John P Shea MD PA

Primary specialty

Otolaryngic Allergy PhysicianTaxonomy code 207YX0602X

License

E2857 Issued in TX

Legal business name

JOHN P SHEA MD PA

Practice address

11797 South I-35 W
# 132
Burleson, TX 76028-7035

Phone

(817) 551-1010

Fax

(817) 551-0662

NPI assigned

Mar 28, 2007

Organization subpart

No

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

Authorized official

Name

Dr. John P Shea, MDNPI 1710083787

Title

Owner

Phone

(817) 551-1010

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Shea Ear, Nose & Throat Clinic Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 3

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

• John Patrick Shea, M.D.

  • Otolaryngology Physician
  • Burleson, TX
  • NPI 1710083787
  Medicare reassignment NPD Authorized official
• Megan Eubank, AU.D.

  • Audiologist
  • Burleson, TX
  • NPI 1124330998
  Medicare reassignment NPD
• John Cobb, AUD

  • Audiologist
  • Green Valley, AZ
  • NPI 1962589846
  NPD (past)

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209081600000",
    "number": "1598884645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11797 SOUTH I-35 W",
            "address_2": "# 132",
            "city": "BURLESON",
            "state": "TX",
            "postal_code": "760287035",
            "telephone_number": "817-551-1010",
            "fax_number": "817-551-0662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11797 SOUTH I-35 W",
            "address_2": "# 132",
            "city": "BURLESON",
            "state": "TX",
            "postal_code": "760287035",
            "telephone_number": "817-551-1010",
            "fax_number": "817-551-0662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN P SHEA MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-28",
        "last_updated": "2008-04-25",
        "status": "A",
        "authorized_official_last_name": "SHEA",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-551-1010",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207YX0602X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology, Otolaryngic Allergy",
            "state": "TX",
            "license": "E2857",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "123528502",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shea Ear, Nose & Throat Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• JM Wellness & Aesthetics LLC
• Cynthia Jochum Biffel, LMT
• Joe M Etter DO PA
• John a. Malonis, M.D., P.a.
• John Barroso DDS, PC
• Erin Wall Johnson, LPC
• Hannah Johnson
• Jade Adriana Johnson, DDS
• Lance Johnson, MD
• Mandy Johnson, OT

• Otolaryngology Physician in Burleson, TX
• Providers in Burleson, TX by specialty
• Otolaryngology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2008; 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.