Katherine Marie Shea, MD
Emergency Medicine · Bend
- Medicare standing
- Clear
- Enrolled, allowed to bill and order, not excluded
- Plans that list them
- Not verified
- Not the same as out of network.
- Office
- 1
Offices
1 location · Central Oregon Emergency Physicians LLC · 30 clinicians in this group
Looking this up.
Hospitals listed: St Charles Bend Campus. That is not proof they admit you there this week.
Plan participation
Not verified
We could not verify current plan participation for this doctor. This does not mean they are out of network. Call Dr. Shea’s office at (541) 382-4321 to ask if they take your plan before you enroll.
California Medical Board record
Licence A122226 · Delinquent
Licence status: Delinquent · since 2012 · expires 2023-12-31 · Tufts University School of Medicine.
License renewal fee has not been paid. No practice is permitted.
No disciplinary actions, convictions, malpractice judgments or citations in this record.
Hospitals they work in
1 hospital
These rate the hospital, not this clinician. Most measures at most hospitals are no different from the national rate.
- St Charles Medical Center - BendBend, ORAcute Care Hospital · Voluntary non-profit - Private · Has an emergency department · Birthing-friendlyPart of Saint Charles Health System, which runs 4 hospitalsPatients rate it 4 of 5 · 78% would definitely recommend itOverall rating: 4 of 5 starsBetter than the national rate — Clostridium Difficile (C.Diff): 0.257, Oct 2024 – Sep 2025
See every measure and the patient survey for St Charles Medical Center - Bend
Behind the star rating — Deaths: 0 better, 7 the same, 1 worse of 8 measures. Safety: 1 better, 7 the same, 0 worse of 8 measures. Readmissions: 3 better, 7 the same, 1 worse of 11 measures. The star rating is worked out from an earlier period than the measures below, so the two can disagree.
| Clostridium Difficile (C.Diff)Infections | 0.257 | Better | Oct 2024 – Sep 2025 |
| Abdominopelvic accidental puncture or laceration rateComplications and deaths | 1.09 (0.27 to 1.9) · 2,321 cases | No different | Jul 2022 – Jun 2024 |
| CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths | 0.97 (0.73 to 1.2) | No different | Jul 2022 – Jun 2024 |
| Death rate among surgical inpatients with serious treatable complicationsComplications and deaths | 170.8 (125.24 to 216.36) · 133 cases | No different | Jul 2022 – Jun 2024 |
| Death rate for CABG surgery patientsComplications and deaths | 2.3 · 114 cases | None | Jul 2022 – Jun 2025 |
| Death rate for COPD patientsComplications and deaths | 9 · 111 cases | None | Jul 2022 – Jun 2025 |
| Death rate for heart attack patientsComplications and deaths | 11.6 · 333 cases | None | Jul 2022 – Jun 2025 |
| Death rate for heart failure patientsComplications and deaths | 12.7 · 631 cases | None | Jul 2022 – Jun 2025 |
| Death rate for pneumonia patientsComplications and deaths | 12.4 · 582 cases | None | Jul 2022 – Jun 2025 |
| Death rate for stroke patientsComplications and deaths | 12.3 · 440 cases | None | Jul 2023 – Jun 2025 |
| Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths | 3.2 · 5,184 cases | None | Jul 2024 – Jun 2025 |
| Iatrogenic pneumothorax rateComplications and deaths | 0.27 (0.1 to 0.45) · 9,942 cases | No different | Jul 2022 – Jun 2024 |
| In-hospital fall-associated fracture rateComplications and deaths | 0.21 (0.03 to 0.38) · 10,084 cases | No different | Jul 2022 – Jun 2024 |
| Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths | 3.95 (2.38 to 5.51) · 3,553 cases | No different | Jul 2022 – Jun 2024 |
| Postoperative acute kidney injury requiring dialysis rateComplications and deaths | 1.99 (0.7 to 3.28) · 1,698 cases | No different | Jul 2022 – Jun 2024 |
| Postoperative hemorrhage or hematoma rateComplications and deaths | 2.38 (1.18 to 3.57) · 3,393 cases | No different | Jul 2022 – Jun 2024 |
| Postoperative respiratory failure rateComplications and deaths | 7.13 (2.82 to 11.45) · 1,643 cases | No different | Jul 2022 – Jun 2024 |
| Postoperative sepsis rateComplications and deaths | 3.37 (0.57 to 6.16) · 1,621 cases | No different | Jul 2022 – Jun 2024 |
| Postoperative wound dehiscence rateComplications and deaths | 2.19 (0.84 to 3.54) · 787 cases | No different | Jul 2022 – Jun 2024 |
| Pressure ulcer rateComplications and deaths | 0.83 (0.32 to 1.33) · 7,772 cases | No different | Jul 2022 – Jun 2024 |
| Rate of complications for hip/knee replacement patientsComplications and deaths | 3.6 · 162 cases | None | Apr 2023 – Mar 2025 |
| Catheter Associated Urinary Tract Infections (ICU + select Wards)Infections | 0.959 | No different | Oct 2024 – Sep 2025 |
| Central Line Associated Bloodstream Infection (ICU + select Wards)Infections | 0.533 | No different | Oct 2024 – Sep 2025 |
| MRSA BacteremiaInfections | 0.458 | No different | Oct 2024 – Sep 2025 |
| SSI - Abdominal HysterectomyInfections | 1.29 | No different | Oct 2024 – Sep 2025 |
| SSI - Colon SurgeryInfections | 1.138 | No different | Oct 2024 – Sep 2025 |
| Acute Myocardial Infarction (AMI) 30-Day Readmission RateUnplanned return visits | 13.5 · 437 cases | None | Jul 2023 – Jun 2025 |
| Heart failure (HF) 30-Day Readmission RateUnplanned return visits | 19.3 · 860 cases | None | Jul 2023 – Jun 2025 |
| Hospital return days for heart attack patientsUnplanned return visits | -3.9 · 346 cases | None | Jul 2022 – Jun 2025 |
| Hospital return days for heart failure patientsUnplanned return visits | -34.5 · 685 cases | None | Jul 2022 – Jun 2025 |
| Hospital return days for pneumonia patientsUnplanned return visits | -20.9 · 597 cases | None | Jul 2022 – Jun 2025 |
| Pneumonia (PN) 30-Day Readmission RateUnplanned return visits | 16.6 · 766 cases | None | Jul 2023 – Jun 2025 |
| Rate of emergency department (ED) visits for patients receiving outpatient chemotherapyUnplanned return visits | 5.4 (4 to 7.2) · 459 cases | No different | Jan 2024 – Dec 2024 |
| Rate of inpatient admissions for patients receiving outpatient chemotherapyUnplanned return visits | 9.5 (7.4 to 12.1) · 459 cases | No different | Jan 2024 – Dec 2024 |
| Rate of readmission after hip/knee replacementUnplanned return visits | 5.3 · 157 cases | None | Jul 2023 – Jun 2025 |
| Rate of readmission for CABGUnplanned return visits | 10.7 · 137 cases | None | Jul 2023 – Jun 2025 |
| Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits | 19.5 · 173 cases | None | Jul 2023 – Jun 2025 |
| Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Unplanned return visits | 11.6 (9.2 to 14.6) · 2,646 cases | No different | Jan 2022 – Dec 2024 |
| Ratio of unplanned hospital visits after hospital outpatient surgeryUnplanned return visits | 1.1 (0.9 to 1.4) · 1,198 cases | No different | Jan 2024 – Dec 2024 |
What patients said (892 patients answered, 30% of those asked)
| Cleanliness | 4 |
| Nurse communication | 4 |
| Doctor communication | 4 |
| Communication about medicines | 3 |
| Discharge information | 4 |
| Overall hospital rating | 4 |
| Quietness | 3 |
| Recommend hospital | 5 |
| Room was "always" clean | 70% |
| Nurses "always" communicated well | 81% |
| Doctors "always" communicated well | 80% |
| Staff "always" explained | 64% |
| Yes, staff "did" give patients this information | 87% |
| Yes, staff "did" give patients information about help after discharge | 86% |
| Doctors "always" explained things so they could understand | 75% |
| Doctors "always" listened carefully | 78% |
| Doctors "always" treated them with courtesy and respect | 86% |
| Patients who gave a rating of "9" or "10" (high) | 75% |
| Staff "always" explained new medications | 78% |
| Nurses "always" explained things so they could understand | 76% |
| Nurses "always" listened carefully | 79% |
| Nurses "always" treated them with courtesy and respect | 88% |
| "Always" quiet at night | 58% |
| "YES", patients would definitely recommend the hospital | 78% |
| Staff "always" explained possible side effects | 51% |
| Yes, staff "did" give patients information about possible symptoms | 87% |
Original Medicare doctor bills
$57,983
Medicare paid this office $57,983 for 439 people.
This is what Medicare paid the clinician — not Medicare Advantage, and not the pharmacy.
| Emergency department visit with high level of medical decision making | 340 | $42,145 | $121 |
| Critical care, first 30-74 minutes | 32 | $5,290 | $156 |
| Emergency department visit with moderate level of medical decision making | 59 | $5,121 | $84 |
| Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 191 | $1,207 | $6 |
Who their Medicare patients are
439 Original Medicare patients in 2024. Average age 75 · Under 65 11% · 85 and older 19% · Women 50% · Also on Medicaid 18% · Health risk score 1.80. At or below the middle of the specialty; the typical emergency medicine clinician is at 2.01.
Conditions among them: High blood pressure 75% · Coronary heart disease 45% · Depression 34% · Heart failure 31% · Chronic kidney disease 30% · Atrial fibrillation 30% · Diabetes 25% · COPD 23% · Cancer 21% · Stroke 18% · Dementia 16%.
The office billed $660,421, Medicare allowed $78,660 and paid $57,983; for 711 services of 34 kinds.
Original Medicare patients only. A risk score of 1.0 is the average Medicare patient; higher means sicker. Any count under 11 is hidden.
Year by year
| 2024 | 439 | 711 | 75 | 1.80 | $660,421 | $57,983 |
| 2023 | 420 | 625 | 74 | 1.66 | $558,716 | $52,971 |
| 2022 | 338 | 497 | 74 | 1.71 | $417,563 | $41,009 |
| 2021 | 65 | 70 | 65 | 1.93 | $38,027 | $6,049 |
| 2020 | 38 | 41 | 67 | 1.17 | $22,343 | $4,084 |
| 2019 | 75 | 78 | 64 | 1.85 | $43,587 | $7,955 |
| 2018 | 87 | 94 | 66 | 1.65 | $46,475 | $8,476 |
| 2017 | 79 | 86 | 63 | 2.01 | $36,899 | $6,150 |
| 2016 | 450 | 620 | 66 | 2.40 | $421,568 | $46,000 |
| 2015 | 458 | 586 | 68 | 2.35 | $416,125 | $51,226 |
| 2014 | 149 | 172 | 69 | 1.71 | $94,862 | $16,666 |
Original Medicare only. A service billed for fewer than 11 people in a year is hidden, so the lines can add up to less than the year's total.
See the services billed each year
2023: 5 services
| Emergency department visit with high level of medical decision making | 270 | $35,943 | $128 |
| Emergency department visit with moderate level of medical decision making | 115 | $10,080 | $86 |
| Critical care, first 30-74 minutes | 15 | $2,427 | $162 |
| Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 152 | $975 | $6 |
| Emergency department visit with low level of medical decision making | 17 | $811 | $48 |
2022: 4 services
| Emergency department visit with high level of medical decision making | 217 | $28,669 | $130 |
| Emergency department visit with moderate level of medical decision making | 84 | $7,420 | $88 |
| Emergency department visit with low level of medical decision making | 30 | $1,384 | $46 |
| Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 125 | $822 | $6 |
2021: 3 services
| Emergency department visit with high level of medical decision making | 27 | $3,219 | $119 |
| Emergency department visit with moderate level of medical decision making | 13 | $1,147 | $88 |
| Emergency department visit with low level of medical decision making | 18 | $901 | $50 |
2020: 1 service
| Emergency department visit with high level of medical decision making | 22 | $2,667 | $121 |
2019: 3 services
| Emergency department visit with high level of medical decision making | 32 | $4,159 | $130 |
| Emergency department visit with moderate level of medical decision making | 27 | $2,358 | $87 |
| Emergency department visit with low level of medical decision making | 11 | $485 | $44 |
2018: 2 services
| Emergency department visit with high level of medical decision making | 35 | $4,658 | $126 |
| Emergency department visit with moderate level of medical decision making | 32 | $2,233 | $70 |
2017: 3 services
| Emergency department visit with high level of medical decision making | 24 | $2,627 | $109 |
| Emergency department visit with moderate level of medical decision making | 31 | $2,270 | $73 |
| Emergency department visit with low level of medical decision making | 20 | $760 | $38 |
2016: 6 services
| Emergency department visit with high level of medical decision making | 174 | $26,271 | $138 |
| Emergency department visit with moderate level of medical decision making | 107 | $10,513 | $92 |
| Emergency department visit with low level of medical decision making | 60 | $2,718 | $44 |
| Short return visit (20+ min) | 40 | $1,274 | $32 |
| Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 133 | $1,069 | $7 |
| Return visit (30+ min) | 13 | $759 | $58 |
2015: 5 services
| Emergency department visit with high level of medical decision making | 193 | $28,257 | $144 |
| Emergency department visit with moderate level of medical decision making | 131 | $11,704 | $89 |
| Emergency department visit with low level of medical decision making | 41 | $1,857 | $45 |
| Short return visit (20+ min) | 26 | $1,140 | $44 |
| Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 106 | $770 | $7 |
2014: 4 services
| Emergency department visit with high level of medical decision making | 65 | $9,514 | $146 |
| Emergency department visit with moderate level of medical decision making | 40 | $3,961 | $99 |
| Emergency department visit with low level of medical decision making | 17 | $848 | $50 |
| Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 18 | $129 | $7 |
Medicaid work
$77,136 in 2024
Medicaid paid $77,136 for 2,887 billed services this clinician did in 2024, up to 47 people in a month for one service.
Medicaid and CHIP claims where this clinician did the service, fee-for-service and managed care together. Any month with fewer than 11 patients is hidden, so small Medicaid practices undercount.
| EMERGENCY DEPARTMENT VISIT HIGH MDM | 446 | $37,958 |
| EMERGENCY DEPT VISIT MOD MDM | 474 | $30,671 |
| EMERGENCY DEPT VISIT LOW MDM | 170 | $5,917 |
| Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); intravenous push, single or initial substance/drug | 122 | $1,308 |
| Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 193 | $706 |
| EMERGENCY DEPARTMENT VISIT STRAIGHTFORWARD MDM | 13 | $309 |
| Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); each additional sequential intravenous push of a new substance/drug (List separately in addition to code for primary procedure) | 15 | $164 |
| Intravenous infusion, hydration; each additional hour (List separately in addition to code for primary procedure) | 14 | $82 |
| COMPREHENSIVE METABOLIC PANEL | 331 | $9 |
| Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC count | 345 | $7 |
| ASSAY OF LIPASE | 57 | $6 |
| COLLECTION VENOUS BLOOD VENIPUNCTURE | 351 | $0 |
| 2024 | 2,887 | 20 | 47 | $77,136 |
| 2023 | 2,661 | 17 | 43 | $55,569 |
| 2022 | 2,240 | 22 | 41 | $47,185 |
| 2021 | 277 | 3 | 30 | $14,478 |
| 2020 | 179 | 3 | 30 | $10,696 |
| 2019 | 323 | 3 | 23 | $4,259 |
| 2018 | 381 | 4 | 30 | $5,812 |
See the largest Medicaid services in earlier years
2023
| EMERGENCY DEPARTMENT VISIT HIGH MDM | 300 | $23,418 |
| EMERGENCY DEPT VISIT MOD MDM | 441 | $22,873 |
| EMERGENCY DEPT VISIT LOW MDM | 310 | $6,682 |
| Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); intravenous push, single or initial substance/drug | 143 | $1,607 |
| Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 195 | $687 |
| Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); each additional sequential intravenous push of a new substance/drug (List separately in addition to code for primary procedure) | 21 | $121 |
| Intravenous infusion, hydration; each additional hour (List separately in addition to code for primary procedure) | 26 | $83 |
| Radiologic examination, chest; single view | 24 | $72 |
| EMERGENCY DEPARTMENT VISIT STRAIGHTFORWARD MDM | 15 | $27 |
| COLLECTION VENOUS BLOOD VENIPUNCTURE | 308 | $0 |
| COMPREHENSIVE METABOLIC PANEL | 318 | $0 |
| Drug test(s), presumptive, any number of drug classes, any number of devices or procedures; by instrument chemistry analyzers (eg, utilizing immunoassay [eg, EIA, ELISA, EMIT, FPIA, IA, KIMS, RIA]), chromatography (eg, GC, HPLC), and mass spectrometry either with or without chromatography, (eg, DART, DESI, GC-MS, GC-MS/MS, LC-MS, LC-MS/MS, LDTD, MALDI, TOF) includes sample validation when performed, per date of service | 14 | $0 |
2022
| EMERGENCY DEPARTMENT VISIT HIGH MDM | 298 | $22,824 |
| EMERGENCY DEPT VISIT MOD MDM | 254 | $13,699 |
| EMERGENCY DEPT VISIT LOW MDM | 323 | $7,760 |
| Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); intravenous push, single or initial substance/drug | 113 | $1,685 |
| Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 161 | $463 |
| Radiologic examination, chest; single view | 12 | $256 |
| Infectious agent detection by nucleic acid (DNA or RNA); respiratory virus (eg, adenovirus, influenza virus, coronavirus, metapneumovirus, parainfluenza virus, respiratory syncytial virus, rhinovirus), includes multiplex reverse transcription, when performed, and multiplex amplified probe technique, multiple types or subtypes, 3-5 targets | 47 | $164 |
| Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); each additional sequential intravenous push of a new substance/drug (List separately in addition to code for primary procedure) | 49 | $90 |
| Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC count | 297 | $76 |
| COMPREHENSIVE METABOLIC PANEL | 221 | $48 |
| Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia pneumoniae, amplified probe technique | 47 | $42 |
| Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | 53 | $40 |
2021
| EMERGENCY DEPARTMENT VISIT HIGH MDM | 42 | $6,601 |
| EMERGENCY DEPT VISIT MOD MDM | 38 | $4,667 |
| EMERGENCY DEPT VISIT LOW MDM | 197 | $3,211 |
2020
| EMERGENCY DEPARTMENT VISIT HIGH MDM | 27 | $5,191 |
| EMERGENCY DEPT VISIT LOW MDM | 127 | $3,207 |
| EMERGENCY DEPT VISIT MOD MDM | 25 | $2,298 |
2019
| EMERGENCY DEPT VISIT LOW MDM | 206 | $2,590 |
| EMERGENCY DEPT VISIT MOD MDM | 100 | $1,474 |
| EMERGENCY DEPARTMENT VISIT HIGH MDM | 17 | $195 |
2018
| EMERGENCY DEPT VISIT LOW MDM | 206 | $2,791 |
| EMERGENCY DEPARTMENT VISIT HIGH MDM | 111 | $2,405 |
| EMERGENCY DEPT VISIT MOD MDM | 48 | $518 |
| EMERGENCY DEPARTMENT VISIT STRAIGHTFORWARD MDM | 16 | $97 |
Drugs they prescribed that Part D paid
$3,355
Pharmacies billed $3,355 in 2024.
This is pharmacy cost, not the office bill, and not what patients paid.
Opioids were 19% of their Part D prescriptions (28 of 148) in 2024. Above the middle of the specialty; the typical emergency medicine clinician is at 12%.
135 generic and 13 brand-name prescriptions · $3,355 in drug cost · 58 antibiotic prescriptions to 54 people.
Part D prescriptions only. The opioid rate is opioid prescriptions as a share of all this clinician's Part D prescriptions; surgeons and pain specialists run higher than others, so it is shown against the same specialty.
| Cephalexin | 30 | $240 | $7 |
| Oxycodone-Acetaminophen | 18 | $35 | $2 |
Year by year
| 2024 | 148 | 114 | 19% (28) | 9% | $3,355 |
| 2023 | 171 | 120 | 26% (45) | None | $2,656 |
| 2022 | 152 | 103 | 18% (28) | None | $2,813 |
| 2021 | 152 | 115 | 22% (34) | None | $2,699 |
| 2020 | 106 | 76 | 10% (11) | 13% | $2,423 |
| 2019 | 181 | 119 | 17% (31) | 19% | $9,178 |
| 2018 | 235 | 140 | 12% (28) | None | $25,767 |
| 2017 | 177 | 99 | 13% (23) | 18% | $5,843 |
| 2016 | 170 | 91 | 19% (32) | None | $3,677 |
| 2015 | 96 | 56 | 24% (23) | None | $2,254 |
| 2014 | 45 | 29 | None | None | $1,067 |
| 2013 | 22 | 21 | None | 0% | $240 |
Part D prescriptions only. A drug prescribed to fewer than 11 people in a year is hidden.
See the drugs prescribed each year
2023: 5 drugs
| Cephalexin | 14 | $164 | $12 |
| Oxycodone-Acetaminophen | 23 | $110 | $5 |
| Ondansetron Odt | 14 | $70 | $5 |
| Hydrocodone-Acetaminophen | 15 | $47 | $3 |
| Furosemide | 11 | $38 | $3 |
2022: 2 drugs
| Cephalexin | 15 | $85 | $6 |
| Hydrocodone-Acetaminophen | 12 | $71 | $6 |
2021: 2 drugs
| Hydrocodone-Acetaminophen | 29 | $211 | $7 |
| Ondansetron Odt | 17 | $126 | $7 |
2020: 1 drug
| Cephalexin | 16 | $310 | $19 |
2019: 4 drugs
| Hydrocodone-Acetaminophen | 28 | $191 | $7 |
| Cephalexin | 17 | $146 | $9 |
| Ondansetron Odt | 12 | $114 | $10 |
| Azithromycin | 11 | $85 | $8 |
2018: 6 drugs
| Ventolin Hfa | 14 | $656 | $47 |
| Cephalexin | 17 | $179 | $11 |
| Hydrocodone-Acetaminophen | 26 | $175 | $7 |
| Ondansetron Odt | 14 | $145 | $10 |
| Azithromycin | 17 | $127 | $7 |
| Prednisone | 12 | $65 | $5 |
2017: 4 drugs
| Ventolin Hfa | 12 | $568 | $47 |
| Cephalexin | 24 | $298 | $12 |
| Hydrocodone-Acetaminophen | 21 | $191 | $9 |
| Azithromycin | 16 | $104 | $7 |
2016: 1 drug
| Hydrocodone-Acetaminophen | 26 | $222 | $9 |
2015: 1 drug
| Hydrocodone-Acetaminophen | 19 | $99 | $5 |
Professional record
- NPI
- 1609160902
- Licence
- CA A122226California A122226: Delinquent · expires 2023-12-31
- Trained
- Tufts University School of Medicine, 2011
- Gender
- Female
More record details
- Sole proprietor
- Yes
- Taxonomy
- Federal specialty code 207P00000X (207P00000X)
- Mailing address
- 300 Pasteur Dr, Stanford, CA, 94305
- NPI first listed
- 2011-06-03
- NPI last updated
- 2022-02-11
This is when the NPI record was last certified, not a medical board exam.
This office lists an electronic records connection.