Shannon R Wesley (NPI# 1225320526, PAC ID# 0648415851) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is COLORECTAL SURGERY (PROCTOLOGY).
| Nation Provider ID (NPI) | 1225320526 |
| PAC ID by PECOS | 0648415851 |
| Professional Enrollment ID | I20140811001702 |
| Full Name | Shannon R Wesley |
| Organization Legal Name | LIMA MEMORIAL PROFESSIONAL CORPORATION |
| Address |
1003 Bellefontaine Ave Suite 125 Lima OH 45804-1867 |
| Phone Number | 4199988207 |
| Gender | F |
| Graduation Year | 2011 |
| Primary Specialty | COLORECTAL SURGERY (PROCTOLOGY) |
| Group Practice PAC ID | 1254232184 |
| Number of Group Practice Members | 107 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 360009 | LIMA MEMORIAL HEALTH SYSTEM |
| Address | Phone | Organization |
|---|---|---|
| 1003 Bellefontaine Ave, Suite 125, Lima, OH 45804-1867 | 4199988207 | LIMA MEMORIAL PROFESSIONAL CORPORATION |
| Organization Legal Name | LIMA MEMORIAL PROFESSIONAL CORPORATION |
| Physicians | 107 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Zachary Charles Niese | Nurse Practitioner | Lima Memorial Professional Corporation | 322 E Main St, Russells Point, OH 43348-9601 |
| Trisha M Kleman | Nurse Practitioner | Lima Memorial Professional Corporation | 240 W Northern Ave, Suite 3, Lima, OH 45801-2839 |
| Alicia Thornton | Physician Assistant | Lima Memorial Professional Corporation | 1001 Bellefontaine Ave, Lima, OH 45804-2800 |
| Marilyn E Roberts | Nurse Practitioner | Lima Memorial Professional Corporation | 525 N Eastown Rd, Suite A, Lima, OH 45807-2268 |
| Monica W Loke | Neurosurgery | Lima Memorial Professional Corporation | 1005 Bellefontaine Ave, Suite 350, Lima, OH 45804-2885 |
| Jennifer Maag | Family Medicine | Lima Memorial Professional Corporation | 102 Putnam Pkwy, Ottawa, OH 45875-8657 |
| Susan M Kaufman | Family Medicine | Lima Memorial Professional Corporation | 1211 E Columbus St, Kenton, OH 43326-1760 |
| Sarat B Kuchipudi | Pulmonary Disease | Lima Memorial Professional Corporation | 528 W Market St, Suite 200a, Lima, OH 45801-4762 |
| Marjorie A Demund | Obstetrics/gynecology | Lima Memorial Professional Corporation | 1220 E Elm St, Suite 101, Lima, OH 45804-2803 |
| Natalie B Coon | Physician Assistant | Lima Memorial Professional Corporation | 1001 Bellefontaine Ave, Lima, OH 45804-2800 |
| Street Address |
1003 BELLEFONTAINE AVE SUITE 125 |
| City | LIMA |
| State | OH |
| Zip | 45804-1867 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lorina Zenz | Nurse Practitioner | Lima Memorial Professional Corporation | 1003 Bellefontaine Ave, Suite 150, Lima, OH 45804-1871 |
| Noorul H Khan | General Surgery | Lima Memorial Professional Corporation | 1003 Bellefontaine Ave, Suite 125, Lima, OH 45804-1867 |
| Susan Morris | Family Medicine | Lima Memorial Professional Corporation | 1003 Bellefontaine Ave, Suite 125, Lima, OH 45804-1867 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Praveena Prasai-sharma | Nurse Practitioner | Family Resource Center of Northwest Ohio Inc | 530 S Main St, Lima, OH 45804-1240 |
| Erin Np Miller | Nurse Practitioner | Family Resource Center of Northwest Ohio Inc | 530 S Main St, Lima, OH 45804-1240 |
| Robert A Crook | Clinical Social Worker | Family Resource Center of Northwest Ohio Inc | 530 S Main St, Lima, OH 45804-1240 |
| Lori Acerro | Clinical Social Worker | Coleman Professional Services, Inc. | 799 S Main St, Lima, OH 45804-1519 |
| Kelly Jean Kunkler | Nurse Practitioner | Coleman Professional Services, Inc. | 799 S Main St, Lima, OH 45804-1519 |
| Steven Mates | Nurse Practitioner | Coleman Professional Services, Inc. | 799 S Main St, Lima, OH 45804-1519 |
| Kimberly Butler | Clinical Social Worker | Coleman Professional Services, Inc. | 799 S Main St, Lima, OH 45804-1519 |
| Barbra D Forest | Nurse Practitioner | Health Partners of Western Ohio | 441 E 8th St, Lima, OH 45804-2482 |
| Courtney Baller | Nurse Practitioner | Health Partners of Western Ohio | 441 E 8th St, Lima, OH 45804-2482 |
| Alicia Thornton | Physician Assistant | Lima Memorial Professional Corporation | 1001 Bellefontaine Ave, Lima, OH 45804-2800 |
| Find all physicians in zip 45804 | |||
| City | LIMA |
| Zip Code | 45804 |
| Specialty | COLORECTAL SURGERY (PROCTOLOGY) |
| City + Specialty | LIMA + COLORECTAL SURGERY (PROCTOLOGY) |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.