Shannon K Idzik (NPI# 1467445924, PAC ID# 4880666791) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1467445924 |
| PAC ID by PECOS | 4880666791 |
| Professional Enrollment ID | I20040811000452 |
| Full Name | Shannon K Idzik |
| Organization Legal Name | UPPER CHESAPEAKE PRIMARY CARE,LLC |
| Address |
2027 Pulaski Hwy Suite 203 Havre De Grace MD 21078-2147 |
| Phone Number | 4438436262 |
| Gender | F |
| Credential | NP |
| Graduation Year | 2003 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 3476637737 |
| Number of Group Practice Members | 13 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 2027 Pulaski Hwy, Suite 203, Havre De Grace, MD 21078-2147 | 4438436262 | UPPER CHESAPEAKE PRIMARY CARE,LLC |
| Organization Legal Name | UPPER CHESAPEAKE PRIMARY CARE,LLC |
| Physicians | 14 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Barbara A Lewis | Nurse Practitioner | Upper Chesapeake Primary Care,llc | 2027 Pulaski Hwy 203, Havre De Grace, MD 21078-2147 |
| Nancy J Piercy | Nurse Practitioner | Upper Chesapeake Primary Care,llc | 2027 Pulaski Hwy, Suite 203, Havre De Grace, MD 21078-2147 |
| Robert J Ishak | Internal Medicine | Upper Chesapeake Primary Care,llc | 2027 Pulaski Hwy, Suite 203, Havre De Grace, MD 21078-2147 |
| Mary A Wince | Nurse Practitioner | Upper Chesapeake Primary Care,llc | 520 Upper Chesapeake Dr, Suite 308, Bel Air, MD 21014-4375 |
| Victoria Donaldson | Nurse Practitioner | Upper Chesapeake Primary Care,llc | 2027 Pulaski Hwy, Suite 203, Havre De Grace, MD 21078-2147 |
| Aly Naguib | Family Medicine | Upper Chesapeake Primary Care,llc | 2 Colgate Dr, Suite 103, Forest Hill, MD 21050-2623 |
| Fermin F Barrueto Jr | Emergency Medicine | Upper Chesapeake Primary Care,llc | 2027 Pulaski Hwy, Suite 203, Havre De Grace, MD 21078-2147 |
| Robert E Rapp Jr. | Internal Medicine | Upper Chesapeake Primary Care,llc | 2027 Pulaski Hwy, Suite 203, Havre De Grace, MD 21078-2147 |
| Robbin Elaine Witkowski | Nurse Practitioner | Upper Chesapeake Primary Care,llc | 2 Colgate Dr, Suite 103, Forest Hill, MD 21050-2623 |
| Victoria A Blucher | Nurse Practitioner | Upper Chesapeake Primary Care,llc | 2027 Pulaski Hwy, Suite 203, Havre De Grace, MD 21078-2147 |
| Street Address |
2027 PULASKI HWY SUITE 203 |
| City | HAVRE DE GRACE |
| State | MD |
| Zip | 21078-2147 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Julie L Ducharme | Endocrinology | Upper Chesapeake Endocrinology Associates, LLC | 2027 Pulaski Hwy, Suite 207, Havre De Grace, MD 21078-2147 |
| Andrew Lebson | Nurse Practitioner | Upper Chesapeake Endocrinology Associates, LLC | 2027 Pulaski Hwy, Suite 207, Havre De Grace, MD 21078-2147 |
| Nancy J Piercy | Nurse Practitioner | Upper Chesapeake Primary Care,llc | 2027 Pulaski Hwy, Suite 203, Havre De Grace, MD 21078-2147 |
| Ali R Keramati | Cardiovascular Disease (cardiology) | Upper Chesapeake Cardiology, LLC | 2027 Pulaski Hwy, Suite 206, Havre De Grace, MD 21078-2147 |
| Robert J Ishak | Internal Medicine | Upper Chesapeake Primary Care,llc | 2027 Pulaski Hwy, Suite 203, Havre De Grace, MD 21078-2147 |
| Victoria Donaldson | Nurse Practitioner | Upper Chesapeake Primary Care,llc | 2027 Pulaski Hwy, Suite 203, Havre De Grace, MD 21078-2147 |
| Fermin F Barrueto Jr | Emergency Medicine | Upper Chesapeake Primary Care,llc | 2027 Pulaski Hwy, Suite 203, Havre De Grace, MD 21078-2147 |
| Kayur R Bhavsar | Endocrinology | Upper Chesapeake Endocrinology Associates, LLC | 2027 Pulaski Hwy, Suite 207, Havre De Grace, MD 21078-2147 |
| Emmanouil Tampakakis | Cardiovascular Disease (cardiology) | Upper Chesapeake Cardiology, LLC | 2027 Pulaski Hwy, Suite 206, Havre De Grace, MD 21078-2147 |
| Shristi Neupane | Endocrinology | Upper Chesapeake Endocrinology Associates, LLC | 2027 Pulaski Hwy, Suite 207, Havre De Grace, MD 21078-2147 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Samer Saiedy | Vascular Surgery | Samer Saiedy Md Pa | 1500 Blenhiem Farm Ln, Havre De Grace, MD 21078-2042 |
| Dalia A Abaza | Physician Assistant | Samer Saiedy Md Pa | 1500 Blenhiem Farm Ln, Havre De Grace, MD 21078-2042 |
| Judith H Grifasi | Optometry | 2015 Pulaski Hwy C, Havre De Grace, MD 21078-2128 | |
| Scott M Smearman | Optometry | Seidenberg Protzko Eye Associates | 2023 Pulaski Hwy, Havre De Grace, MD 21078-2137 |
| Kimberly A Neutze-heaney | Ophthalmology | Seidenberg Protzko Eye Associates | 2023 Pulaski Hwy, Havre De Grace, MD 21078-2137 |
| James E Stottlemyer | Optometry | Seidenberg Protzko Eye Associates | 2023 Pulaski Hwy, Havre De Grace, MD 21078-2137 |
| Jonathan A Seidenberg | Ophthalmology | Seidenberg Protzko Eye Associates | 2023 Pulaski Hwy, Havre De Grace, MD 21078-2137 |
| Daniel C Byron | Optometry | Seidenberg Protzko Eye Associates | 2023 Pulaski Hwy, Havre De Grace, MD 21078-2137 |
| Henry Alexander Leder | Ophthalmology | 2023 Pulaski Hwy, Havre De Grace, MD 21078-2137 | |
| Tyler F. Smardzewski | Chiropractic | 2129 Pulaski Hwy 103, Havre De Grace, MD 21078-2141 | |
| Find all physicians in zip 21078 | |||
| City | HAVRE DE GRACE |
| Zip Code | 21078 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | HAVRE DE GRACE + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Shannon K Idzik.
| 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.