Shiner Medical LLP

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

SHINER MEDICAL LLP

Practice address

124 E Wolters
Shiner, TX 77984

Phone

(361) 594-3824

Fax

(361) 594-3854

NPI assigned

Sep 28, 2018

Last updated

Sep 28, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Cynthia Jahn

Title

Business Manager

Phone

(361) 594-3824

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Marshall C Bishop, MD

  • Family Medicine Physician
  • Shiner, TX
  • NPI 1821079260
  Medicare reassignment Care Compare group NPD
• Ralph A Wagner, MD

  • Family Medicine Physician
  • Shiner, TX
  • NPI 1447231881
  Medicare reassignment Care Compare group NPD
• Timothy J Wagner, MD

  • Family Medicine Physician
  • Shiner, TX
  • NPI 1851372619
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1538092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1538092800000",
    "number": "1376028019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 965",
            "city": "SHINER",
            "state": "TX",
            "postal_code": "779840965",
            "telephone_number": "361-594-3824",
            "fax_number": "361-594-3854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 E WOLTERS",
            "city": "SHINER",
            "state": "TX",
            "postal_code": "77984",
            "telephone_number": "361-594-3824",
            "fax_number": "361-594-3854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHINER MEDICAL LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-28",
        "last_updated": "2018-09-28",
        "status": "A",
        "authorized_official_last_name": "JAHN",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "361-594-3824"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "138955301",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "138955307",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "037427402",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "135624802",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "379626001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nathan Keith Redman, P.T.
• S.O.a.R. Pediatric Services, PLLC
• Shiner Dental, PLLC
• Shiner Family Pharmacy, Inc
• Shiner Ind School Dist
• Cynthia Ann Spann, COTA
• The Hope Firm, Inc.
• The Hope Firm, Inc.
• Lauren Marie Vaclavik, OTR/L
• Wagner Medical Clinic L.L.P.

• Family Medicine Physician in Shiner, TX
• Providers in Shiner, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.