Shelly Y Harley (NPI# 1053449488, PAC ID# 6305876533) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA).
| Nation Provider ID (NPI) | 1053449488 |
| PAC ID by PECOS | 6305876533 |
| Professional Enrollment ID | I20050817000900 |
| Full Name | Shelly Y Harley |
| Organization Legal Name | TRICOUNTY ANESTHESIA ASSOCIATES, PA |
| Address |
501 S Ragsdale St Jacksonville TX 75766-2434 |
| Phone Number | 9035415102 |
| Gender | F |
| Credential | CNA |
| Graduation Year | 1998 |
| Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| Group Practice PAC ID | 8820082266 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 450194 | EAST TEXAS MEDICAL CENTER JACKSONVILLE |
| Address | Phone | Organization |
|---|---|---|
| 501 S Ragsdale St, Jacksonville, TX 75766-2434 | 9035415102 | TRICOUNTY ANESTHESIA ASSOCIATES, PA |
| Organization Legal Name | TRICOUNTY ANESTHESIA ASSOCIATES, PA |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Coby D Foreman | Certified Registered Nurse Anesthetist (crna) | Tricounty Anesthesia Associates, Pa | 510 E Clinton Ave, Athens, TX 75751-3410 |
| Carlton S Rizer | Certified Registered Nurse Anesthetist (crna) | Tricounty Anesthesia Associates, Pa | 501 S Ragsdale St, Jacksonville, TX 75766-2434 |
| Street Address |
501 S RAGSDALE ST |
| City | JACKSONVILLE |
| State | TX |
| Zip | 75766-2434 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| 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 |
| William B Roberson Jr. | Family Medicine | Jacksonville Hospital LLC | 501 S Ragsdale St, 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 | |
| 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 |
| Mark C Shaw | Emergency Medicine | Tanager Emergency Physicians Pllc | 501 S Ragsdale St, Ut Health East Texas, 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 | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| City + Specialty | JACKSONVILLE + CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
Please comment or provide details below to improve the information on Shelly Y Harley.
| 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.