Lewis Peck Shilane
STATE OF MISSOURI


Address: 2041 E Hunter St Ab, Nevada, MO 64772-8478
Phone: 4176677833

Lewis Peck Shilane (NPI# 1013940469, PAC ID# 3870560493) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY PRACTICE.

Physician Overview

Nation Provider ID (NPI) 1013940469
PAC ID by PECOS 3870560493
Professional Enrollment ID I20040914000243
Full Name Lewis Peck Shilane
Organization Legal Name STATE OF MISSOURI
Address 2041 E Hunter St Ab
Nevada
MO 64772-8478
Phone Number 4176677833
Gender M
Credential DO
Medical School UNIVERSITY OF OSTEOPATHIC MEDICINE AND HEALTH SCIENCES
Graduation Year 1979
Primary Specialty FAMILY PRACTICE
Group Practice PAC ID 1456254226
Number of Group Practice Members 6
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
170058 MERCY HOSPITAL-FORT SCOTT
260061 NEVADA REGIONAL MEDICAL CENTER

Other Locations

Address Phone Organization
2041 E Hunter St Ab, Nevada, MO 64772-8478 4176677833 STATE OF MISSOURI

Organization Information

Organization Legal Name STATE OF MISSOURI
Physicians 34

Physicians with the same organization

Name Specialty Organization Address
Katelynn R Crawford Nurse Practitioner State of Missouri 3505 Frederick Ave, Saint Joseph, MO 64506-2914
Erich Haezebrouck Psychologist, Clinical State of Missouri 5351 Delmar Blvd, Saint Louis, MO 63112-3146
Ralph Leigh Emergency Medicine State of Missouri 1010 W Columbia St, Farmington, MO 63640-2902
Mark A Felchlia Psychologist, Clinical State of Missouri 5300 Arsenal St, Saint Louis, MO 63139-1463
Preston B Howerton Internal Medicine State of Missouri 1547 Commerce Dr, Marshall, MO 65340-3907
Sridevi Gavirneni Psychiatry State of Missouri 10695 Bellefontaine Rd, Saint Louis, MO 63137-2315
Amalakumar Dominic Augustine Internal Medicine State of Missouri 22 Marr Ln, Saint Charles, MO 63303-9000
Brandy Baczwaski Psychologist, Clinical State of Missouri 600 E 5th St, Fulton State Hospital, Fulton, MO 65251-1793
William R Enochs Psychiatry State of Missouri 3505 Frederick Ave, Saint Joseph, MO 64506-2914
Michael G Maurizi Psychiatry State of Missouri 1547 Commerce Dr, Marshall, MO 65340-3907

Office Location

Street Address 2041 E HUNTER ST AB
City NEVADA
State MO
Zip 64772-8478

Physicians in the same location

Name Specialty Organization Address
Inn T Park General Practice State of Missouri 2041 E Hunter St Ab, Nevada, MO 64772-8478

Physicians in the same zip code

Name Specialty Organization Address
Wesley M Ledom Psychologist, Clinical 700 E Highland Ave, Nevada, MO 64772-1025
Gary A Kurtz Chiropractic 1804 N Ash St, Nevada, MO 64772-1110
David L Neidel Clinical Social Worker 100 S Prewitt, Nevada, MO 64772-1760
Robert F Ingegneri Psychologist, Clinical 300 W Cherry St, Nevada, MO 64772-2202
Mark Harvey Comensky Psychologist, Clinical 300 W Cherry St, Nevada, MO 64772-2202
Jeremy Michael Fast Optometry Eyecare Professionals Inc 111 N Main St, Nevada, MO 64772-2330
Delton L Fast Optometry Eyecare Professionals Inc 111 N Main St, Nevada, MO 64772-2330
Nathan S Box Otolaryngology Freeman-oak Hill Health System 216 N Main, Freeman Heart Institute, Nevada, MO 64772-2332
Russell R Kemm Family Medicine 216 N Main, Nevada, MO 64772-2332
Linda Davidson Psychologist, Clinical 212 N Main St, Nevada, MO 64772-2332
Find all physicians in zip 64772

Competitor

Search similar physicians

City NEVADA
Zip Code 64772
Specialty FAMILY PRACTICE
City + Specialty NEVADA + FAMILY PRACTICE

Improve Information

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Dataset Information

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.

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