Solomon C Shockman (NPI# 1427369396, PAC ID# 1153562871) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.
| Nation Provider ID (NPI) | 1427369396 |
| PAC ID by PECOS | 1153562871 |
| Professional Enrollment ID | I20150720003303 |
| Full Name | Solomon C Shockman |
| Organization Legal Name | FOREFRONT DERMATOLOGY SC |
| Address |
510 N 17th Ave Suite C Wausau WI 54401-4281 |
| Phone Number | 7158495333 |
| Gender | M |
| Medical School | TEMPLE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2010 |
| Primary Specialty | DERMATOLOGY |
| Group Practice PAC ID | 3779471701 |
| Number of Group Practice Members | 289 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 510 N 17th Ave, Suite C, Wausau, WI 54401-4281 | 7158495333 | FOREFRONT DERMATOLOGY SC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| MIPS_EC_137_overall | Melanoma: Continuity of Care - Recall System | 77% | |
| MIPS_EC_224_overall | Melanoma: Overutilization of Imaging Studies in Melanoma | 100% | |
| MIPS_EC_265_overall | Biopsy Follow-Up | 65% |
| Organization Legal Name | FOREFRONT DERMATOLOGY SC |
| Physicians | 289 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christian Wichterman | Dermatology | Forefront Dermatology Sc | 305 E Eisenhower Pkwy, Suite 320, Ann Arbor, MI 48108-3354 |
| Lindsay Michelle Stevens | Nurse Practitioner | Forefront Dermatology Sc | 2246 N Pointe Dr, Warsaw, IN 46582-9042 |
| Miriam Pearl Finkel | Dermatology | Forefront Dermatology Sc | 2790 Mosside Blvd, Suite 720, Monroeville, PA 15146-2757 |
| Stephanie Mathews Kazantsev | Dermatology | Forefront Dermatology Sc | 2051 Plainfield Rd, Crest Hill, IL 60403-1865 |
| Sonam Rama | Dermatology | Forefront Dermatology Sc | 706 W Huron St, Ann Arbor, MI 48103-4212 |
| Danielle Marie Waymire | Dermatology | Forefront Dermatology Sc | 1320 Pabst Farms Cir, Unit 180, Oconomowoc, WI 53066-4878 |
| Marie Saxon Ford | Nurse Practitioner | Forefront Dermatology Sc | 2333 Ring Rd, Elizabethtown, KY 42701-9162 |
| Sarah Campbell | Dermatology | Forefront Dermatology Sc | 913 Menoher Blvd, Johnstown, PA 15905-2834 |
| Gregory Dougan | Physician Assistant | Forefront Dermatology Sc | 911 N Shelby St, Salem, IN 47167-2304 |
| Emily N Williams | Physician Assistant | Forefront Dermatology Sc | 100 N Town Ctr Rd, Suite C, Mooresville, IN 46158-2322 |
| Street Address |
510 N 17TH AVE SUITE C |
| City | WAUSAU |
| State | WI |
| Zip | 54401-4281 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Aelayna N Meyer | Dermatology | Forefront Dermatology Sc | 510 N 17th Ave, Suite C, Wausau, WI 54401-4281 |
| Breanne Leigh Ceranske | Physician Assistant | Forefront Dermatology Sc | 510 N 17th Ave, Suite C, Wausau, WI 54401-4281 |
| Barry T Passini | Neurology | 510 N 17th Ave, A1, Wausau, WI 54401-4200 | |
| Elizabeth Ann Nietert | Dermatology | Forefront Dermatology Sc | 510 N 17th Ave, Suite C, Wausau, WI 54401-4281 |
| Laurie L Wolf | Physical Medicine and Rehabilitation | Acuity Neurology, S.c. | 510 N 17th Ave, A1, Wausau, WI 54401-4200 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Vincent E Bearjar | Oral Surgery | 2600 Stewart Ave, Suite 158, Wausau, WI 54401-1404 | |
| Juan Fernandez Iii | Psychiatry | 2600 Stewart Ave, Suite 270, Wausau, WI 54401-1405 | |
| Daniel W Throm | Chiropractic | Throm Health and Wellness | 605 S 24th Ave, Suite 46, Wausau, WI 54401-1705 |
| Peter A Throm Sr. | Chiropractic | Throm Health and Wellness | 605 S 24th Ave, Suite 46, Wausau, WI 54401-1705 |
| Michael J Borski | Chiropractic | Baker Borski Chiropractic Sc | 2809 Merrill Ave, Wausau, WI 54401-1853 |
| Robin L Baker | Chiropractic | Baker Borski Chiropractic Sc | 2809 Merrill Ave, Wausau, WI 54401-1853 |
| Danielle Sommerfeldt | Nurse Practitioner | Interim Hospice and Palliative Care | 1805 N 6th Ave, Wausau, WI 54401-1928 |
| Erich G Neumeyer | Chiropractic | 1204 Merrill Ave, Wausau, WI 54401-2637 | |
| Dawn J Anderson | Podiatry | Aspirus Clinics Inc | 1445 Merrill Ave, Wausau, WI 54401-2646 |
| Thomas G Landretti | Podiatry | Aspirus Clinics Inc | 1445 Merrill Ave, Wausau, WI 54401-2646 |
| Find all physicians in zip 54401 | |||
| City | WAUSAU |
| Zip Code | 54401 |
| Specialty | DERMATOLOGY |
| City + Specialty | WAUSAU + DERMATOLOGY |
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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.