Rodney G Shultz, PA-C, DC

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

05867 Issued in TX

Practice address

1017 W Hebron Pkwy
Carrollton, TX 75010-1113

Phone

(972) 939-9495

Fax

(972) 939-0230

NPI assigned

Dec 22, 2005

Last updated

Dec 7, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Primary Health Physicians PLLCGroup PAC ID 7810237740, 240 clinicians

Communitymed PLLCGroup PAC ID 9830315126, 46 clinicians

Gupta DO and Associates LLCGroup PAC ID 6305879677, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Primary Health Physicians, PLLC

  • Urgent Care Clinic/Center
  • Denton, TX
  • NPI 1770048704
  Medicare reassignment Care Compare group NPD
• Communitymed PLLC

  • Urgent Care Clinic/Center
  • Melissa, TX
  • NPI 1821417072
  Medicare reassignment Care Compare group
• Communitymed PCP

  dba CommunityMed Family Care

  • Primary Care Clinic/Center
  • Melissa, TX
  • NPI 1063818219
  Medicare reassignment
• Gupta, D.O. & Associates, LLC

  dba Integra Urgent Care

  • Urgent Care Clinic/Center
  • Weatherford, TX
  • NPI 1093815078
  Care Compare group

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

{
    "created_epoch": "1135209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323216000000",
    "number": "1245216084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1017 W HEBRON PKWY",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750101113",
            "telephone_number": "972-939-9495",
            "fax_number": "972-939-0230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1017 W HEBRON PKWY",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750101113",
            "telephone_number": "972-939-9495",
            "fax_number": "972-939-0230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHULTZ",
        "first_name": "RODNEY",
        "middle_name": "G",
        "credential": "PA-C, DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-22",
        "last_updated": "2011-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "05867",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "9687",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD",
            "identifier": "606671",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shivani H Patel, PA
• Michael Anthony Shive, FNP
• Sajita Shiwakoti
• Benjie Shoemaker
• Lacey Shoemaker, CTRS
• Angelina Sibimon
• Sarah Siddiqi, MD
• Siloam Chiropractic & Acupuncture, PLLC
• Silver Oaks Senior Living LLC (Silver Oaks Residential Assisted Living)
• Silvercare Partners LLC (Comfort Keepers)

• Medical Physician Assistant in Carrollton, TX
• Providers in Carrollton, TX by specialty
• Medical Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2011; 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.