Heather M Shannon (NPI# 1790775005, PAC ID# 3274591128) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED NURSE MIDWIFE (CNM).
| Nation Provider ID (NPI) | 1790775005 |
| PAC ID by PECOS | 3274591128 |
| Professional Enrollment ID | I20041227000160 |
| Full Name | Heather M Shannon |
| Organization Legal Name | OSWEGO COUNTY OPPORTUNITIES, INC. |
| Address |
522 S 4th St Suite 500 Fulton NY 13069-2936 |
| Phone Number | 3155984790 |
| Gender | F |
| Credential | CNM |
| Graduation Year | 1997 |
| Primary Specialty | CERTIFIED NURSE MIDWIFE (CNM) |
| Group Practice PAC ID | 0749176436 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330218 | OSWEGO HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 522 S 4th St, Suite 500, Fulton, NY 13069-2936 | 3155984790 | OSWEGO COUNTY OPPORTUNITIES, INC. |
| Organization Legal Name | OSWEGO COUNTY OPPORTUNITIES, INC. |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lisa Sousou | Physician Assistant | Oswego County Opportunities, Inc. | 522 S 4th St, Suite 500, Fulton, NY 13069-2936 |
| Dinah M Olson | Physician Assistant | Oswego County Opportunities, Inc. | 10 George St, Oswego, NY 13126-3276 |
| Rosemarie L Surowiec | Physician Assistant | Oswego County Opportunities, Inc. | 10 George St, Oswego, NY 13126-3276 |
| Street Address |
522 S 4TH ST SUITE 500 |
| City | FULTON |
| State | NY |
| Zip | 13069-2936 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| August R Buerkle Jr. | Orthopedic Surgery | 522 S 4th St, Suite 1400, Fulton, NY 13069-2937 | |
| Lisa Sousou | Physician Assistant | Oswego County Opportunities, Inc. | 522 S 4th St, Suite 500, Fulton, NY 13069-2936 |
| Zaeem Ansari | Internal Medicine | 522 S 4th St, Suite 1500, Fulton, NY 13069-2937 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joshua H Blodgett | Nurse Practitioner | Liberty Resources Inc. | 1850 Cnty Rte, Suite 57, Fulton, NY 13069 |
| Angelique Chambers | Clinical Social Worker | Liberty Resources Inc. | 1850 Cnty Rte, Suite 57, Fulton, NY 13069 |
| Christian L Holcomb | Family Medicine | Northway Medical Associates, Pllc | 21 N 2nd St, Fulton, NY 13069-1250 |
| Rajeev Saini | Internal Medicine | Northway Medical Associates, Pllc | 21 N 2nd St, Fulton, NY 13069-1250 |
| Katherine Mcphee | Nurse Practitioner | Northway Medical Associates, Pllc | 21 N 2nd St, Fulton, NY 13069-1250 |
| Suryakant Z Patel | Family Medicine | Northway Medical Associates, Pllc | 21 N 2nd St, Fulton, NY 13069-1250 |
| Brittany J Todd | Physician Assistant | Northway Medical Associates, Pllc | 21 N 2nd St, Fulton, NY 13069-1250 |
| Sushma Sapkota Pandey | Internal Medicine | Northway Medical Associates, Pllc | 21 N 2nd St, Fulton, NY 13069-1250 |
| Douglas J Dickson | Podiatry | 98 N 2nd St, Suite 101, Fulton, NY 13069-1254 | |
| Karl F Hafner | Family Practice | 98 N 2nd St, Fulton, NY 13069-1254 | |
| Find all physicians in zip 13069 | |||
| City | FULTON |
| Zip Code | 13069 |
| Specialty | CERTIFIED NURSE MIDWIFE (CNM) |
| City + Specialty | FULTON + CERTIFIED NURSE MIDWIFE (CNM) |
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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.