Dr. Raymond Patrick Shupak
DMD, MD | Oral and Maxillofacial Surgeon | 14+ years Exp
1500 South Main Street Jps Hospital, Dept Of Omfs, Fort Worth
Texas, 76104
817-702-5595 Maps & DirectionsDr. Raymond Patrick Shupak is a Fort Worth, Texas based Oral and Maxillofacial Surgeon with
14 years of experience in
Oral and Maxillofacial Surgery. He completed his graduation from
Univ Of Pennsylvania School Of Dental Medicine in 2011 He is also affiliated with hospitals like
and
. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Dr. Raymond Patrick Shupak is
35670 for Oral and Maxillofacial Surgery in Texas. His current practice location is
1500 South Main Street Jps Hospital, Dept Of Omfs, Fort Worth. Patients can reach him at
817-702-5595.
Dr. Raymond Patrick Shupak deals with the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Complete Profile:
Dr. Raymond Patrick Shupak speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Name: | Dr. Raymond Patrick Shupak |
| Specialization: | Oral and Maxillofacial Surgeon |
| Gender: | Male |
| Credentials: | DMD, MD |
| Experience: | 14+ years |
| Medical School Attended: | Univ Of Pennsylvania School Of Dental Medicine |
| Graduation Year: | 2011 |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 1500 South Main Street Jps Hospital, Dept Of Omfs, Fort Worth,
Texas, 76104 |
| Phone: | 817-702-5595 |
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.
| PAC ID: | 1759645427 |
| Enrollment ID: | I20180504000038 |
| NPI Number: | 1962798462 |
| NPI Enumeration Date: | 22 Jun, 2011 |
| NPI Last Update On: | 24 May, 2021 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Raymond Patrick Shupak are as mentioned below.
| License Number | Specialization | State | Status | |
| 35670 | Oral and Maxillofacial Surgery | Texas | Primary | |
| DS038719 | Oral and Maxillofacial Surgery | Pennsylvania | Secondary | |
| S4567 | Oral & Maxillofacial Surgery | Texas | Secondary | |
| MD461668 | Oral & Maxillofacial Surgery | Pennsylvania | Secondary | |
Hospital Affiliation:
Surgeons are affiliated to many hospitals whom they worked with in the past or are presently working with. One surgeon can be affiliated to four to five hospitals at a time.
| Hospital Name (CCN) | State | Hospital Type |
| (390006) | Danville, PA | Acute Care Hospital |
| (450039) | Fort worth, TX | Acute Care Hospital |
Group Practice:
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 Dr. Raymond Patrick Shupak is associated with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| Geisinger Clinic (5395657001) | 2796 |
| Oral And Maxillofacial Network Pllc (2668498387) | 9 |
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Raymond Patrick Shupak such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 1029564820001 | Medicaid | Pennsylvania | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 1500 South Main Street Jps Hospital, Dept Of Omfs
Fort Worth, Texas |
| Zip: | 76104 |
| Phone Number: | 817-702-5595 |
Patients can reach Dr. Raymond Patrick Shupak at
1500 South Main Street Jps Hospital, Dept Of Omfs, Fort Worth, Texas or can
call to book an appointment on 817-702-5595.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.