Shelly A Wimmer (NPI# 1083092514, PAC ID# 6507147170) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1083092514 |
| PAC ID by PECOS | 6507147170 |
| Professional Enrollment ID | I20161220001331 |
| Full Name | Shelly A Wimmer |
| Organization Legal Name | WVP MEDICAL GROUP LLC |
| Address |
1430 Monmouth St Independence OR 97351-1127 |
| Phone Number | 5038381133 |
| Gender | F |
| Graduation Year | 2016 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 4486627965 |
| Number of Group Practice Members | 48 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 381308 | WEST VALLEY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1430 Monmouth St, Independence, OR 97351-1127 | 5038381133 | WVP MEDICAL GROUP LLC |
| Organization Legal Name | WVP MEDICAL GROUP LLC |
| Physicians | 56 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amy Lynne Card | Family Medicine | Wvp Medical Group LLC | 5050 Skyline Village Loop S, Salem, OR 97306-9490 |
| Robin M Jewett | Physician Assistant | Wvp Medical Group LLC | 5100 River Rd N, Keizer, OR 97303-5371 |
| Ginger A Denney | Nurse Practitioner | Wvp Medical Group LLC | 1000 Southeast Uglow Ave, Dallas, OR 97338-2645 |
| Shanna Lyn Howald | Clinical Social Worker | Wvp Medical Group LLC | 2485 12th St Se, Salem, OR 97302-2151 |
| David L Edmonds | Family Practice | Wvp Medical Group LLC | 5050 Skyline Vilge Loop S, Salem, OR 97306-9490 |
| Jennifer L Lee | Nurse Practitioner | Wvp Medical Group LLC | 5100 River Rd N, Keizer, OR 97303-5371 |
| Madison N Buda | Physician Assistant | Wvp Medical Group LLC | 5100 River Rd N, Keizer, OR 97303-5371 |
| Jeffery Brown | Internal Medicine | Wvp Medical Group LLC | 5050 Skyline Village Loop S, Salem, OR 97306-9490 |
| Eric A Laro | General Surgery | Wvp Medical Group LLC | 5050 Skyline Village Loop S, Salem, OR 97306-9490 |
| Richard F Meyers | Nurse Practitioner | Wvp Medical Group LLC | 5100 River Rd N, Keizer, OR 97303-5371 |
| Street Address |
1430 MONMOUTH ST |
| City | INDEPENDENCE |
| State | OR |
| Zip | 97351-1127 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mary S Placek | Family Medicine | Wvp Medical Group LLC | 1430 Monmouth St, Independence, OR 97351-1127 |
| Terrell L Glenn Iii | Family Medicine | Wvp Medical Group LLC | 1430 Monmouth St, Independence, OR 97351-1127 |
| Keith A White | Family Practice | Wvp Medical Group LLC | 1430 Monmouth St, Independence, OR 97351-1127 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mark J Diaz | Chiropractic | 226 S Main St, Suite D, Independence, OR 97351-2069 | |
| Sharon Cash Thornton | Chiropractic | Am and Sharon C Thornton | 1650 Monmouth St, Independence, OR 97351-9726 |
| Alpheus Martin Thornton Jr. | Chiropractic | Am and Sharon C Thornton | 1650 Monmouth St, Independence, OR 97351-9726 |
| City | INDEPENDENCE |
| Zip Code | 97351 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | INDEPENDENCE + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Shelly A Wimmer.
| 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.