William Benn Shore (NPI# 1487650404, PAC ID# 4880635192) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL PSYCHOLOGIST.
| Nation Provider ID (NPI) | 1487650404 |
| PAC ID by PECOS | 4880635192 |
| Professional Enrollment ID | I20121012000453 |
| Full Name | William Benn Shore |
| Organization Legal Name | RE-CYCLED MAN LLC |
| Address |
1207 Golf Course Rd Se Rio Rancho NM 87124-5213 |
| Phone Number | 5059944100 |
| Gender | M |
| Credential | CP |
| Graduation Year | 1986 |
| Primary Specialty | CLINICAL PSYCHOLOGIST |
| Group Practice PAC ID | 8325345861 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | M |
| Address | Phone | Organization |
|---|---|---|
| 1207 Golf Course Rd Se, Rio Rancho, NM 87124-5213 | 5059944100 | RE-CYCLED MAN LLC |
| 1207 Golf Course Rd Se, Suite C, Rio Rancho, NM 87124-5213 | 5059944100 | RE-CYCLED MAN LLC |
| Organization Legal Name | RE-CYCLED MAN LLC |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Daniel W Ross | Clinical Social Worker | Re-cycled Man LLC | 3321 -b Candelaria Ne, Suite 322, Albuquerque, NM 87107-1908 |
| Stephanie G Ross | Clinical Social Worker | Re-cycled Man LLC | 1207 Golf Course Rd Se, Suite C, Rio Rancho, NM 87124-5213 |
| Edmundo E Apodaca | Clinical Social Worker | Re-cycled Man LLC | 1207 Golf Course Rd Se, Suite C, Rio Rancho, NM 87124-5213 |
| Street Address |
1207 GOLF COURSE RD SE |
| City | RIO RANCHO |
| State | NM |
| Zip | 87124-5213 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stephanie G Ross | Clinical Social Worker | Re-cycled Man LLC | 1207 Golf Course Rd Se, Suite C, Rio Rancho, NM 87124-5213 |
| Edmundo E Apodaca | Clinical Social Worker | Re-cycled Man LLC | 1207 Golf Course Rd Se, Suite C, Rio Rancho, NM 87124-5213 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tracy A Valdez | Nurse Practitioner | Minuteclinic Diagnostic of New Mexico, LLC | 1001 Nm Hwy 528 Se, Rio Rancho, NM 87124 |
| Kevin E Hudenko | General Surgery | Presbyterian Healthcare Services | 2400 Unser Se Blvd, 08100 Pmg General Surgery At 2400 Unser, Rio Ranco, NM 87124 |
| Eva Hardy | Nurse Practitioner | Presbyterian Healthcare Services | 2400 Unser Se Blvd, 08100 Pmg General Surgery At 2400 Unser, Rio Ranco, NM 87124 |
| Christopher W Gist | Urology | Presbyterian Healthcare Services | 2400 Unser Se Blvd, 08100 Pmg General Surgery At 2400 Unser, Rio Ranco, NM 87124 |
| Melissa T Torres | Nurse Practitioner | Presbyterian Healthcare Services | 2400 Unser Se Blvd, 08100 Pmg General Surgery At 2400 Unser, Rio Ranco, NM 87124 |
| Michael J Servilla | Nurse Practitioner | Minuteclinic Diagnostic of New Mexico, LLC | 1001 Nm Hwy 528 Se, Rio Rancho, NM 87124 |
| Erin C Byrne | Optometry | Eye Associates of New Mexico Ltd | 1740 Grande Blvd Se, Suite B, Rio Rancho, NM 87124-0300 |
| Amir Javid | Optometry | Eye Associates of New Mexico Ltd | 1740 Grande Blvd Se, Suite B, Rio Rancho, NM 87124-0300 |
| Renny H Levy | Ophthalmology | Eye Associates of New Mexico Ltd | 1740 Grande Blvd Se, Suite B, Rio Rancho, NM 87124-0300 |
| Vanlin Chan | Optometry | Eye Associates of New Mexico Ltd | 1740 Grande Blvd Se, Suite B, Rio Rancho, NM 87124-0300 |
| Find all physicians in zip 87124 | |||
| City | RIO RANCHO |
| Zip Code | 87124 |
| Specialty | CLINICAL PSYCHOLOGIST |
| City + Specialty | RIO RANCHO + CLINICAL PSYCHOLOGIST |
Please comment or provide details below to improve the information on William Benn Shore.
| 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.