Jeffrey M. Shea, MD, PA

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

Legal business name

JEFFREY M. SHEA, MD, PA

Doing business as

Pulmonary - Critical Care Associates of East Texas

Practice address

709 Hollybrook Dr
Suite 3400
Longview, TX 75605-2411

Phone

(903) 758-1464

Fax

(903) 758-4366

NPI assigned

Apr 20, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Jeffrey Michael Shea, MDNPI 1972658425

Title

Owner

Phone

(903) 758-1464

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Pulmonary - Critical Care Associates of East Texas Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jeffrey Michael Shea, M.D.

  • Pulmonary Disease Physician
  • Longview, TX
  • NPI 1972658425
  NPD (past) Authorized official
• Catherine Meitin Martinez, MD

  • Pulmonary Disease Physician
  • Chattanooga, TN
  • NPI 1861547622
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1177027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380067200000",
    "number": "1053539692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "709 HOLLYBROOK DR",
            "address_2": "SUITE 3400",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756052411",
            "telephone_number": "903-758-1464",
            "fax_number": "903-758-4366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "709 HOLLYBROOK DR",
            "address_2": "SUITE 3400",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756052411",
            "telephone_number": "903-758-1464",
            "fax_number": "903-758-4366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY M. SHEA, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-20",
        "last_updated": "2013-09-25",
        "status": "A",
        "authorized_official_last_name": "SHEA",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "903-758-1464",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110723703",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS GROUP NUMBER",
            "identifier": "0027LZ",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pulmonary - Critical Care Associates of East Texas",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jared Jasicki
• Narasimha Sastry Jatavallabhula, MD
• Javen Valerie Cavazos MD PLLC
• David Jayakar, M.D.
• JD Medical Supplies, Inc.
• Alison Jensen
• Barbara Yantz Jereb, M.S., LPC
• Ronald J. Jereb, PHD
• Patrice L Jernegons, LCDC
• Peter Stevan Jerome, M.D.

• Pulmonary Disease Physician in Longview, TX
• Providers in Longview, TX by specialty
• Pulmonary Disease Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.