Shannon Roesch (NPI# 1992876239, PAC ID# 3870541436) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PODIATRY.
| Nation Provider ID (NPI) | 1992876239 |
| PAC ID by PECOS | 3870541436 |
| Professional Enrollment ID | I20050110001182 |
| Full Name | Shannon Roesch |
| Address |
242 Jericho Tpke Floral Park NY 11001-2147 |
| Gender | F |
| Credential | DPM |
| Medical School | NEW YORK COLLEGE OF PODIATRIC MEDICINE |
| Graduation Year | 2002 |
| Primary Specialty | PODIATRY |
| Accepts Medicare Assignment | M |
| Address | Phone | Organization |
|---|---|---|
| 242 Jericho Tpke, Floral Park, NY 11001-2147 |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| MIPS_EC_047_overall | Care Plan | 100% |
| Street Address |
242 JERICHO TPKE |
| City | FLORAL PARK |
| State | NY |
| Zip | 11001-2147 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Bruce S Stein | Internal Medicine | 261 12 E Williston Ave, Floral Park, NY 11001-1145 | |
| Andrea J Muras | Clinical Psychologist | 8653 256th St, Floral Park, NY 11001-1405 | |
| Michael James Bordoy | Occupational Therapy | Health and Wellness Physical Therapy, PC | 162 Jericho Tpke, Floral Park, NY 11001-2006 |
| Michael J Bardunias | Physical Therapy | Health and Wellness Physical Therapy, PC | 162 Jericho Tpke, Floral Park, NY 11001-2006 |
| Paul A Maller | Internal Medicine | 22 S Tyson Ave, Floral Park, NY 11001-2017 | |
| Alisa A Sherman | Clinical Social Worker | 199 Jericho Tpke, Suite 202, Floral Park, NY 11001-2100 | |
| Vincent L Zara | Chiropractic | 199 Jericho Tpke, Suite 204, Floral Park, NY 11001-2100 | |
| Marc E Wietschner | Ophthalmology | 342 Jericho Tpke, Floral Park, NY 11001-2108 | |
| Barry M Katzman | Orthopedic Surgery | 261 Jericho Tpke, Floral Park, NY 11001-2146 | |
| Sanhua Leng | Physical Therapy | 266 Jericho Tpke, Suite 1, Floral Park, NY 11001-2154 | |
| Find all physicians in zip 11001 | |||
| City | FLORAL PARK |
| Zip Code | 11001 |
| Specialty | PODIATRY |
| City + Specialty | FLORAL PARK + PODIATRY |
Please comment or provide details below to improve the information on Shannon Roesch.
| 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.