Active NPI 1104825231 Individual Practitioner Male Practitioner

Dr. Christopher A Shearer , DO

Internal Medicine • Enid, OK

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Christopher Shearer, DO is a certified Internal Medicine practicing in Enid, OK. With approximately 34 years of clinical experience since graduating from Oklahoma State University College Of Osteopathic Medicine in 1992, Dr. Shearer delivers high-quality medical care to the local community at 915 E GARRIOTT RD.

Dr. Shearer is affiliated with Integris Ambulatory Care Corporation and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

915 E Garriott Rd
Suite C

Enid, OK 737016156

Telephone 5802346425

Fax 5802345176

Associated Practice Facility / Clinic

🏢 Gau-Scott Clinic Inc Facility NPI 1740261494

Medicare Profile & Education

Medical School

Oklahoma State University College Of Osteopathic Medicine

Graduation Year

1992

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Enid, OK

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

34 Yrs -0.7 yrs vs City Avg

City Avg: 34.7 Yrs

State Avg: 26.0 Yrs

Regional Practice Density

10 Specialists

Practicing in Enid, OK (1179 Statewide)

Telehealth Adoption Rate

10.0% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

53.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Shearer (34 Years) 34 Yrs

Enid Specialty Average (34.7 Years) 34.7 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,854	563	$244.00	$118.46
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	1,375	513	$31.83	$15.42
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	449	449	$277.57	$119.53
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	228	25	$3.00	$0.96
G0008 Administration of influenza virus vaccine	221	214	$54.80	$30.07
99213 Established patient office or other outpatient visit, typically 15 minutes	206	149	$173.00	$84.01
90662 Influenza vaccine split virus, preservative free	200	200	$184.00	$81.41
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	97	37	$37.64	$13.10
83036 Hemoglobin A1C level	56	50	$22.41	$9.52
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	43	11	$4.00	$1.30
87804 Detection test by immunoassay with direct visual observation for influenza virus	42	21	$36.29	$16.22
87811 Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19)	38	35	$93.47	$40.55
99495 Transitional care management services for problem of at least moderate complexity	32	30	$389.00	$179.98
G0009 Administration of pneumococcal vaccine	30	30	$45.23	$30.07
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	30	30	$654.20	$289.94
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	24	20	$343.00	$167.04
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	16	16	$319.00	$155.55
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	14	14	$145.00	$75.81

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,866	563	$244.99	$120.51
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	424	424	$231.75	$121.56
99213 Established patient office or other outpatient visit, typically 15 minutes	278	186	$173.00	$85.36
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	260	27	$8.68	$1.06
G0008 Administration of influenza virus vaccine	237	233	$36.75	$28.62
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	227	224	$144.30	$75.38
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	89	41	$41.45	$13.27
G0009 Administration of pneumococcal vaccine	67	67	$31.48	$27.45
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	67	67	$574.61	$281.16
87804 Detection test by immunoassay with direct visual observation for influenza virus	46	22	$34.57	$16.22
87811 Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19)	46	44	$83.48	$40.55
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	40	12	$7.20	$1.50
83036 Hemoglobin A1C level	35	32	$36.80	$9.52
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	33	33	$319.00	$157.98
99495 Transitional care management services for problem of at least moderate complexity	32	30	$346.50	$192.60
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	23	18	$344.30	$170.03
99496 Transitional care management services for problem of high complexity	14	13	$436.50	$261.00
90674 Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free	12	12	$66.00	$33.49

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,844	555	$236.21	$121.19
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	415	415	$206.00	$124.30
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	300	32	$12.00	$1.12
G0008 Administration of influenza virus vaccine	243	235	$27.00	$26.38
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	230	227	$105.00	$69.60
99213 Established patient office or other outpatient visit, typically 15 minutes	214	151	$166.79	$85.90
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	113	45	$46.00	$13.45
G0009 Administration of pneumococcal vaccine	62	62	$27.00	$26.22
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	57	57	$315.19	$157.64
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	47	12	$12.00	$1.74
99495 Transitional care management services for problem of at least moderate complexity	38	33	$304.00	$196.08
87804 Detection test by immunoassay with direct visual observation for influenza virus	30	15	$35.00	$16.37
83036 Hemoglobin A1C level	28	26	$48.00	$9.31
87811 Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19)	25	24	$83.00	$40.55
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	25	25	$164.00	$126.74
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	24	21	$333.33	$167.16
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	20	20	$567.00	$278.05
90670 Pneumococcal vaccine for injection into muscle	19	19	$319.00	$236.99
90471 Administration of 1 vaccine	17	16	$46.00	$14.70
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	16	16	$36.00	$20.81

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	2,077	565	$227.00	$122.96
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	427	427	$206.00	$126.53
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	292	34	$12.00	$1.23
G0008 Administration of influenza virus vaccine	244	244	$27.00	$15.67
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	232	232	$105.00	$66.43
99213 Established patient office or other outpatient visit, typically 15 minutes	192	154	$159.00	$86.22
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	84	53	$46.00	$13.24
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	46	46	$312.00	$158.53
G0009 Administration of pneumococcal vaccine	39	38	$27.00	$15.76
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	38	17	$12.00	$1.99
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	20	20	$164.00	$125.02
99495 Transitional care management services for problem of at least moderate complexity	19	19	$304.00	$196.65
90670 Pneumococcal vaccine for injection into muscle	19	19	$319.00	$240.79
83036 Hemoglobin A1C level	16	16	$48.00	$9.71
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	13	13	$36.00	$18.88
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	12	11	$27.00	$15.00
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$203.00	$107.30
90471 Administration of 1 vaccine	11	11	$46.00	$15.94

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	2,067	552	$202.00	$103.61
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	435	435	$206.00	$109.88
G0008 Administration of influenza virus vaccine	277	269	$27.00	$15.71
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	252	29	$12.00	$1.47
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	228	228	$105.00	$60.79
99213 Established patient office or other outpatient visit, typically 15 minutes	156	128	$137.00	$71.41
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	92	46	$46.00	$13.50
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	79	39	$27.00	$14.89
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	54	34	$120.00	$70.45
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	46	15	$12.00	$1.97
G0009 Administration of pneumococcal vaccine	44	44	$27.00	$15.72
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	40	40	$36.00	$19.02
71046 X-ray of chest, 2 views	36	32	$35.00	$19.58
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	27	27	$312.00	$159.07
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	26	26	$164.00	$113.46
90670 Pneumococcal vaccine for injection into muscle	21	21	$319.00	$228.25
99496 Transitional care management services for problem of high complexity	17	16	$347.00	$234.34
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	15	12	$175.00	$102.50
99495 Transitional care management services for problem of at least moderate complexity	14	14	$304.00	$165.93
83036 Hemoglobin A1C level	13	12	$48.00	$8.96
90653 Vaccine for influenza for injection into muscle	11	11	$69.00	$58.34

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,993	557	$202.00	$101.64
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	413	47	$12.00	$1.59
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	358	358	$206.00	$102.97
G0008 Administration of influenza virus vaccine	225	223	$27.00	$15.40
90653 Vaccine for influenza for injection into muscle	205	203	$69.00	$57.89
99213 Established patient office or other outpatient visit, typically 15 minutes	196	143	$137.00	$68.40
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	159	66	$46.00	$15.56
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	115	69	$120.00	$70.40
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	93	15	$12.00	$1.79
71046 X-ray of chest, 2 views	54	50	$35.00	$18.39
G0009 Administration of pneumococcal vaccine	53	53	$27.00	$15.46
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	34	34	$164.00	$109.51
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	29	29	$225.00	$132.61
90670 Pneumococcal vaccine for injection into muscle	25	25	$319.00	$200.18
99495 Transitional care management services for problem of at least moderate complexity	24	21	$304.00	$154.85
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	21	21	$312.00	$156.79
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	21	21	$36.00	$18.65
99239 Hospital discharge day management, more than 30 minutes	18	17	$206.00	$103.12
73502 X-ray of hip, 2-3 views	17	16	$52.00	$28.18
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	17	15	$27.00	$14.18
99496 Transitional care management services for problem of high complexity	16	14	$347.00	$218.25
73562 X-ray of knee, 3 views	15	12	$46.00	$24.75
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	14	13	$175.00	$100.74
73030 X-ray of shoulder, minimum of 2 views	13	13	$34.00	$18.42
72100 X-ray of lower and sacral spine, 2-3 views	13	13	$41.00	$22.54

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	2,142	571	$202.00	$101.01
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	423	423	$215.50	$104.69
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	408	46	$12.00	$1.82
99213 Established patient office or other outpatient visit, typically 15 minutes	280	194	$137.00	$68.42
G0008 Administration of influenza virus vaccine	256	253	$27.00	$18.90
90653 Vaccine for influenza for injection into muscle	241	240	$70.67	$53.36
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	183	67	$46.00	$18.92
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	107	21	$12.00	$1.96
71046 X-ray of chest, 2 views	81	76	$35.00	$17.27
G0009 Administration of pneumococcal vaccine	55	53	$27.00	$18.90
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	54	30	$130.56	$70.61
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	38	38	$180.50	$105.59
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	25	25	$312.00	$157.14
99495 Transitional care management services for problem of at least moderate complexity	19	19	$307.16	$148.57
73030 X-ray of shoulder, minimum of 2 views	17	17	$34.00	$17.77
72100 X-ray of lower and sacral spine, 2-3 views	17	17	$41.00	$21.26
90670 Pneumococcal vaccine for injection into muscle	16	16	$229.75	$182.30
99496 Transitional care management services for problem of high complexity	16	15	$423.13	$219.67
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	14	14	$36.00	$17.32
73502 X-ray of hip, 2-3 views	12	11	$52.00	$26.92

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,899	545	$202.00	$99.17
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	324	36	$12.00	$1.79
G0009 Administration of pneumococcal vaccine	299	298	$27.00	$22.90
99213 Established patient office or other outpatient visit, typically 15 minutes	296	194	$137.00	$68.27
G0008 Administration of influenza virus vaccine	292	283	$27.00	$22.89
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	238	238	$84.61	$71.43
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	237	57	$139.00	$69.23
90674 Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free	236	236	$46.00	$22.97
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	149	54	$46.00	$23.13
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	79	18	$12.00	$2.81
90670 Pneumococcal vaccine for injection into muscle	68	68	$200.00	$184.62
99239 Hospital discharge day management, more than 30 minutes	67	47	$206.00	$102.53
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	59	19	$260.00	$129.50
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	50	50	$36.00	$18.65
71020 X-ray of chest, 2 views, front and side	44	40	$29.00	$14.98
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	42	35	$265.00	$131.41
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	27	13	$175.00	$86.89
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	25	18	$201.00	$97.33
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	20	18	$391.00	$189.71
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	18	18	$312.00	$155.18
90656 Vaccine for influenza for administration into muscle, 0.5 ml dosage	15	15	$28.00	$17.37
73030 X-ray of shoulder, minimum of 2 views	13	11	$34.00	$17.24
72040 X-ray of upper spine, 2-3 views	11	11	$38.00	$19.07

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License OK 3120

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

100137670B (OK)

Commercial Insurance / Payer ID Medicaid Osu

100137670C (OK)

Commercial Insurance / Payer ID Rr Medicare

P01318479 (OK)

Hospital & Practice Group Affiliations

Integris Ambulatory Care Corporation

915 E Garriott Rd A, Enid, OK 737016153

Phone: 5809771910

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

8 Associated Practitioners

Dr. Michael Scott , DO

Family Medicine

NPI 1003897760

Doctor of Osteopathic Medicine (D.O.)

Dr. Aaron Sizelove , DO

Family Medicine

NPI 1053547950

Doctor of Osteopathic Medicine (D.O.)

Arlyn Wing , PA-C

Physician Assistant

NPI 1164446654

Physician Assistant (Certified)

Cynthia Gentry , ARNP

Nurse Practitioner

NPI 1205868403

Advanced Registered Nurse Practitioner

Courtney Campbell , APRN

Nurse Practitioner - Family

NPI 1326637471

Advanced Practice Registered Nurse

Christie Peeper , PA

Physician Assistant

NPI 1700885845

Physician Assistant

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events

✅

NPI Profile Active February 12, 2018

NPI status registered as active in NPPES database

📍

Updated Practice Location February 12, 2018

Registered at 915 E GARRIOTT RD, SUITE C, ENID, OK 737016156 (Tel: 5802346425)

📍

Updated Business Mailing Address February 12, 2018

Registered at 5300 N INDEPENDENCE AVE, 280, OKLAHOMA CITY, OK 731125556 (Tel: 5809771844)

👤

Provider Name / Credentials Updated February 12, 2018

Recorded as CHRISTOPHER SHEARER, DO

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 12, 2018

Internal Medicine (License #3120 in OK)

✅

NPI Profile Active January 25, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location January 25, 2016

Registered at 915 E GARRIOTT RD, SUITE C, ENID, OK 737016156 (Tel: 5802346425)

📍

Updated Business Mailing Address January 25, 2016

Registered at 5300 N INDEPENDENCE AVE, 280, OKLAHOMA CITY, OK 731125556 (Tel: 5802346425)

👤

Provider Name / Credentials Updated January 25, 2016

Recorded as CHRISTOPHER SHEARER, DO

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 25, 2016

Internal Medicine (License #3120 in OK)

🟢

Initial NPI Registration & Enumeration July 20, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1104825231

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: July 20, 2005

Last Update: February 12, 2018

Sole Proprietor: No

Update or Correct Profile

Mailing Address

5300 N Independence Ave, 280

Oklahoma City, OK 731125556

Phone: 5809771844

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.