Mrs Stephanie Stapleton Shults, MD | |
9142 S Northshore Dr, Knoxville, TN 37922-6325 | |
(865) 670-1560 | |
(865) 670-1862 |
Full Name | Mrs Stephanie Stapleton Shults |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 9142 S Northshore Dr, Knoxville, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1013086735 | NPI | - | NPPES |
3087409 | Medicaid | TN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 24906 (Tennessee) | Primary |
174400000X | Specialist | 24906 (Tennessee) | Secondary |
Entity Name | Summit Medical Group, Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1659090298 PECOS PAC ID: 2860396330 Enrollment ID: O20031125000793 |
Mailing Address | Practice Location Address |
---|---|
Mrs Stephanie Stapleton Shults, MD 1275 Dick Lonas Rd Unit 101, Knoxville, TN 37909-1383 Ph: (865) 584-4747 | Mrs Stephanie Stapleton Shults, MD 9142 S Northshore Dr, Knoxville, TN 37922-6325 Ph: (865) 670-1560 |
Megan Mills, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 4741 N Broadway St Ste B, Knoxville, TN 37918 Phone: 865-687-1940 | |
Thomas H. Lowry, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2587 Willow Point Way, Knoxville, TN 37931 Phone: 865-470-2560 Fax: 865-691-5883 | |
Kelly Patrice Boggan, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1400 Dutch Valley Dr, Knoxville, TN 37918 Phone: 865-689-1122 Fax: 865-689-2923 | |
Michael R Liske, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 2001 Laurel Ave, Suite Ng4, Knoxville, TN 37916 Phone: 865-971-6897 Fax: 865-971-1597 | |
Dr. Wilson Scout Robinson Jr., MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 2121 Highland Ave, Knoxville, TN 37916 Phone: 865-525-2640 Fax: 865-525-9536 | |
Shahid Ahmed Malik, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2018 Clinch Avenue, Knoxville, TN 37916 Phone: 865-541-8266 Fax: 865-541-8553 |