Individual provider Active NPI

Evelyn Virginia Shearer

  • Critical Care Medicine (Internal Medicine) Physician
  • Garland, TX
National Provider Identifier
1114092871
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
License
J3218 Issued in TX
Practice address
2300 Marie Curie Dr
Garland, TX 75042-5706
Phone
(713) 818-8386
NPI assigned
Nov 21, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X J3218 TX Primary
Pulmonary Disease Physician 207RP1001X J3218 TX

Addresses

Primary practice location

2300 Marie Curie Dr
Garland, TX 75042-5706

Mailing address

3600 Gaston Ave
Wadley Tower Ste 962
Dallas, TX 75246-1800
Phone (713) 818-8386

Other identifiers 8

IdentifierTypeStateIssuer
J3218OtherTXTEXAS STATE PERMIT
MD28144OtherOROREGON STATE PERMIT
1285157-07MedicaidTX
MD2008-0719OtherNMNEW MEXICO STATE PERMIT
MD00046604OtherWAWASHINGTON STATE PERMIT
T0083311OtherTXDPS
128515702MedicaidTX
33561OtherNCNORTH CAROLINA STATE PERMIT

Other names 1

  • Evelyn Shearer-Poor Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20050124000238 TX Practitioner - HospitalistPractitioner - Internal MedicinePractitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 8123078664 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
McAllen Hospitalist Group, PLLC CurrentSince Dec 31, 2021 Accepting new patients
Healthtexas Provider Network CurrentSince Jul 14, 2014 Accepting new patients
Healthtexas Provider Network CurrentSince Jul 14, 2014 Accepting new patients
Hampa LTD LLP Pulmonary Disease PastSince Mar 30, 1993 Accepting new patients
Firstcare Medical Foundation Past Accepting new patients
Chelation Centers of Texas Past Accepting new patients

Locations

4001 Worth St
#A
Dallas, TX 75246
Phone (214) 820-8665

3600 Gaston Ave
Ste 962
Dallas, TX 75246
Phone (469) 800-7686

4001 Worth St
Dallas, TX 75246
Phone (214) 828-1745

1102 W Trenton Rd
Edinburg, TX 78539
Phone (956) 388-6500

301 W Expressway 83
McAllen, TX 78503
Phone (956) 467-9552

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1114092871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 GASTON AVE",
            "address_2": "WADLEY TOWER STE 962",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752461800",
            "telephone_number": "713-818-8386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 MARIE CURIE DR",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750425706",
            "telephone_number": "713-818-8386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEARER",
        "first_name": "EVELYN",
        "middle_name": "VIRGINIA",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-21",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "TX",
            "license": "J3218",
            "primary": true
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "TX",
            "license": "J3218",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS STATE PERMIT",
            "identifier": "J3218",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OREGON STATE PERMIT",
            "identifier": "MD28144",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1285157-07",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEW MEXICO STATE PERMIT",
            "identifier": "MD2008-0719",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WASHINGTON STATE PERMIT",
            "identifier": "MD00046604",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DPS",
            "identifier": "T0083311",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "128515702",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NORTH CAROLINA STATE PERMIT",
            "identifier": "33561",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EVELYN",
            "last_name": "SHEARER-POOR",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Garland, TX

Sources for this page

Verify at the official NPI Registry.