Mark C Shaw (NPI# 1881644938, PAC ID# 3779500129) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1881644938 |
| PAC ID by PECOS | 3779500129 |
| Professional Enrollment ID | I20101022000734 |
| Full Name | Mark C Shaw |
| Organization Legal Name | TANAGER EMERGENCY PHYSICIANS PLLC |
| Address |
501 S Ragsdale St Ut Health East Texas Jacksonville TX 75766-2434 |
| Phone Number | 9035415000 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF TEXAS MEDICAL SCHOOL AT HOUSTON |
| Graduation Year | 1996 |
| Primary Specialty | EMERGENCY MEDICINE |
| Secondary Specialties | FAMILY MEDICINE |
| Group Practice PAC ID | 3375887052 |
| Number of Group Practice Members | 55 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 450194 | EAST TEXAS MEDICAL CENTER JACKSONVILLE |
| 450475 | ETMC HENDERSON |
| Address | Phone | Organization |
|---|---|---|
| 501 S Ragsdale St, Ut Health East Texas, Jacksonville, TX 75766-2434 | 9035415000 | TANAGER EMERGENCY PHYSICIANS PLLC |
| Organization Legal Name | TANAGER EMERGENCY PHYSICIANS PLLC |
| Physicians | 32 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Thomas John Luckey | Emergency Medicine | Tanager Emergency Physicians Pllc | 2000 S Palestine St, Ut Health Athens, Athens, TX 75751-5610 |
| Paul D Driver | Emergency Medicine | Tanager Emergency Physicians Pllc | 117 N Winnsboro St, Ut Health Quitman, Quitman, TX 75783-2144 |
| Leroy Paul Foster | Emergency Medicine | Tanager Emergency Physicians Pllc | 100 Municipal Dr, Gun Barrel City, TX 75156-3702 |
| Catherine Eno Okpon Onabajo | Emergency Medicine | Tanager Emergency Physicians Pllc | 409 Cottage Rd, Carthage, TX 75633-1466 |
| Scott Dieste | Emergency Medicine | Tanager Emergency Physicians Pllc | 2000 S Palestine St, Ut Health Athens, Athens, TX 75751-5610 |
| Andrew T Larkin | Emergency Medicine | Tanager Emergency Physicians Pllc | 501 S Ragsdale St, Ut Health East Texas, Jacksonville, TX 75766-2434 |
| Brian Northcutt | Family Medicine | Tanager Emergency Physicians Pllc | 409 Cottage Rd, Carthage, TX 75633-1466 |
| Don Brent Treichler | Emergency Medicine | Tanager Emergency Physicians Pllc | 100 Municipal Dr, Gun Barrel City, TX 75156-3702 |
| David W Buller | Family Medicine | Tanager Emergency Physicians Pllc | 117 N Winnsboro St, Ut Health Quitman, Quitman, TX 75783-2144 |
| Joshua Spencer Larson | Emergency Medicine | Tanager Emergency Physicians Pllc | 501 S Ragsdale St, Ut Health East Texas, Jacksonville, TX 75766-2434 |
| Street Address |
501 S RAGSDALE ST UT HEALTH EAST TEXAS |
| City | JACKSONVILLE |
| State | TX |
| Zip | 75766-2434 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shelly Y Harley | Certified Registered Nurse Anesthetist (crna) | Tricounty Anesthesia Associates, Pa | 501 S Ragsdale St, Jacksonville, TX 75766-2434 |
| Adam Newman | Obstetrics/gynecology | Jacksonville Hospital LLC | 501 S Ragsdale St, Jacksonville, TX 75766-2434 |
| Andrew T Larkin | Emergency Medicine | Tanager Emergency Physicians Pllc | 501 S Ragsdale St, Ut Health East Texas, Jacksonville, TX 75766-2434 |
| Joshua Spencer Larson | Emergency Medicine | Tanager Emergency Physicians Pllc | 501 S Ragsdale St, Ut Health East Texas, Jacksonville, TX 75766-2434 |
| Jeremy P Day | Family Medicine | Jacksonville Hospital LLC | 501 S Ragsdale St, Jacksonville, TX 75766-2434 |
| Carlton S Rizer | Certified Registered Nurse Anesthetist (crna) | Tricounty Anesthesia Associates, Pa | 501 S Ragsdale St, Jacksonville, TX 75766-2434 |
| Jozef L Smit | Emergency Medicine | Tanager Emergency Physicians Pllc | 501 S Ragsdale St, Ut Health East Texas, Jacksonville, TX 75766-2434 |
| Daniel Baber | Emergency Medicine | Tanager Emergency Physicians Pllc | 501 S Ragsdale St, Ut Health East Texas, Jacksonville, TX 75766-2434 |
| Sajal Das | Emergency Medicine | Tanager Emergency Physicians Pllc | 501 S Ragsdale St, Ut Health East Texas, Jacksonville, TX 75766-2434 |
| Claudia A Deliz-guzman | Emergency Medicine | Tanager Emergency Physicians Pllc | 501 S Ragsdale St, Ut Health East Texas, Jacksonville, TX 75766-2434 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James M Morris | Family Medicine | 421 S Bonner St, Jacksonville, TX 75766-2330 | |
| James J Brown | Clinical Social Worker | Trinity Counseling Associates of East Texas, Inc | 703 S Main St, Jacksonville, TX 75766-2428 |
| Daniel C Bennett | Diagnostic Radiology | 501 S Ragsdale, Etmc Radiology Dept, Jacksonville, TX 75766-2434 | |
| William B Roberson Jr. | Family Medicine | Jacksonville Hospital LLC | 501 S Ragsdale St, Jacksonville, TX 75766-2434 |
| Gary E Smith | Emergency Medicine | Tanager Emergency Physicians Pllc | 501 S Ragsdale St, Ut Health East Texas, Jacksonville, TX 75766-2434 |
| Joseph B Coopwood | General Surgery | Jacksonville Hospital LLC | 501 S Ragsdale St, Jacksonville, TX 75766-2434 |
| Joel D Johnson | Internal Medicine | Etmc Physician Group, Inc. | 501 S Ragsdale St, Ut Health East Texas Physicians, Jacksonville, TX 75766-2434 |
| Alana Marie Akers | Internal Medicine | Jacksonville Hospital LLC | 203 Nacogdoches St, Suite 280, Jacksonville, TX 75766-2444 |
| Lucia Williams | Obstetrics/gynecology | Jacksonville Hospital LLC | 203 Nacogdoches St, Suite 280, Jacksonville, TX 75766-2444 |
| Stacy Roberts Mccown | Nurse Practitioner | Etmc Physician Group, Inc. | 203 Nacogdoches St, Suite 280, Jacksonville, TX 75766-2444 |
| Find all physicians in zip 75766 | |||
| City | JACKSONVILLE |
| Zip Code | 75766 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | JACKSONVILLE + EMERGENCY MEDICINE |
Please comment or provide details below to improve the information on Mark C Shaw.
| 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.