Shannon Rae Sgro (NPI# 1396790358, PAC ID# 2567426067) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1396790358 |
| PAC ID by PECOS | 2567426067 |
| Professional Enrollment ID | I20041115000917 |
| Full Name | Shannon Rae Sgro |
| Organization Legal Name | ROSEVILLE DERMATOLOGY INC |
| Address |
1412 Blue Oaks Blvd Roseville CA 95747-7143 |
| Phone Number | 9167847546104 |
| Gender | F |
| Credential | PA |
| Graduation Year | 2000 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 5991717936 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1412 Blue Oaks Blvd, Roseville, CA 95747-7143 | 9167847546104 | ROSEVILLE DERMATOLOGY INC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_EP_1 | e-Prescribing | 85% | |
| ACI_EC_TRANS_MR_1 | Medication Reconciliation | 97% | |
| ACI_EC_TRANS_PEA_1 | Provide Patient Access | 97% | |
| ACI_EC_TRANS_PEA_2 | View, Download, or Transmit (VDT) | 12% | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| ACI_EC_TRANS_PSE_1 | Patient-Specific Education | 33% | |
| ACI_EC_TRANS_SM_1 | Secure Messaging | 2% | |
| MIPS_EC_047_overall | Care Plan | 64% |
| Organization Legal Name | ROSEVILLE DERMATOLOGY INC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christopher Hiepxuan Ha | Dermatology | Roseville Dermatology Inc | 1412 Blue Oaks Blvd, Roseville, CA 95747-7143 |
| David Shane Hagemann | Physician Assistant | Roseville Dermatology Inc | 1412 Blue Oaks Blvd, Roseville, CA 95747-7143 |
| Street Address |
1412 BLUE OAKS BLVD |
| City | ROSEVILLE |
| State | CA |
| Zip | 95747-7143 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christopher Hiepxuan Ha | Dermatology | Roseville Dermatology Inc | 1412 Blue Oaks Blvd, Roseville, CA 95747-7143 |
| David Shane Hagemann | Physician Assistant | Roseville Dermatology Inc | 1412 Blue Oaks Blvd, Roseville, CA 95747-7143 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Camille Rene Weissenberg | Optometry | Blue Oaks Eyecare Inc | 1422 Blue Oaks Blvd, Suite 150, Roseville, CA 95747-5196 |
| Kristie M Trang | Optometry | Blue Oaks Eyecare Inc | 1422 Blue Oaks Blvd, Suite 150, Roseville, CA 95747-5196 |
| Cheng Saetern | Clinical Social Worker | Wellqor Psychological Services of California, PC | 1295 Hemingway Dr, Roseville, CA 95747-5827 |
| Christine Turner | Psychologist, Clinical | Wellqor Psychological Services of California, PC | 1295 Hemingway Dr, Roseville, CA 95747-5827 |
| Gracie Christine Lu | Clinical Social Worker | Psychological Solutions for Seniors PC | 1295 Hemingway Dr, Roseville, CA 95747-5827 |
| Peggy Randolph | Clinical Social Worker | Psychological Solutions for Seniors PC | 1295 Hemingway Dr, Roseville, CA 95747-5827 |
| Nicole Klasey | Clinical Psychologist | Psychological Solutions for Seniors PC | 1295 Hemingway Dr, Roseville, CA 95747-5827 |
| Mary Mckennell | Clinical Social Worker | Psychological Solutions for Seniors PC | 1295 Hemingway Dr, Roseville, CA 95747-5827 |
| Jennafer L Land | Chiropractic | 1269 Pleasant Grove Blvd, Suite 190, Roseville, CA 95747-5885 | |
| Peter S Klem | Optometry | Fred P Guarcello and Peter S Klem Ptr | 1263 Pleasant Grove Blvd, Suite 100, Roseville, CA 95747-5886 |
| Find all physicians in zip 95747 | |||
| City | ROSEVILLE |
| Zip Code | 95747 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | ROSEVILLE + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Shannon Rae Sgro.
| 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.