David Gerald Shores (NPI# 1134100803, PAC ID# 8325162241) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ANESTHESIOLOGY.
| Nation Provider ID (NPI) | 1134100803 |
| PAC ID by PECOS | 8325162241 |
| Professional Enrollment ID | I20100830000788 |
| Full Name | David Gerald Shores |
| Organization Legal Name | SOUTHEAST PAIN LLC |
| Address |
200 Industrial Blvd Dublin GA 31021-2981 |
| Phone Number | 4782754740 |
| Gender | M |
| Medical School | MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE |
| Graduation Year | 1990 |
| Primary Specialty | ANESTHESIOLOGY |
| Secondary Specialties | PAIN MANAGEMENT |
| Group Practice PAC ID | 0042563512 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110125 | FAIRVIEW PARK HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 2260 Wrightsboro Rd, Augusta, GA 30904-4764 | 7064817000 | AMS SOUTHEAST LLC |
| 200 Industrial Blvd, Dublin, GA 31021-2981 | 4782754740 | SOUTHEAST PAIN LLC |
| 2400 Bellevue Rd, Suite 22, Dublin, GA 31021-2889 | 4782754740 | MIDDLE GEORGIA ANESTHESIA ASSOCIATES, PC |
| Organization Legal Name | SOUTHEAST PAIN LLC |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert Orr Morris Jr. | Anesthesiology | Southeast Pain LLC | 200 Industrial Blvd, Dublin, GA 31021-2981 |
| Forrest James Lane Jr. | Anesthesiology | Southeast Pain LLC | 200 Industrial Blvd, Dublin, GA 31021-2981 |
| James Harrison Braziel Iii | Anesthesiology | Southeast Pain LLC | 200 Industrial Blvd, Dublin, GA 31021-2981 |
| Street Address |
200 INDUSTRIAL BLVD |
| City | DUBLIN |
| State | GA |
| Zip | 31021-2981 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert Orr Morris Jr. | Anesthesiology | Southeast Pain LLC | 200 Industrial Blvd, Dublin, GA 31021-2981 |
| Andre C Lewis | Internal Medicine | Cogent Healthcare of Georgia PC | 200 Industrial Blvd, Dublin, GA 31021-2981 |
| James D Darling | Diagnostic Radiology | South Georgia Radiology Associates LLC | 200 Industrial Blvd, Dublin, GA 31021-2981 |
| Sravani Gundarlapalli | Internal Medicine | Cogent Healthcare of Georgia PC | 200 Industrial Blvd, Dublin, GA 31021-2981 |
| William Thomas Parker | Diagnostic Radiology | South Georgia Radiology Associates LLC | 200 Industrial Blvd, Dublin, GA 31021-2981 |
| Jahnavi Thummaluru | Internal Medicine | Hillburn Park Inpatient Services, LLC | 200 Industrial Blvd, Dublin, GA 31021-2981 |
| Travis K Jasper | Emergency Medicine | Acs Primary Care Physicians - Southeast PC | 200 Industrial Blvd, Dublin, GA 31021-2981 |
| Tara Hutchinson | Nurse Practitioner | Acs Primary Care Physicians - Southeast PC | 200 Industrial Blvd, Dublin, GA 31021-2981 |
| Anuj Mohan Tewari | Diagnostic Radiology | South Georgia Radiology Associates LLC | 200 Industrial Blvd, Dublin, GA 31021-2981 |
| Darrius Patrick Guiden | Emergency Medicine | Acs Primary Care Physicians - Southeast PC | 200 Industrial Blvd, Dublin, GA 31021-2981 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| William D Taylor | Geriatric Medicine | Southeast Geriatrics Inc | 160 Springbranch Dr, Dublin, GA 31021 |
| Chaquita M Moore | Nurse Practitioner | Southeast Geriatrics Inc | 160 Springbranch Dr, Dublin, GA 31021 |
| Amanda K Smith | Nurse Practitioner | Southeast Geriatrics Inc | 160 Springbranch Dr, Dublin, GA 31021 |
| Shelley H Pool | Nurse Practitioner | Southeast Geriatrics Inc | 160 Springbranch Dr, Dublin, GA 31021 |
| Laura D Mullis | Nurse Practitioner | Southeast Geriatrics Inc | 160 Springbranch Dr, Dublin, GA 31021 |
| Jane B Holleman | Physical Therapy | 612 Country Club Rd, Dublin, GA 31021-0112 | |
| William Alfred Cox | Optometry | 2423 Us Hwy 80 W, C/o The Vision Center, Dublin, GA 31021-0930 | |
| Melissa F Gay | Qualified Audiologist | Dublin Ear Nose and Throat Associates, P.C. | 102 Fairview Park Dr, Dublin, GA 31021-2500 |
| Matthew B Grundfast | Gastroenterology | Gastroenterology Associates of Dublin LLC | 104 Fairview Park Dr, Dublin, GA 31021-2500 |
| Thomas Corbin Mullis | Otolaryngology | Dublin Ear Nose and Throat Associates, P.C. | 102 Fairview Park Dr, Dublin, GA 31021-2500 |
| Find all physicians in zip 31021 | |||
| City | DUBLIN |
| Zip Code | 31021 |
| Specialty | ANESTHESIOLOGY |
| City + Specialty | DUBLIN + ANESTHESIOLOGY |
Please comment or provide details below to improve the information on David Gerald Shores.
| 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.