Kenneth A Shore (NPI# 1114960606, PAC ID# 9739271529) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1114960606 |
| PAC ID by PECOS | 9739271529 |
| Professional Enrollment ID | I20100511001001 |
| Full Name | Kenneth A Shore |
| Organization Legal Name | MEDICAL CLINIC OF NORTH TEXAS, PLLC |
| Address |
808 N Nolan River Rd Cleburne TX 76033-7012 |
| Phone Number | 8176453930 |
| Gender | M |
| Medical School | EASTERN VIRGINIA MEDICAL SCHOOL |
| Graduation Year | 1980 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 9830084540 |
| Number of Group Practice Members | 200 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 450651 | MEDICAL CITY PLANO |
| Address | Phone | Organization |
|---|---|---|
| 808 N Nolan River Rd, Cleburne, TX 76033-7012 | 8176453930 | MEDICAL CLINIC OF NORTH TEXAS, PLLC |
| Organization Legal Name | MEDICAL CLINIC OF NORTH TEXAS, PLLC |
| Physicians | 238 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sajish Eapen Jacob | Neurology | Medical Clinic of North Texas, Pllc | 811 W Interstate 20, Suite 224, Arlington, TX 76017-5873 |
| Samim Giotis | Family Medicine | Medical Clinic of North Texas, Pllc | 5450 Clearfork Main St, Suite 430, Fort Worth, TX 76109-3559 |
| Kashiris W Perryman | Nurse Practitioner | Medical Clinic of North Texas, Pllc | 809 W Randol Mill Rd, Arlington, TX 76012-2507 |
| Amanda B Hall | Family Medicine | Medical Clinic of North Texas, Pllc | 833 Towne Ct, Saginaw, TX 76179-1280 |
| Megan D Gillem | Family Medicine | Medical Clinic of North Texas, Pllc | 4921 Long Prairie Rd, Suite 100, Flower Mound, TX 75028-2782 |
| Mohita A Patel | Family Medicine | Medical Clinic of North Texas, Pllc | 9255 Dallas Pkwy, Suite 100, Frisco, TX 75033-4210 |
| Anna Camungol Lavedan | Pediatric Medicine | Medical Clinic of North Texas, Pllc | 1601 W Hebron Pkwy, Suite 100, Carollton, TX 75010-6334 |
| Kellye M Grimes | Physician Assistant | Medical Clinic of North Texas, Pllc | 808 N Nolan River Rd, Cleburne, TX 76033-7012 |
| Michael C Walter | Urology | Medical Clinic of North Texas, Pllc | 1300 W Terrell Ave, Suite 400, Fort Worth, TX 76104-2820 |
| Sarah M Kent | Family Medicine | Medical Clinic of North Texas, Pllc | 3201 Hwy 380 101, Cross Roads, TX 76227 |
| Street Address |
808 N NOLAN RIVER RD |
| City | CLEBURNE |
| State | TX |
| Zip | 76033-7012 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kellye M Grimes | Physician Assistant | Medical Clinic of North Texas, Pllc | 808 N Nolan River Rd, Cleburne, TX 76033-7012 |
| Siavosh Vafadari | Internal Medicine | Medical Clinic of North Texas, Pllc | 808 N Nolan River Rd, Cleburne, TX 76033-7012 |
| Albert Sean Dalley | Internal Medicine | Medical Clinic of North Texas, Pllc | 808 N Nolan River Rd, Cleburne, TX 76033-7012 |
| Katherine W Price | Nurse Practitioner | Medical Clinic of North Texas, Pllc | 808 N Nolan River Rd, Cleburne, TX 76033-7012 |
| Oscar David Becerra | Family Medicine | Medical Clinic of North Texas, Pllc | 808 N Nolan River Rd, Cleburne, TX 76033-7012 |
| Edward E Bates | Internal Medicine | Medical Clinic of North Texas, Pllc | 808 N Nolan River Rd, Cleburne, TX 76033-7012 |
| Brenda R Krause | Nurse Practitioner | Dcs Medical Pa | 808 N Nolan River Rd, Cleburne, TX 76033-7012 |
| Frederick P Cummings | Obstetrics/gynecology | Medical Clinic of North Texas, Pllc | 808 N Nolan River Rd, Cleburne, TX 76033-7012 |
| Jeanne Gabrielle Go Bandelaria | Physician Assistant | Medical Clinic of North Texas, Pllc | 808 N Nolan River Rd, Cleburne, TX 76033-7012 |
| John W Jaderlund | Urology | Medical Clinic of North Texas, Pllc | 808 N Nolan River Rd, Cleburne, TX 76033-7012 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Peter J Malouf | Dermatology | 1701 Walter Holiday Dr, Suite 200, Cleburne, TX 76033-1189 | |
| Elena Gurova | Internal Medicine | 519 N Main St, Cleburne, TX 76033-3845 | |
| Dena C Howerton | Certified Nurse Midwife (cnm) | Womens Health Associates of Cleburne Pllc | 201 Walls Dr, Suite 505, Cleburne, TX 76033-4006 |
| Landon B Lorenz | Obstetrics/gynecology | Womens Health Associates of Cleburne Pllc | 201 Walls Dr, Suite 505, Cleburne, TX 76033-4006 |
| Charla Sperring | Family Medicine | Womens Health Associates of Cleburne Pllc | 201 Walls Dr, Suite 505, Cleburne, TX 76033-4006 |
| Madeline Do Manning | Obstetrics/gynecology | Unified Womens Healthcare of Texas Pllc | 201 Walls Dr, Suite 502, Cleburne, TX 76033-4006 |
| Evert R Bentley | Internal Medicine | 201 Walls Dr, Cleburne, TX 76033-4007 | |
| Sujit P Nagarkoti | Hospitalist | Apogee Medical Group Texas Pa | 201 Walls Dr, Cleburne, TX 76033-4007 |
| Charles Tsuro | Nurse Practitioner | Apogee Medical Group Texas Pa | 201 Walls Dr, Cleburne, TX 76033-4007 |
| Curtis J Merritt | Internal Medicine | Apogee Medical Group Texas Pa | 201 Walls Dr, Cleburne, TX 76033-4007 |
| Find all physicians in zip 76033 | |||
| City | CLEBURNE |
| Zip Code | 76033 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | CLEBURNE + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Kenneth A Shore.
| 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.