Robert Shaw Jr. (NPI# 1184715724, PAC ID# 8820909088) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
Nation Provider ID (NPI) | 1184715724 |
PAC ID by PECOS | 8820909088 |
Professional Enrollment ID | I20100422000166 |
Full Name | Robert Shaw Jr. |
Organization Legal Name | LESTER E COX MEDICAL CENTERS |
Address |
816 E Main St Willow Springs MO 65793-1518 |
Phone Number | 4172692490 |
Gender | M |
Graduation Year | 1979 |
Primary Specialty | FAMILY MEDICINE |
Group Practice PAC ID | 1254248917 |
Number of Group Practice Members | 124 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
260040 | COX MEDICAL CENTERS |
260078 | OZARKS MEDICAL CENTER |
260024 | TEXAS COUNTY MEMORIAL HOSPITAL |
Address | Phone | Organization |
---|---|---|
816 E Main St, Willow Springs, MO 65793-1518 | 4172692490 | LESTER E COX MEDICAL CENTERS |
Organization Legal Name | LESTER E COX MEDICAL CENTERS |
Physicians | 146 |
Name | Specialty | Organization | Address |
---|---|---|---|
Katherine Dollie Skaggs | Family Medicine | Lester E Cox Medical Centers | 890 Hwy 248, Branson, MO 65616-3721 |
Raquel G Moore | Nurse Practitioner | Lester E Cox Medical Centers | 1423 N Jefferson Ave, B100, Springfield, MO 65802-1917 |
Jenna D Cravens | Nurse Practitioner | Lester E Cox Medical Centers | 1602 A N Main St, Mountain Grove, MO 65711-1010 |
Andrea D Applegate | Physician Assistant | Lester E Cox Medical Centers | 1429 W Sunshine St, Coxhealth Urgent Care Elfindale, Springfield, MO 65807-2346 |
Loren E Broaddus | Internal Medicine | Lester E Cox Medical Centers | 3801 S National Ave 5th Floor, Springfield, MO 65807-5210 |
Mary J Keller | Nurse Practitioner | Lester E Cox Medical Centers | 3525 S National Ave St, Springfield, MO 65807-7315 |
Donna C Wilson | Nurse Practitioner | Lester E Cox Medical Centers | 510 Hwy 32, Lebanon, MO 65536-5303 |
Jon F Snow | Preventative Medicine | Lester E Cox Medical Centers | 3525 S National Ave, Springfield, MO 65807-7310 |
Donna F Harper | Family Medicine | Lester E Cox Medical Centers | 151 Johnstown Dr, Rogersville, MO 65742-9366 |
Brian D Williams | Family Medicine | Lester E Cox Medical Centers | 1423 N Jefferson Ave, Springfield, MO 65802-1917 |
Street Address |
816 E MAIN ST |
City | WILLOW SPRINGS |
State | MO |
Zip | 65793-1518 |
Name | Specialty | Organization | Address |
---|---|---|---|
Teresa A Ward | Nurse Practitioner | Lester E Cox Medical Centers | 816 E Main St, Willow Springs, MO 65793-1518 |
Naomi G Dyck | Nurse Practitioner | Lester E Cox Medical Centers | 816 E Main St, Willow Springs, MO 65793-1518 |
Name | Specialty | Organization | Address |
---|---|---|---|
Trena J Turner | Nurse Practitioner | Mercy Clinic Springfield Communities | 1202 E Main St, Mc Family Medicine Willow Springs, Willow Springs, MO 65793-3588 |
City | WILLOW SPRINGS |
Zip Code | 65793 |
Specialty | FAMILY MEDICINE |
City + Specialty | WILLOW SPRINGS + FAMILY MEDICINE |
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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.