Shaun D Conlon (NPI# 1760667034, PAC ID# 4385800044) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NEPHROLOGY.
| Nation Provider ID (NPI) | 1760667034 |
| PAC ID by PECOS | 4385800044 |
| Professional Enrollment ID | I20120724000804 |
| Full Name | Shaun D Conlon |
| Organization Legal Name | ATLANTA KIDNEY CARE LLC |
| Address |
5667 Peachtree Dunwoody Rd Suite 260 Atlanta GA 30342-1714 |
| Phone Number | 4042551030 |
| Gender | M |
| Medical School | STATE UNIVERSITY OF NEW YORK AT STONY BROOK, SCHOOL OF MEDICINE |
| Graduation Year | 2007 |
| Primary Specialty | NEPHROLOGY |
| Group Practice PAC ID | 8224339700 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110082 | SAINT JOSEPH'S HOSPITAL OF ATLANTA, INC |
| 110161 | NORTHSIDE HOSPITAL |
| 110010 | EMORY UNIVERSITY HOSPITAL |
| 110230 | EMORY JOHNS CREEK HOSPITAL |
| 110078 | EMORY UNIVERSITY HOSPITAL MIDTOWN |
| Address | Phone | Organization |
|---|---|---|
| 5667 Peachtree Dunwoody Rd, Suite 260, Atlanta, GA 30342-1714 | 4042551030 | ATLANTA KIDNEY CARE LLC |
| Organization Legal Name | ATLANTA KIDNEY CARE LLC |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lisa Gomez | Nurse Practitioner | Atlanta Kidney Care LLC | 5667 Peachtree Dunwoody Rd, Suite 260, Atlanta, GA 30342-1714 |
| Kettia Mathurin | Nurse Practitioner | Atlanta Kidney Care LLC | 5667 Peachtree Dunwoody Rd, Suite 260, Atlanta, GA 30342-1714 |
| Srijita Mukherjee | Nephrology | Atlanta Kidney Care LLC | 5667 Peachtree Dunwoody Rd, Suite 260, Atlanta, GA 30342-1714 |
| Susan Claire Hill | Nephrology | Atlanta Kidney Care LLC | 5667 Peachtree Dunwoody Rd, Suite 260, Atlanta, GA 30342-1714 |
| Tina Thomas | Nephrology | Atlanta Kidney Care LLC | 5667 Peachtree Dunwoody Rd, Suite 260, Atlanta, GA 30342-1714 |
| Street Address |
5667 PEACHTREE DUNWOODY RD SUITE 260 |
| City | ATLANTA |
| State | GA |
| Zip | 30342-1714 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sander Binderow | Colorectal Surgery (proctology) | Northside Surgical Professional Services LLC | 5667 Peachtree Dunwoody Rd, Suite 330, Atlanta, GA 30342-1757 |
| Lisa Gomez | Nurse Practitioner | Atlanta Kidney Care LLC | 5667 Peachtree Dunwoody Rd, Suite 260, Atlanta, GA 30342-1714 |
| Sorin Vainer | Internal Medicine | Vainer and Vainer Nephrology | 5667 Peachtree Dunwoody Rd, Suite 380, Atlanta, GA 30342-1714 |
| Kettia Mathurin | Nurse Practitioner | Atlanta Kidney Care LLC | 5667 Peachtree Dunwoody Rd, Suite 260, Atlanta, GA 30342-1714 |
| Srijita Mukherjee | Nephrology | Atlanta Kidney Care LLC | 5667 Peachtree Dunwoody Rd, Suite 260, Atlanta, GA 30342-1714 |
| Alon J Vainer | Nephrology | Vainer and Vainer Nephrology | 5667 Peachtree Dunwoody Rd, Suite 380, Atlanta, GA 30342-1714 |
| Susan Claire Hill | Nephrology | Atlanta Kidney Care LLC | 5667 Peachtree Dunwoody Rd, Suite 260, Atlanta, GA 30342-1714 |
| Kenneth M Braunstein | Internal Medicine | 5667 Peachtree Dunwoody Rd, Suite 294, Atlanta, GA 30342-1716 | |
| Tina Thomas | Nephrology | Atlanta Kidney Care LLC | 5667 Peachtree Dunwoody Rd, Suite 260, Atlanta, GA 30342-1714 |
| Gie Na Yu | Colorectal Surgery (proctology) | Northside Surgical Professional Services LLC | 5667 Peachtree Dunwoody Rd, Suite 330, Atlanta, GA 30342-1757 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jerry T Todd | Anesthesiology | Mak Anesthesia Holdings, LLC | 9930 Johnson Ferry Rd Ne, Suite 200, Atlanta, GA 30342 |
| Nelson Enrique Castillo | Plastic and Reconstructive Surgery | 5445 Meridian Mark Rd Ne, Suite 395, Sandy Springs, GA 30342 | |
| Mackenzie J King | Nurse Practitioner | Northside Radiology Associates PC | 5445 Meridian Mark Rd, Suite 450, Atlanta, GA 30342 |
| Stephen Kraus | Emergency Medicine | Dermatology Associates of Atlanta | 5555 Peachtree Dnwdy Rd, Suite 190, Atlanta, GA 30342 |
| Charles F Peebles | Podiatry | Perry H Julien Dpm | 5600 Roswell Rd Ne, M190, Atlanta, GA 30342-1134 |
| Perry H Julien | Podiatry | Perry H Julien Dpm | 5600 Roswell Rd Ne, M190, Atlanta, GA 30342-1134 |
| Amanda Elizabeth Williams | Psychiatry | 5605 Glenridge Dr, Suite 620, Atlanta, GA 30342-1377 | |
| Daniel J Wachtel | Psychologist, Clinical | 5605 Glenridge Dr Ne, Suite 600, Atlanta, GA 30342-1377 | |
| James A Purvis | Psychologist, Clinical | 5605 Glenridge Dr, Suite 620, Atlanta, GA 30342-1377 | |
| Viviana L Mahoney | Psychologist, Clinical | 5605 Glenridge Dr, Suite 620, Atlanta, GA 30342-1377 | |
| Find all physicians in zip 30342 | |||
| City | ATLANTA |
| Zip Code | 30342 |
| Specialty | NEPHROLOGY |
| City + Specialty | ATLANTA + NEPHROLOGY |
Please comment or provide details below to improve the information on Shaun D Conlon.
| 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.