Justin Alan Shelton (NPI# 1124432273, PAC ID# 4183970973) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OBSTETRICS/GYNECOLOGY.
| Nation Provider ID (NPI) | 1124432273 |
| PAC ID by PECOS | 4183970973 |
| Professional Enrollment ID | I20180710000656 |
| Full Name | Justin Alan Shelton |
| Organization Legal Name | WOMEN'S HEALTH CENTER OF SOUTHERN OREGON PC |
| Address |
1075 Grandview Ave Suite 200 Grants Pass OR 97527-5118 |
| Phone Number | 5414798363 |
| Gender | M |
| Medical School | PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE |
| Graduation Year | 2014 |
| Primary Specialty | OBSTETRICS/GYNECOLOGY |
| Group Practice PAC ID | 8628041720 |
| Number of Group Practice Members | 10 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 380002 | ASANTE THREE RIVERS MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1075 Grandview Ave, Suite 200, Grants Pass, OR 97527-5118 | 5414798363 | WOMEN'S HEALTH CENTER OF SOUTHERN OREGON PC |
| Organization Legal Name | WOMEN'S HEALTH CENTER OF SOUTHERN OREGON PC |
| Physicians | 10 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tamara C Medley | Obstetrics/gynecology | Women's Health Center of Southern Oregon PC | 1075 Grandview Ave, Suite 200, Grants Pass, OR 97527-5118 |
| Laura Lee Thrasher | Physician Assistant | Women's Health Center of Southern Oregon PC | 1075 Grandview Ave, Suite 200, Grants Pass, OR 97527-5118 |
| Felicia Cohen | Obstetrics/gynecology | Women's Health Center of Southern Oregon PC | 1075 Grandview Ave, Suite 200, Grants Pass, OR 97527-5118 |
| Thomas Scott Eagan | Obstetrics/gynecology | Women's Health Center of Southern Oregon PC | 1075 Grandview Ave, Suite 200, Grants Pass, OR 97527-5118 |
| Caroline Kelly | Obstetrics/gynecology | Women's Health Center of Southern Oregon PC | 1075 Grandview Ave, Suite 200, Grants Pass, OR 97527-5118 |
| Sara Brelsford | Nurse Practitioner | Women's Health Center of Southern Oregon PC | 1075 Grandview Ave, Suite 200, Grants Pass, OR 97527-5118 |
| Amber R Koonce | Physician Assistant | Women's Health Center of Southern Oregon PC | 1075 Grandview Ave, Suite 200, Grants Pass, OR 97527-5118 |
| Nancy J Mason | Nurse Practitioner | Women's Health Center of Southern Oregon PC | 1075 Grandview Ave, Suite 200, Grants Pass, OR 97527-5118 |
| Richard R Battey | Obstetrics/gynecology | Women's Health Center of Southern Oregon PC | 1075 Grandview Ave, Suite 200, Grants Pass, OR 97527-5118 |
| Street Address |
1075 GRANDVIEW AVE SUITE 200 |
| City | GRANTS PASS |
| State | OR |
| Zip | 97527-5118 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tamara C Medley | Obstetrics/gynecology | Women's Health Center of Southern Oregon PC | 1075 Grandview Ave, Suite 200, Grants Pass, OR 97527-5118 |
| Laura Lee Thrasher | Physician Assistant | Women's Health Center of Southern Oregon PC | 1075 Grandview Ave, Suite 200, Grants Pass, OR 97527-5118 |
| Felicia Cohen | Obstetrics/gynecology | Women's Health Center of Southern Oregon PC | 1075 Grandview Ave, Suite 200, Grants Pass, OR 97527-5118 |
| Thomas Scott Eagan | Obstetrics/gynecology | Women's Health Center of Southern Oregon PC | 1075 Grandview Ave, Suite 200, Grants Pass, OR 97527-5118 |
| Caroline Kelly | Obstetrics/gynecology | Women's Health Center of Southern Oregon PC | 1075 Grandview Ave, Suite 200, Grants Pass, OR 97527-5118 |
| Sara Brelsford | Nurse Practitioner | Women's Health Center of Southern Oregon PC | 1075 Grandview Ave, Suite 200, Grants Pass, OR 97527-5118 |
| Amber R Koonce | Physician Assistant | Women's Health Center of Southern Oregon PC | 1075 Grandview Ave, Suite 200, Grants Pass, OR 97527-5118 |
| Nancy J Mason | Nurse Practitioner | Women's Health Center of Southern Oregon PC | 1075 Grandview Ave, Suite 200, Grants Pass, OR 97527-5118 |
| Richard R Battey | Obstetrics/gynecology | Women's Health Center of Southern Oregon PC | 1075 Grandview Ave, Suite 200, Grants Pass, OR 97527-5118 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kathleen A Johnson | Nurse Practitioner | 1692 Williams Hwy, Grants Pass, OR 97527-1805 | |
| Gregory Aitchison | Internal Medicine | Options for Southern Oregon | 1644 Carnahan Dr, Grants Pass, OR 97527-4724 |
| Lori K C De Baca | Clinical Social Worker | Options for Southern Oregon | 1644 Carnahan Dr, Grants Pass, OR 97527-4724 |
| Deborah L Fernon | Clinical Social Worker | Options for Southern Oregon | 1644 Carnahan Dr, Grants Pass, OR 97527-4724 |
| David R Willing | Chiropractic | 237 Rogue River Hwy, Grants Pass, OR 97527-5445 | |
| Courtney M Wedgeworth | Physician Assistant | Asante Physician Partners | 537 Sw Union Ave 1st Floor, Asante Urgent Care, Grants Pass, OR 97527-5543 |
| Stephanie Watson | Nurse Practitioner | Asante Physician Partners | 537 Sw Union Ave 2nd Fl, 2c, Grants Pass, OR 97527-5543 |
| Beau J Shelton | Physician Assistant | Asante Physician Partners | 537 Sw Union Ave 1st Floor, Asante Urgent Care, Grants Pass, OR 97527-5543 |
| Daniel C Wieking | Orthopedic Surgery | Asante Physician Partners | 537 Sw Union Ave 1st Floor, Asante Urgent Care, Grants Pass, OR 97527-5543 |
| Nichole L Steward | Nurse Practitioner | Asante Physician Partners | 537 Sw Union Ave 1st Floor, Asante Urgent Care, Grants Pass, OR 97527-5543 |
| Find all physicians in zip 97527 | |||
| City | GRANTS PASS |
| Zip Code | 97527 |
| Specialty | OBSTETRICS/GYNECOLOGY |
| City + Specialty | GRANTS PASS + OBSTETRICS/GYNECOLOGY |
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| 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.