Jeffrey R Shuart (NPI# 1114923489, PAC ID# 9133181696) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1114923489 |
| PAC ID by PECOS | 9133181696 |
| Professional Enrollment ID | I20091119000220 |
| Full Name | Jeffrey R Shuart |
| Address |
115 W Bridge Ave Blackwell OK 74631-2800 |
| Gender | M |
| Medical School | UNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE |
| Graduation Year | 1992 |
| Primary Specialty | FAMILY MEDICINE |
| Secondary Specialties | EMERGENCY MEDICINE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 370030 | BLACKWELL REGIONAL HOSPITAL |
| 370006 | PONCA CITY MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1009 W Ferguson Ave, Blackwell, OK 74631-5602 | ||
| 115 W Bridge Ave, Blackwell, OK 74631-2800 |
| Street Address |
115 W BRIDGE AVE |
| City | BLACKWELL |
| State | OK |
| Zip | 74631-2800 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sarah Mcguire | Nurse Practitioner | Kay County Oklahoma Hospital Company, LLC | 1005 W Doolin Ave, Blackwell, OK 74631-1350 |
| Carrie Culver | Nurse Practitioner | Kay County Oklahoma Hospital Company, LLC | 1005 W Doolin Ave, Blackwell, OK 74631-1350 |
| Lisa A Kahle | Chiropractic | 1312 W Doolin Ave, Blackwell, OK 74631-1357 | |
| Phil J Green | Physician Assistant | 223 E Blackwell Ave, Greens Country Clinic, Blackwell, OK 74631-2909 | |
| Tammy K Jarvis | Family Practice | Greens Country Clinic LLC | 223 E Blackwell Ave, Greens Country Clinic, Blackwell, OK 74631-2909 |
| Jonathan Wright | Emergency Medicine | Oklahoma Emergency Physician Partners Pllc | 710 S 13th St, Integris Blackwell Regional Medical Center, Blackwell, OK 74631-3700 |
| Stephen P Zrenda | Family Medicine | Oklahoma Emergency Physician Partners Pllc | 710 S 13th St, Integris Blackwell Regional Medical Center, Blackwell, OK 74631-3700 |
| Melinda Allen | Internal Medicine | 706 S 13th C, Blackwell Hospital Physicians Clinic, Blackwell, OK 74631-3705 | |
| Ronald Matheson | Certified Registered Nurse Anesthetist | Blackwell Hospital Trust Authority | 706 S 13th C, Blackwell Hospital Physicians Clinic, Blackwell, OK 74631-3705 |
| Ken M Schaecher | Physical Therapy | Northern Therapy and Rehabilitation, Inc | 706 S 1st St, Blackwell, OK 74631-3825 |
| Find all physicians in zip 74631 | |||
| City | BLACKWELL |
| Zip Code | 74631 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | BLACKWELL + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Jeffrey R Shuart.
| 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.