Elissa M Shannon (NPI# 1164799714, PAC ID# 2769659994) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA).
| Nation Provider ID (NPI) | 1164799714 |
| PAC ID by PECOS | 2769659994 |
| Professional Enrollment ID | I20120111000632 |
| Full Name | Elissa M Shannon |
| Organization Legal Name | ANESTHESIA SPECIALISTS OF BETHLEHEM, PC |
| Address |
801 Ostrum St Bethlehem PA 18015-1065 |
| Phone Number | 6109545810 |
| Gender | F |
| Graduation Year | 2011 |
| Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| Group Practice PAC ID | 1355254533 |
| Number of Group Practice Members | 132 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 390326 | ST LUKE'S HOSPITAL - ANDERSON CAMPUS |
| 310060 | ST. LUKE'S WARREN HOSPITAL |
| 390231 | ABINGTON MEMORIAL HOSPITAL |
| 390049 | ST LUKE'S HOSPITAL BETHLEHEM |
| Address | Phone | Organization |
|---|---|---|
| 1200 Old York Rd, Abington, PA 19001-3720 | 2154812000 | UNITED ANESTHESIA SERVICES PC |
| 801 Ostrum St, Bethlehem, PA 18015-1065 | 6109545810 | ANESTHESIA SPECIALISTS OF BETHLEHEM, PC |
| 185 Roseberry St, Phillipsburg, NJ 08865-1690 | 9088476700 | ANESTHESIA SPECIALISTS OF WARREN, LLC |
| Organization Legal Name | ANESTHESIA SPECIALISTS OF BETHLEHEM, PC |
| Physicians | 136 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Humberto Ortiz Jr. | Certified Registered Nurse Anesthetist (crna) | Anesthesia Specialists of Bethlehem, PC | 801 Ostrum St, Bethlehem, PA 18015-1065 |
| Matthew S Yoder | Anesthesiology | Anesthesia Specialists of Bethlehem, PC | 801 Ostrum St, Bethlehem, PA 18015-1065 |
| Eric Tesoriero | Anesthesiology | Anesthesia Specialists of Bethlehem, PC | 801 Ostrum St, Bethlehem, PA 18015-1065 |
| Richard C. Gossar | Certified Registered Nurse Anesthetist (crna) | Anesthesia Specialists of Bethlehem, PC | 801 Ostrum St, Bethlehem, PA 18015-1065 |
| Amber S Kozlowski | Certified Registered Nurse Anesthetist (crna) | Anesthesia Specialists of Bethlehem, PC | 801 Ostrum St, Bethlehem, PA 18015-1065 |
| Leslie A White | Certified Registered Nurse Anesthetist (crna) | Anesthesia Specialists of Bethlehem, PC | 801 Ostrum St, Bethlehem, PA 18015-1065 |
| John G Shertz Jr. | Certified Registered Nurse Anesthetist (crna) | Anesthesia Specialists of Bethlehem, PC | 801 Ostrum St, Bethlehem, PA 18015-1065 |
| Giselle M Brown | Certified Registered Nurse Anesthetist (crna) | Anesthesia Specialists of Bethlehem, PC | 801 Ostrum St, Bethlehem, PA 18015-1065 |
| Susan E Clontz | Certified Registered Nurse Anesthetist (crna) | Anesthesia Specialists of Bethlehem, PC | 801 Ostrum St, Bethlehem, PA 18015-1065 |
| Patricia A Gustafson | Certified Registered Nurse Anesthetist (crna) | Anesthesia Specialists of Bethlehem, PC | 801 Ostrum St, Bethlehem, PA 18015-1065 |
| Street Address |
801 OSTRUM ST |
| City | BETHLEHEM |
| State | PA |
| Zip | 18015-1065 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amanda M Semonche | Internal Medicine | St Lukes Physician Group Inc | 801 Ostrum St, Bethlehem, PA 18015-1000 |
| Hasan Bayat | Hospitalist | St Lukes Physician Group Inc | 801 Ostrum St, Bethlehem, PA 18015-1000 |
| Jessica L Fenner | Physician Assistant | St Lukes Physician Group Inc | 801 Ostrum St, Bethlehem, PA 18015-1000 |
| Kristen N Scholz | Nurse Practitioner | St Lukes Physician Group Inc | 801 Ostrum St, Bethlehem, PA 18015-1000 |
| Donald D Diverio | Orthopedic Surgery | St Lukes Physician Group Inc | 801 Ostrum St, Bethlehem, PA 18015-1000 |
| Beth L Valderrama | Physician Assistant | St Lukes Physician Group Inc | 801 Ostrum St, Bethlehem, PA 18015-1000 |
| Stephen A Olenchock Jr. | Thoracic Surgery | St Lukes Physician Group Inc | 801 Ostrum St, Bethlehem, PA 18015-1000 |
| Rebecca R Rasmuson | Physician Assistant | St Lukes Physician Group Inc | 801 Ostrum St, Bethlehem, PA 18015-1000 |
| Jorge S Picado | Physician Assistant | St Lukes Physician Group Inc | 801 Ostrum St, Bethlehem, PA 18015-1000 |
| John E Connelly | Family Medicine | St Lukes Physician Group Inc | 801 Ostrum St, Bethlehem, PA 18015-1000 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ariel A Alicea | Family Medicine | St Lukes Physician Group Inc | 801 Ostrum St, Bethlehem, PA 18015-1000 |
| Tiffany N Mazur | Physician Assistant | St Lukes Physician Group Inc | 801 Ostrum St, Bethlehem, PA 18015-1000 |
| Stanley O Ikezi | Pain Management | St Lukes Physician Group Inc | 801 Ostrum St, Bethlehem, PA 18015-1000 |
| Patrick P Cheatle | Emergency Medicine | St Lukes Physician Group Inc | 801 Ostrum St, Bethlehem, PA 18015-1000 |
| Sumair Akhtar | Hospitalist | St Lukes Physician Group Inc | 801 Ostrum St, Bethlehem, PA 18015-1000 |
| Eric R Eustice | Emergency Medicine | St Lukes Physician Group Inc | 801 Ostrum St, Bethlehem, PA 18015-1000 |
| Sarah Wildrick | Physician Assistant | St Luke's Hospital | 801 Ostrum St, Bethlehem, PA 18015-1000 |
| Brianna A Kays | Physician Assistant | St Lukes Physician Group Inc | 801 Ostrum St, Bethlehem, PA 18015-1000 |
| Rebecca K Jeanmonod | Emergency Medicine | St Lukes Physician Group Inc | 801 Ostrum St, Bethlehem, PA 18015-1000 |
| Lisa M Fedullo | Interventional Radiology | Progressive Physician Associates Inc | 801 Ostrum St, Bethlehem, PA 18015-1000 |
| Find all physicians in zip 18015 | |||
| City | BETHLEHEM |
| Zip Code | 18015 |
| Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| City + Specialty | BETHLEHEM + CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
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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.