Michael Shane Smith (NPI# 1598135832, PAC ID# 1951603984) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1598135832 |
| PAC ID by PECOS | 1951603984 |
| Professional Enrollment ID | I20160108000252 |
| Full Name | Michael Shane Smith |
| Organization Legal Name | TEXAS EM I MEDICAL SERVICES PA |
| Address |
2000 S Palestine St Athens TX 75751-5610 |
| Phone Number | 4694012386 |
| Gender | M |
| Medical School | TEXAS TECH UNIVERSITY HEALTH SCIENCE CENTER SCHOOL OF MEDICINE |
| Graduation Year | 2015 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 6507760543 |
| Number of Group Practice Members | 102 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 450389 | EAST TEXAS MEDICAL CENTER ATHENS |
| Address | Phone | Organization |
|---|---|---|
| 2000 S Palestine St, Athens, TX 75751-5610 | 4694012386 | TEXAS EM I MEDICAL SERVICES PA |
| Organization Legal Name | TEXAS EM I MEDICAL SERVICES PA |
| Physicians | 81 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Leah M Ayers | Nurse Practitioner | Texas Em I Medical Services Pa | 600 Hospital Cir, Bay City, TX 77414-4771 |
| Chivas P Guillote | Nurse Practitioner | Texas Em I Medical Services Pa | 511 E Hospital St, Memorial Medical Center San Augustine, San Augustine, TX 75972-2121 |
| Kimberley A Strong | Nurse Practitioner | Texas Em I Medical Services Pa | 1501 Burnet Rd, Brownwood, TX 76801-8520 |
| Rita A Dello Stritto | Nurse Practitioner | Texas Em I Medical Services Pa | 605 Holderrieth Blvd, Tomball, TX 77375-6445 |
| Folusho F Ibikunle | Nurse Practitioner | Texas Em I Medical Services Pa | 132 E Hospital Dr, Angleton, TX 77515-4112 |
| Gerardo Marquez | Nurse Practitioner | Texas Em I Medical Services Pa | 301 University Blvd, Galveston, TX 77555-5302 |
| Mary J Corder | Nurse Practitioner | Texas Em I Medical Services Pa | 710 Cypress Creek Pkwy, Houston, TX 77090-3402 |
| Yvette T Surrell | Nurse Practitioner | Texas Em I Medical Services Pa | 605 Holderrieth Blvd, Tomball, TX 77375-6445 |
| Jacob R Stillwagon | Nurse Practitioner | Texas Em I Medical Services Pa | 1600 Wallace Blvd, Baptist St. Anthony Healthcare Hosp, Amarillo, TX 79106-1799 |
| Manoj Joseph | Nurse Practitioner | Texas Em I Medical Services Pa | 104 7th St, Bay City, TX 77414-4853 |
| Street Address |
2000 S PALESTINE ST |
| City | ATHENS |
| State | TX |
| Zip | 75751-5610 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Thomas John Luckey | Emergency Medicine | Tanager Emergency Physicians Pllc | 2000 S Palestine St, Ut Health Athens, Athens, TX 75751-5610 |
| Scott Dieste | Emergency Medicine | Tanager Emergency Physicians Pllc | 2000 S Palestine St, Ut Health Athens, Athens, TX 75751-5610 |
| Amy Jo Shuptrine | Nurse Practitioner | Texas Em I Medical Services Pa | 2000 S Palestine St, Athens, TX 75751-5610 |
| Shaiquel A Jilani | Internal Medicine | Stone Fort Inpatient Services Pllc | 2000 S Palestine St, Athens, TX 75751-5610 |
| David W Mcmillan | Nurse Practitioner | Texas Em I Medical Services Pa | 2000 S Palestine St, Athens, TX 75751-5610 |
| Subhash C Bose | Internal Medicine | Stone Fort Inpatient Services Pllc | 2000 S Palestine St, Athens, TX 75751-5610 |
| Patrick W Liu | Emergency Medicine | Tanager Emergency Physicians Pllc | 2000 S Palestine St, Ut Health Athens, Athens, TX 75751-5610 |
| Dominique Albert Kasindi | Internal Medicine | Stone Fort Inpatient Services Pllc | 2000 S Palestine St, Athens, TX 75751-5610 |
| Douglas P Myers | Nephrology | Stone Fort Inpatient Services Pllc | 2000 S Palestine St, Athens, TX 75751-5610 |
| Rhonda K Treadaway | Nurse Practitioner | Texas Em I Medical Services Pa | 2000 S Palestine St, Athens, TX 75751-5610 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Job B Mongare | Neurology | 113 N Murchison St, Athens, TX 75751-2109 | |
| Kevin B Skinner | Physician Assistant | Dcs Medical Pa | 1115 E Tyler St, Athens, TX 75751-2145 |
| Jennifer Williams | Nurse Practitioner | Dcs Medical Pa | 1115 E Tyler St, Athens, TX 75751-2145 |
| Jennifer Lynn Humphreys | Nurse Practitioner | Dcs Medical Pa | 1115 E Tyler St, Athens, TX 75751-2145 |
| Teresa A Kilbourn | Nurse Practitioner | Dcs Medical Pa | 1115 E Tyler St, Athens, TX 75751-2145 |
| Jennifer Istre | Nurse Practitioner | Dcs Medical Pa | 1115 E Tyler St, Athens, TX 75751-2145 |
| Dana J Santelli | Chiropractic | 890 W Corsicana, Suite 5, Athens, TX 75751-2260 | |
| Jay A Takata | Gastroenterology | Athens Gastroenterology Pa | 115 S Murchison St, Athens, TX 75751-2662 |
| Jennifer A. Mahmoud | Physician Assistant | Athens Gastroenterology Pa | 115 S Murchison St, Athens, TX 75751-2662 |
| Margaret S Allan-wilson | Clinical Social Worker | 600 S Palestine St, Suite 200, Athens, TX 75751-3310 | |
| Find all physicians in zip 75751 | |||
| City | ATHENS |
| Zip Code | 75751 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | ATHENS + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Michael Shane Smith.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.