Jessica Rae Shaw (NPI# 1174805147, PAC ID# 8820256605) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL.
Nation Provider ID (NPI) | 1174805147 |
PAC ID by PECOS | 8820256605 |
Professional Enrollment ID | I20120224000486 |
Full Name | Jessica Rae Shaw |
Organization Legal Name | DEACONESS PHYSICIAN SERVICES LLC |
Address |
11101 Hefner Pointe Dr Oklahoma City OK 73120-5054 |
Phone Number | 4057515555 |
Gender | F |
Graduation Year | 2008 |
Primary Specialty | REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL |
Group Practice PAC ID | 0840232070 |
Number of Group Practice Members | 55 |
Accepts Medicare Assignment | Y |
Address | Phone | Organization |
---|---|---|
11101 Hefner Pointe Dr, Oklahoma City, OK 73120-5054 | 4057515555 | DEACONESS PHYSICIAN SERVICES LLC |
11101 Hefner Pointe Dr, Suite 105, Oklahoma City, OK 73120-5054 | 4057515555 | DEACONESS PHYSICIAN SERVICES LLC |
Organization Legal Name | DEACONESS PHYSICIAN SERVICES LLC |
Physicians | 9 |
Name | Specialty | Organization | Address |
---|---|---|---|
Christopher A Lane | Obstetrics/gynecology | Deaconess Physician Services LLC | 5401 N Portland Ave, Suite 440, Oklahoma City, OK 73112-2082 |
Timothy F Rathbun | Neurology | Deaconess Physician Services LLC | 5701 N Portland Ave, Suite 320, Oklahoma City, OK 73112-1670 |
Shalini Chitturi | Family Practice | Deaconess Physician Services LLC | 4805 E Hwy 37, Tuttle, OK 73089-8791 |
Scott D Newton | Family Practice | Deaconess Physician Services LLC | 11101 Hefner Pointe Dr, Suite 105, Oklahoma City, OK 73120-5054 |
Carla A Werner | Family Practice | Deaconess Physician Services LLC | 11101 Hefner Pointe Dr, Oklahoma City, OK 73120-5054 |
Elizabeth A Harris | Physician Assistant | Deaconess Physician Services LLC | 11101 Hefner Pointe Dr, Suite 105, Oklahoma City, OK 73120-5054 |
Elizabeth A Tate | Nurse Practitioner | Deaconess Physician Services LLC | 11101 Hefner Pointe Dr, Oklahoma City, OK 73120-5054 |
James F Thayer | Family Practice | Deaconess Physician Services LLC | 11101 Hefner Pointe Dr, Oklahoma City, OK 73120-5054 |
Street Address |
11101 HEFNER POINTE DR |
City | OKLAHOMA CITY |
State | OK |
Zip | 73120-5054 |
Name | Specialty | Organization | Address |
---|---|---|---|
Charles E Womack | Family Medicine | Integris Ambulatory Care Corporation | 11101 Hefner Pointe Dr, Suite 105, Oklahoma City, OK 73120-5054 |
Charles B Stanfield | Family Medicine | Integris Ambulatory Care Corporation | 11101 Hefner Pointe Dr, Suite 105, Oklahoma City, OK 73120-5054 |
Tim R Love | Plastic and Reconstructive Surgery | 11101 Hefner Pointe Dr, Suite 104, Oklahoma City, OK 73120-5054 | |
Scott D Newton | Family Practice | Deaconess Physician Services LLC | 11101 Hefner Pointe Dr, Suite 105, Oklahoma City, OK 73120-5054 |
Carla A Werner | Family Practice | Deaconess Physician Services LLC | 11101 Hefner Pointe Dr, Oklahoma City, OK 73120-5054 |
Elizabeth A Harris | Physician Assistant | Deaconess Physician Services LLC | 11101 Hefner Pointe Dr, Suite 105, Oklahoma City, OK 73120-5054 |
Elizabeth A Tate | Nurse Practitioner | Deaconess Physician Services LLC | 11101 Hefner Pointe Dr, Oklahoma City, OK 73120-5054 |
James F Thayer | Family Practice | Deaconess Physician Services LLC | 11101 Hefner Pointe Dr, Oklahoma City, OK 73120-5054 |
Name | Specialty | Organization | Address |
---|---|---|---|
Travis E Cunningham | Occupational Therapy | Healthpro Heritage Rehab and Fitness LLC | 12401 Trail Oaks Dr, Oklahoma City, OK 73120-1701 |
Erin Lyn Florer | Occupational Therapy | Healthpro Heritage Rehab and Fitness LLC | 12401 Trail Oaks Dr, Oklahoma City, OK 73120-1701 |
Amanda Inselman | Speech Language Pathologist | Healthpro Heritage Rehab and Fitness LLC | 12401 Trail Oaks Dr, Oklahoma City, OK 73120-1701 |
George A Suiter | Clinical Social Worker | 2524 Patti Pl, Oklahoma City, OK 73120-1752 | |
Dianne B Gasbarra | Pulmonary Disease | 3021 Quail Creek Rd, Oklahoma City, OK 73120-1915 | |
Micah D Carter | Chiropractic | 12325 N May Ave, Suite 111a, Oklahoma City, OK 73120-1961 | |
Ashleigh R Muse | Chiropractic | 12401 N May Ave, Suite 103, Oklahoma City, OK 73120-1967 | |
Laurel Ann Dinkel | Clinical Social Worker | Eldercounseling and Clinical Services Pllc | 3140 W Britton Rd, Suite 200, Oklahoma City, OK 73120-2039 |
Linda J Carpenter Rhodes | Clinical Social Worker | Eldercounseling and Clinical Services Pllc | 3140 W Britton Rd, Suite 200, Oklahoma City, OK 73120-2039 |
Carletta D Rehbine | Clinical Social Worker | Eldercounseling and Clinical Services Pllc | 3140 W Britton Rd, Suite 200, Oklahoma City, OK 73120-2039 |
Find all physicians in zip 73120 |
City | OKLAHOMA CITY |
Zip Code | 73120 |
Specialty | REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL |
City + Specialty | OKLAHOMA CITY + REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL |
Please comment or provide details below to improve the information on Jessica Rae Shaw.
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.