Jeffrey Wayne Shooks, MD

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

ME90343 Issued in FL

Practice address

1600 Lakeland Hills Blvd
Lakeland, FL 33805

Phone

(863) 680-7000

Fax

(866) 264-8519

NPI assigned

Jan 27, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Anesthesiology

Education

Vanderbilt University School of Medicine, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Watson Clinic LLPGroup PAC ID 1456258979, 365 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Lakeland Regional Medical Center Hospital, Lakeland, FL, CCN 100157
• Bartow Regional Medical Center Hospital, Bartow, FL, CCN 100121

Merit-based Incentive Payment System (MIPS)

Final score

87.18 of 100Reported as apm

Quality

70.68

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Watson Clinic LLP

  • Internal Medicine Physician
  • Lakeland, FL
  • NPI 1316940695

  FL

  Medicare reassignment Care Compare group NPD
• Watson Clinic LLP

  • Clinical Medical Laboratory
  • Lakeland, FL
  • NPI 1558409730
  Care Compare group NPD (past)
• Watson Clinic LLP

  • Internal Medicine Physician
  • Lakeland, FL
  • NPI 1124166574
  Care Compare group
• Watson Clinic LLP

  • Family Medicine Physician
  • Bartow, FL
  • NPI 1518005966
  Care Compare group
• Watson Clinic LLP

  • Rehabilitation Clinic/Center
  • Lakeland, FL
  • NPI 1538634878
  Care Compare group
• Watson Clinic LLP

  • Physical Medicine & Rehabilitation Physician
  • Lakeland, FL
  • NPI 1669655155
  Care Compare group
• Watson Clinic LLP

  • Family Medicine Physician
  • Lakeland, FL
  • NPI 1780988816
  Care Compare group

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Bartow Regional Medical Center, Inc.

  • General Acute Care Hospital
  • Bartow, FL
  • NPI 1558734095

  Hospital

  Care Compare affiliation
• Lakeland Regional Medical Center, Inc.

  • General Acute Care Hospital
  • Lakeland, FL
  • NPI 1144228446

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1138320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339459200000",
    "number": "1104897230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 95004",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338045004",
            "telephone_number": "863-680-7206",
            "fax_number": "863-680-7420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 LAKELAND HILLS BLVD",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "33805",
            "telephone_number": "863-680-7000",
            "fax_number": "866-264-8519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOOKS",
        "first_name": "JEFFREY",
        "middle_name": "WAYNE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-27",
        "last_updated": "2012-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "FL",
            "license": "ME90343",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "269850100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Galina Shistik, MD
• Celeste Maria Shivak, RN
• Donna Jo Shivler
• Ramy Shoapah
• Franklin Edward Shoemaker, PH.D., LMHC
• Shreekant Tripathi, M.D., P.a.
• Krisha Anil Shrimankar
• Carrie A Shriner, BCBA
• Madison Pristine Shriner
• Stanley H Shrom, M.D.

• All providers in Lakeland, FL
• Anesthesiology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.