Jacqueline Marie Shuplock

M.D. | Pediatric Cardiology | Female

---

Complete Profile:

Jacqueline Marie Shuplock basic information including her official name, gender, specialization, credentials etc. are as mentioned below.

Specialization :	Pediatrics Pediatric Cardiology
Provider Name :	Jacqueline Marie Shuplock
Other Name :	Jacqueline Kattner
Credential :	M.D.
Gender :	Female

Business Address:

Jacqueline Marie Shuplock address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.

Primary Address :	2501 N Orange Ave Ste 310 Orlando, FL, 32804-4642 United States
Phone Number :	407-303-2001
Fax Number :	407-303-2450

Professional Identification Codes:

NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.

NPI Number :	1851650717
NPI Entity Type :	Individual
First Enrolment Date :	14 May, 2012
Last Updated On :	19 Jan, 2022

Medicare Participation:

Jacqueline Marie Shuplock participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.

Medicare PECOS ID :	7810299419
Medicare Enrollment ID :	I20211207000533
Primary Specialty :	Pediatric Medicine
Medical School :	Ohio State University College Of Medicine
Graduation Year :	2009
Accepts Medicare?	Yes. Jacqueline Marie Shuplock accepts medicare insurance.

Group Practice Association:

Jacqueline Marie Shuplock is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Jacqueline Marie Shuplock is associated with along with the number of members in that group. She may also accept medicare indirectly via these group practices.

Organisation Name :	Group Practice ID	No. of Members	Practice Address	Group Accepts Medicare
Florida Hospital Medical Group Inc	0749186153	1116	2600 Westhall Ln Fl 4 Maitland, FL - 327517102 Ph: 4072002700	Yes
Florida Hospital Medical Group Inc	0749186153	1116	601 E Rollins St Orlando, FL - 328031248	Yes

Licenses and Specialities:

Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jacqueline Marie Shuplock are as mentioned. Primary taxonomy code for Jacqueline Marie Shuplock, M.D. is 2080P0202X (Pediatrics Pediatric Cardiology).

Taxonomy Code	Speciality	Primary	License No.	State
2080P0202X	Pediatrics Pediatric Cardiology	No	MD0000053338	TN
390200000X	Student in an Organized Health Care Education/Training Program	No
2080P0202X	Pediatrics Pediatric Cardiology	Yes	ME152200	FL

Endpoints:

Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).

Mailing Address:

Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.

Mailing Address :	2501 N Orange Ave Ste 310 Orlando, FL, 32804-4642 United States
Phone Number :	407-303-2001
Fax Number :	407-303-2450

Business Location:

Patients can refer following map for directions to Jacqueline Marie Shuplock practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.