 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972140630 | Courtney Gray | Nurse Practitioner | 2604 Saint Michael Dr Ste 345, Texarkana, TX 75503-2378 | 2019-12-02 |
1780981670 | Megan Do | Internal Medicine | 2604 Saint Michael Dr Ste 345, Texarkana, TX 75503-2378 | 2011-02-11 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770049397 | Jeffery Nash | Nurse Practitioner | #4 Valley View Circle, Texarkana, TX 75503 | 2019-02-19 |
1821583501 | Brandy D Acker | Psychologist | 3615 Richmond Rd, Texarkana, TX 75503 | 2018-06-26 |
1366935066 | Samantha Lee Harris | Nurse Practitioner | 4116 Mcknight Rd, Texarkana, TX 75503 | 2018-06-07 |
1811416910 | Heather Alison Gerber | Nurse Practitioner | 5903 Brenda Street, Texarkana, TX 75503 | 2017-09-11 |
1952838682 | John Kyle Abney | Counselor | 4134 Mcknight Rd, Texarkana, TX 75503 | 2017-05-12 |
1699151514 | Piney Woods Er IIi LLC | Clinic/Center | 4102 Gibson Lane, Texarkana, TX 75503 | 2015-08-03 |
1609282433 | Colby Rebecca Pair | Physician Assistant | 2604 St. Michael Dr., Suite 310, Texarkana, TX 75503 | 2014-07-01 |
1265842496 | Healthcare Express, LLP | Clinic/Center | 3513 Richmond Rd, Texarkana, TX 75503 | 2014-04-28 |
1134540628 | Eagle Dental Center of Texarkana Pllc | Dentist | 4009 Moores Ln, Texarkana, TX 75503 | 2013-12-30 |
1326481664 | Juancarlo S. Pascual | Family Medicine | 604 St. Michael Dr, Suite 340, Texarkana, TX 75503 | 2013-04-16 |
Find all providers in zip 75503 |
Taxonomy Code | 363LA2100X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Acute Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538609920 | Jamie Patterson | Nurse Practitioner | 6018 Summerwood Ln, Texarkana, AR 71854-9403 | 2017-03-03 |
1194090787 | Candace Ann Hambleton | Nurse Practitioner | 5602 Richmond Rd Ste 104, Texarkana, TX 75503-0877 | 2012-03-14 |
1518147776 | Amy A Kennemore | Nurse Practitioner | 1002 Texas Blvd Ste 325, Texarkana, TX 75501-5118 | 2007-11-05 |
1417416819 | Erin Mccasland | Nurse Practitioner | 5730 Summerhill Rd, Texarkana, TX 75503-1635 | 2019-03-15 |
1467939975 | John Benjamin Harrison | Nurse Practitioner | 2600 Saint Michael Dr, Texarkana, TX 75503-5220 | 2018-07-26 |
1629420310 | Tanya Lynn Austin | Nurse Practitioner | 2600 Saint Michael Dr, Texarkana, TX 75503-5220 | 2016-07-06 |
1730583840 | Jacob Kelton | Nurse Practitioner | 2600 Saint Michael Dr, Texarkana, TX 75503-5220 | 2014-10-17 |
1144623356 | Michael Thomas Crabtree | Nurse Practitioner | 4105 N Kings Hwy, Texarkana, TX 75503-4861 | 2014-10-01 |
1699066969 | Mandy Michelle Carter | Nurse Practitioner | 921 Texas Blvd Ste D, Texarkana, TX 75501-5163 | 2011-04-21 |
1669665964 | Shannon Larie Mitchell | Nurse Practitioner | 5002 Cowhorn Creek Rd, Texarkana, TX 75503-9766 | 2007-08-21 |
Find all providers in TEXARKANA |
Please comment or provide details below to improve the information on CHARLES SHOALMIRE JR..
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.