Shannon Kelly (NPI# 1508306309, PAC ID# 3375828890) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1508306309 |
| PAC ID by PECOS | 3375828890 |
| Professional Enrollment ID | I20170324001635 |
| Full Name | Shannon Kelly |
| Organization Legal Name | STEPHEN J NICHOLAS MD PC |
| Address |
159 E 74 St New York NY 10021-3235 |
| Phone Number | 2127373301 |
| Gender | F |
| Graduation Year | 2016 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 0446264931 |
| Number of Group Practice Members | 22 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 130 E 77th St, New York, NY 10075-1851 | 2127373301 | STEPHEN J NICHOLAS MD PC |
| 159 E 74 St, New York, NY 10021-3235 | 2127373301 | STEPHEN J NICHOLAS MD PC |
| Organization Legal Name | STEPHEN J NICHOLAS MD PC |
| Physicians | 28 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Yevgeniy Korshunov | Orthopedic Surgery | Stephen J Nicholas Md PC | 1870 Richmond Rd, Staten Island, NY 10306-2553 |
| Benjamin B Bedford | Orthopedic Surgery | Stephen J Nicholas Md PC | 200 W 13th St Asc, 4th Fl, New York, NY 10011-7702 |
| Elizabeth Nguyen | Physical Medicine and Rehabilitation | Stephen J Nicholas Md PC | 159 E 74 St, New York, NY 10021-3235 |
| Katherine M Wohlstadter | Physician Assistant | Stephen J Nicholas Md PC | 159 E 74 St, New York, NY 10021-3235 |
| David M Matusz | Orthopedic Surgery | Stephen J Nicholas Md PC | 159 E 74 St, New York, NY 10021-3235 |
| Matthew S Mendez-zfass | Sports Medicine | Stephen J Nicholas Md PC | 159 E 74th St, Fl 2, New York, NY 10021-3309 |
| Firas M Chamas | Orthopedic Surgery | Stephen J Nicholas Md PC | 130 E 77th St, Fl 5, New York, NY 10075-1851 |
| Gregory J Galano | Orthopedic Surgery | Stephen J Nicholas Md PC | 159 E 74th St, Fl 2, New York, NY 10021-3309 |
| Stephen J Nicholas | Orthopedic Surgery | Stephen J Nicholas Md PC | 130 E 77th St, Fl 5, New York, NY 10075-1851 |
| Steven J Lee | Orthopedic Surgery | Stephen J Nicholas Md PC | 130 E 77th St, Suite 5, New York, NY 10075-1851 |
| Street Address |
159 E 74 ST |
| City | NEW YORK |
| State | NY |
| Zip | 10021-3235 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Russell Howard Silver | Pain Management | 159 E 74 St, New York, NY 10021-3235 | |
| Elizabeth Nguyen | Physical Medicine and Rehabilitation | Stephen J Nicholas Md PC | 159 E 74 St, New York, NY 10021-3235 |
| Katherine M Wohlstadter | Physician Assistant | Stephen J Nicholas Md PC | 159 E 74 St, New York, NY 10021-3235 |
| David M Matusz | Orthopedic Surgery | Stephen J Nicholas Md PC | 159 E 74 St, New York, NY 10021-3235 |
| Cathy S Altman | Physical Therapy | 159 E 74 St, New York, NY 10021-3235 | |
| Wayne M Winnick | Chiropractic | 159 E 74 St, Suite 2, New York, NY 10021-3235 | |
| John L Xethalis | Sports Medicine | Stephen J Nicholas Md PC | 159 E 74 St, New York, NY 10021-3235 |
| Meredith Beard | Physician Assistant | Stephen J Nicholas Md PC | 159 E 74 St, New York, NY 10021-3235 |
| Anthony Sapienza | Hand Surgery | Stephen J Nicholas Md PC | 159 E 74 St, New York, NY 10021-3235 |
| Mark J Klion | Orthopedic Surgery | Stephen J Nicholas Md PC | 159 E 74 St, New York, NY 10021-3235 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Aida Hippolyte Saliby | Endocrinology | Weill Medical College of Cornell | 211 E 80th St, Floor 2, New York, NY 10021 |
| Michele Yeung | Endocrinology | Weill Medical College of Cornell | 211 E 80th St, Floor 2, New York, NY 10021 |
| Pangiota Andreopoulou | Endocrinology | Weill Medical College of Cornell | 211 E 80th St, Floor 2, New York, NY 10021 |
| Brian D Schwartz | Endocrinology | Weill Medical College of Cornell | 211 E 80th St, Floor 2, New York, NY 10021 |
| Melissa D Katz | Endocrinology | Weill Medical College of Cornell | 211 E 80th St, Floor 2, New York, NY 10021 |
| Anthony Hollenberg | Endocrinology | Weill Medical College of Cornell | 211 E 80th St, Floor 2, New York, NY 10021 |
| Tiffany Yeh | Endocrinology | Weill Medical College of Cornell | 211 E 80th St, Floor 2, New York, NY 10021 |
| Megan J Ritter | Endocrinology | Weill Medical College of Cornell | 211 E 80th St, Floor 2, New York, NY 10021 |
| Felicia A Mendelsohn Curanaj | Endocrinology | Weill Medical College of Cornell | 211 E 80th St, Floor 2, New York, NY 10021 |
| Amy Lam | Nurse Practitioner | Weill Medical College of Cornell | 211 E 80th St, Floor 2, New York, NY 10021 |
| Find all physicians in zip 10021 | |||
| City | NEW YORK |
| Zip Code | 10021 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | NEW YORK + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Shannon Kelly.
| 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.