DR. JACK CHARLES SHELTON


Address: 4708 Alliance Blvd Ste 300, Baylor Medical Plaza 1, Plano, TX 75093-5339
Phone: 9727586000

DR. JACK CHARLES SHELTON (NPI# 1942316476) 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) 1942316476
Entity Type Individual
Full Name DR. JACK CHARLES SHELTON
Credential M.D.
Practice Address 4708 Alliance Blvd Ste 300
Baylor Medical Plaza 1
Plano
TX 75093-5339
Practice Telephone 9727586000
Practice Fax Number 9727586001
Mailing Telephone 9727586000
Mailing Fax Number 9727586001
Enumeration Date 2006-08-21
Last Update Date 2008-12-02
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207R00000X Internal Medicine D5205 TX Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
TX 115119302 05

Other Providers JACK SHELTON

NPI Name Taxonomy Address Enumeration
1184617227 Jack Barnett Shelton Jr. Pathology 2800 10th Ave S Ste 2200, Hospital Pathology Assoc, Minneapolis, MN 55407-1311 2005-08-24

Office Location

Street Address 4708 ALLIANCE BLVD STE 300
BAYLOR MEDICAL PLAZA 1
City PLANO
State TX
Zip Code 75093-5339

Providers in the same location

NPI Name Taxonomy Address Enumeration
1578676664 Paul Kenneth Anderson Internal Medicine 4708 Alliance Blvd Ste 300, Baylor Medical Plaza 1, Plano, TX 75093-5339 2006-08-16
1629401252 Sarah Katherine Wuollet Physician Assistant 4708 Alliance Blvd Ste 300, Baylor Medical Plaza 1, Plano, TX 75093-5339 2013-08-19
1427376250 Uzma Ahmad Psychiatry & Neurology 4708 Alliance Blvd Ste 300, Plano, TX 75093-5339 2010-05-04
1922275098 Mahenaaz Haq Internal Medicine 4708 Alliance Blvd Ste 300, Baylor Medical Plaza 1, Plano, TX 75093-5339 2008-05-08
1366650772 Christina Jean Kuo Internal Medicine 4708 Alliance Blvd Ste 300, Baylor Medical Plaza 1, Plano, TX 75093-5339 2007-05-18
1154423911 Jeffrey Claypool Lilly Internal Medicine 4708 Alliance Blvd Ste 300, Baylor Medical Plaza 1, Plano, TX 75093-5339 2006-09-02
1992811335 Rick Talley Waldo Internal Medicine 4708 Alliance Blvd Ste 300, Baylor Medical Plaza 1, Plano, TX 75093-5339 2006-08-21
1477669992 Mark David Thieberg Dermatology 4708 Alliance Blvd Ste 300, Baylor Medical Plaza 1, Plano, TX 75093-5339 2006-08-21
1881709376 Joseph Herman Sample Internal Medicine 4708 Alliance Blvd Ste 300, Baylor Medical Plaza 1, Plano, TX 75093-5339 2006-08-21
1962518431 Jeff Earl Taylor Internal Medicine 4708 Alliance Blvd Ste 300, Baylor Medical Plaza 1, Plano, TX 75093-5339 2006-08-21
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1235789041 Mapleshade Surgery Center, LLC Clinic/Center 960 Ohio Dr, Plano, TX 75093 2019-09-13
1003461468 Psyclear, LLC Psychologist 5055 West Park Boulevard, Suite 400, Plano, TX 75093 2019-08-02
1962981795 Ep Anesthesia Pllc Anesthesiology 4100 Mapleshade Ln, Plano, TX 75093 2018-08-13
1669973939 Eva Walekhwa Registered Nurse 6000 Ohio Drive, Apt 1027, Plano, TX 75093 2018-02-22
1437657624 Advanced Spine Center Orthopaedic Surgery 1705 Ohio Drive, Suite 300, Plano, TX 75093 2018-01-23
1184139974 Erica Cherese Carey Nurse Practitioner 1100 Allied Drive, Plano, TX 75093 2017-12-04
1457865578 Norma Vigilant Specialist/Technologist, Other 4909 West Park Blvd, Plaza Park Salons, Plano, TX 75093 2017-11-28
1891214011 Americare Rx Pharmacy Inc Pharmacy 4010 W. 15th St., Ste 60, Plano, TX 75093 2017-09-19
1760912554 Baylor Surgicare At Baylor Plano, LLC Clinic/Center 4825 Alliance, Sute 300, Plano, TX 75093 2017-06-14
1881133262 Dr.seshagiri Rao Preferred Provider Organization 3016 Communications Pkwy, Ste 100, Plano, TX 75093 2017-02-17
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Taxonomy Information

Taxonomy Code 207R00000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine

Taxonomy Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1902399926 Your Health Diagnostics LLC Internal Medicine 5228 Village Creek Dr Ste 101, Plano, TX 75093-4431 2018-06-13
1821543208 Vitality Weight Loss and Wellness Institute, Pllc Internal Medicine 2633 Dallas Pkwy # 100, Plano, TX 75093-4703 2016-08-16
1609230812 Ebony N. Raymond Internal Medicine 3105 W 15th St Ste E, Plano, TX 75075 2016-04-13
1386008167 Love Wounds Internal Medicine 4416 Jenkins Dr, Plano, TX 75024-4817 2016-04-07
1578942546 Omniphysicians, Pllc Internal Medicine 3000 Custer Rd Ste 270-507, Plano, TX 75075-4422 2015-05-24
1285022491 Slalani Medico Service Pllc Internal Medicine 3408 Westwind Dr, Plano, TX 75093-7987 2014-12-23
1689062879 Lone Medical Mht LLC Internal Medicine 1925 Edgewater Dr, Plano, TX 75075-8573 2014-12-23
1700283280 Texas On Call Physicians PC Internal Medicine 3213 Twinfalls Dr, Plano, TX 75093-3331 2014-11-26
1487066114 Pablo Andres Wunderlich Padilla Internal Medicine 4700 Alliance Blvd Ste 100, Plano, TX 75093-5323 2014-05-29
1629496336 Tawfik A. Shabana Internal Medicine 4317 High Mesa Dr, Plano, TX 75093 2014-03-31
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Competitor

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City PLANO
Zip Code 75093

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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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