Shannon M Roach (NPI# 1225514623, PAC ID# 1052661360) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1225514623 |
| PAC ID by PECOS | 1052661360 |
| Professional Enrollment ID | I20180907000889 |
| Full Name | Shannon M Roach |
| Organization Legal Name | ST JOSEPHS HOSPITAL HEALTH CENTER |
| Address |
5100 W Taft Rd Suite 1f North Syracuse Link Program Liverpool NY 13088-4868 |
| Phone Number | 3154586111 |
| Gender | F |
| Graduation Year | 2018 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 9234043324 |
| Number of Group Practice Members | 65 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330140 | ST JOSEPH'S HOSPITAL HEALTH CENTER |
| Address | Phone | Organization |
|---|---|---|
| 5100 W Taft Rd, Suite 1f North Syracuse Link Program, Liverpool, NY 13088-4868 | 3154586111 | ST JOSEPHS HOSPITAL HEALTH CENTER |
| Organization Legal Name | ST JOSEPHS HOSPITAL HEALTH CENTER |
| Physicians | 33 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David Porter | Nurse Practitioner | St Josephs Hospital Health Center | 302 Upton St, East Syracuse, NY 13057-2308 |
| Heather N Barnes | Nurse Practitioner | St Josephs Hospital Health Center | 321 Gifford St, Syracuse, NY 13204-3201 |
| Emily M Glisson | Nurse Practitioner | St Josephs Hospital Health Center | 4000 Medical Ctr Dr, Fayetteville, NY 13066-6631 |
| Katie Mcbeth | Clinical Social Worker | St Josephs Hospital Health Center | 742 James St, Suite 202, Syracuse, NY 13203-2017 |
| Sunday O Asaju | Obstetrics/gynecology | St Josephs Hospital Health Center | 301 Prospect Ave, Syracuse, NY 13203-1807 |
| Tafiea A Stokes | Nurse Practitioner | St Josephs Hospital Health Center | 301 Prospect Ave, Syracuse, NY 13203-1807 |
| Maryellen C Lewis | Family Medicine | St Josephs Hospital Health Center | 301 Prospect Ave, Syracuse, NY 13203-1807 |
| Jill Agne | Nurse Practitioner | St Josephs Hospital Health Center | 301 Prospect Ave, Syracuse, NY 13203-1807 |
| Deann L Cummings | Family Medicine | St Josephs Hospital Health Center | 301 Prospect Ave, Syracuse, NY 13203-1807 |
| Shannon K Spina | Nurse Practitioner | St Josephs Hospital Health Center | 301 Prospect Ave, Syracuse, NY 13203-1807 |
| Street Address |
5100 W TAFT RD SUITE 1F NORTH SYRACUSE LINK PROGRAM |
| City | LIVERPOOL |
| State | NY |
| Zip | 13088-4868 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Megan M Wolfe | Nurse Practitioner | St Josephs Medical PC | 5100 W Taft Rd, Suite 1c, Liverpool, NY 13088-3808 |
| Aaron G Jannetti | Physician Assistant | St Josephs Medical PC | 5100 W Taft Rd, Liverpool, NY 13088-4841 |
| Leslie D Woodcock Jr. | Ophthalmology | Leslie D. Woodcock, Jr., M.d., Pllc | 5100 W Taft Rd, Suite 3l, Liverpool, NY 13088-3809 |
| Anthony Vigliotti | Hospice/palliative Care | St Josephs Medical PC | 5100 W Taft Rd, Liverpool, NY 13088-3807 |
| Douglas M Fetterman | Anesthesiology | St Josephs Medical PC | 5100 W Taft Rd, Liverpool, NY 13088-3807 |
| Dianne M Vitkus | Physician Assistant | St Josephs Medical PC | 5100 W Taft Rd, Liverpool, NY 13088-3807 |
| Robert J Weiss | General Surgery | 5100 W Taft Rd, Suite 2r, Liverpool, NY 13088-4841 | |
| David W Wormuth | Thoracic Surgery | St Josephs Medical PC | 5100 W Taft Rd, Liverpool, NY 13088-3807 |
| Kimberly S Trent | Physician Assistant | St Josephs Medical PC | 5100 W Taft Rd, Liverpool, NY 13088-3807 |
| Muhammad M Abdel Migeed | Cardiac Electrophysiology | St Josephs Medical PC | 5100 W Taft Rd, Liverpool, NY 13088-3807 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kelly M Finn | Nurse Practitioner | Familycare Medical Group PC | 4820 W Taft Rd, Suite 108, Liverpool, NY 13088-2800 |
| Deborah J Freeman | Nurse Practitioner | Familycare Medical Group PC | 4820 W Taft Rd, Suite 108, Liverpool, NY 13088-2800 |
| Frederick M Farrar | Diagnostic Radiology | Cny Diagnostic Imaging Assoc | 4820 W Taft Rd, Suite 114, Liverpool, NY 13088-2805 |
| Hooman Ranjbaran Jahromi | Cardiovascular Disease (cardiology) | St Josephs Medical PC | 4820 W Taft Rd, Suite 209, Liverpool, NY 13088-2806 |
| Nelly Y Kazzaz | Cardiovascular Disease (cardiology) | St Josephs Medical PC | 4820 W Taft Rd, Suite 209, Liverpool, NY 13088-2806 |
| Ayman S Iskander | Cardiovascular Disease (cardiology) | St Josephs Medical PC | 4820 W Taft Rd, Suite 209, Liverpool, NY 13088-2806 |
| Tina Winter | Nurse Practitioner | St Josephs Medical PC | 4820 W Taft Rd, Suite 209, Liverpool, NY 13088-2806 |
| Ross W Trent | Physician Assistant | S J H Cardiac Catheterization Associates PC | 4820 W Taft Rd, Suite 209, Liverpool, NY 13088-2806 |
| Abraham M Masara | Nurse Practitioner | 4756 Summerhurst Dr, Liverpool, NY 13088-3622 | |
| Robert A Dracker | Pediatric Medicine | 4811 Buckley Rd, Liverpool, NY 13088-3629 | |
| Find all physicians in zip 13088 | |||
| City | LIVERPOOL |
| Zip Code | 13088 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | LIVERPOOL + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Shannon M Roach.
| 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.