Look up the most recent NPI and PECOS records

Semiat Olaide Shafau

Student in an Organized Health Care Education/Training Program

Student, Health Care

11937 Us Highway 271, Tyler, TX 75708-3154

PECOS Enrollment

This provider is enrolled in PECOS as SEMIAT SHAFAU.

Based on the most recent information from CMS, provider Semiat Olaide Shafau is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1093507063
Provider Type
Individual
Full Name
Shafau, Semiat Olaide
Credential
DO

Gender
Female
Sole Proprietor
No
Enumeration Date
5/19/2025
Last Updated
5/19/2025

Contact Information

Practice Location

11937 Us Highway 271, Tyler, TX 75708-3154

(903) 877-7200

Unlisted Fax

Mailing Location

11937 Us Highway 271, Tyler, TX 75708-3154

(903) 877-7200

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 390200000X Primary	Description Student in an Organized Health Care Education/Training Program Student, Health Care	License BP10095055 Texas

Semiat Olaide Shafau

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Poothakary, Rachel

Jaiswal, Milan

Kenney, Grace Opoku

Davis, Jeffrey Keith

Tran, Jennifer

Nguyen, Jimmy

Slaughter, Zackery

Jones, Karen Elise

James, Katherine-Michelle Margaret

Hofweber, Jay