Shannon N Mckeen (NPI# 1093159964, PAC ID# 5991008658) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.
| Nation Provider ID (NPI) | 1093159964 |
| PAC ID by PECOS | 5991008658 |
| Professional Enrollment ID | I20170815001141 |
| Full Name | Shannon N Mckeen |
| Organization Legal Name | APEX DERMATOLOGY AND SKIN SURGERY CENTER, LLC |
| Address |
7580 Auburn Rd Suite 301 Painesville OH 44077-9618 |
| Phone Number | 4403527546 |
| Gender | F |
| Medical School | LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE |
| Graduation Year | 2013 |
| Primary Specialty | DERMATOLOGY |
| Group Practice PAC ID | 1052589777 |
| Number of Group Practice Members | 15 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 360098 | LAKE HEALTH |
| Address | Phone | Organization |
|---|---|---|
| 5800 Landerbrook Dr, Suite 250, Mayfield Hts, OH 44124-4083 | 4406461600 | APEX DERMATOLOGY AND SKIN SURGERY CENTER, LLC |
| 7580 Auburn Rd, Suite 301, Painesville, OH 44077-9618 | 4403527546 | APEX DERMATOLOGY AND SKIN SURGERY CENTER, LLC |
| Organization Legal Name | APEX DERMATOLOGY AND SKIN SURGERY CENTER, LLC |
| Physicians | 16 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gregory R Delost | Dermatology | Apex Dermatology and Skin Surgery Center, LLC | 5800 Landerbrook Dr, Suite 250, Mayfield Hts, OH 44124-4083 |
| Aziza Wahby | Dermatology | Apex Dermatology and Skin Surgery Center, LLC | 4350 Crocker Rd, Suite 300, Westlake, OH 44145-6329 |
| Amy Melissa Polster | Dermatology | Apex Dermatology and Skin Surgery Center, LLC | 7580 Auburn Rd, Suite 301, Painesville, OH 44077-9618 |
| Lauren C Karpinski | Dermatology | Apex Dermatology and Skin Surgery Center, LLC | 7580 Auburn Rd, Suite 301, Painesville, OH 44077-9618 |
| Valerie A Dailey | Physician Assistant | Apex Dermatology and Skin Surgery Center, LLC | 7580 Auburn Rd, Suite 301, Painesville, OH 44077-9618 |
| Cynthia L Henry | Dermatology | Apex Dermatology and Skin Surgery Center, LLC | 7580 Auburn Rd, Suite 301, Painesville, OH 44077-9618 |
| Mary Meghan Hylton | Nurse Practitioner | Apex Dermatology and Skin Surgery Center, LLC | 5655 Hudson Dr, Suite 301, Hudson, OH 44236-4454 |
| Brian W Moore | Dermatology | Apex Dermatology and Skin Surgery Center, LLC | 7580 Auburn Rd, Suite 301, Painesville, OH 44077-9618 |
| Jorge A Garcia Zuazaga | Dermatology | Apex Dermatology and Skin Surgery Center, LLC | 7580 Auburn Rd, Suite 301, Painesville, OH 44077-9618 |
| Ringaile Sirvaitis | Nurse Practitioner | Apex Dermatology and Skin Surgery Center, LLC | 7580 Auburn Rd, Suite 301, Painesville, OH 44077-9618 |
| Street Address |
7580 AUBURN RD SUITE 301 |
| City | PAINESVILLE |
| State | OH |
| Zip | 44077-9618 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Daniel C Modarelli | Family Medicine | Lake Hospital System, Inc. | 7580 Auburn Rd, Concord Township, OH 44077-9617 |
| Michael D Gaugler | Otolaryngology | Eastside Ent Specialists Inc | 7580 Auburn Rd, Suite 103, Concord Twp, OH 44077-9616 |
| Amy Melissa Polster | Dermatology | Apex Dermatology and Skin Surgery Center, LLC | 7580 Auburn Rd, Suite 301, Painesville, OH 44077-9618 |
| Lauren C Karpinski | Dermatology | Apex Dermatology and Skin Surgery Center, LLC | 7580 Auburn Rd, Suite 301, Painesville, OH 44077-9618 |
| Valerie A Dailey | Physician Assistant | Apex Dermatology and Skin Surgery Center, LLC | 7580 Auburn Rd, Suite 301, Painesville, OH 44077-9618 |
| Cynthia L Henry | Dermatology | Apex Dermatology and Skin Surgery Center, LLC | 7580 Auburn Rd, Suite 301, Painesville, OH 44077-9618 |
| Lori A Falzone | Qualified Audiologist | Eastside Ent Specialists Inc | 7580 Auburn Rd, Suite 103, Concord Twp, OH 44077-9616 |
| Jane R Webb | Qualified Audiologist | Eastside Ent Specialists Inc | 7580 Auburn Rd, Suite 103, Concord Twp, OH 44077-9616 |
| Brian W Moore | Dermatology | Apex Dermatology and Skin Surgery Center, LLC | 7580 Auburn Rd, Suite 301, Painesville, OH 44077-9618 |
| Daniel L Hofius | Family Medicine | Lake Hospital System, Inc. | 7580 Auburn Rd, Suite 202, Concord Township, OH 44077-9617 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Roger J Mize | Clinical Social Worker | Western Reserve Counseling Service, Inc.. | Victoria Place On The Park, Painesville, OH 44077 |
| Marcus Estafanous | Ophthalmology | Vitreo Retinal Consultants Inc | 2163 Mentor Ave, Painesville, OH 44077-1323 |
| Seema J Ice | Ophthalmology | Ice Ophthalmology LLC | 2141 Mentor Ave, Painesville, OH 44077-1323 |
| Carl K Shin | Ophthalmology | Ice Ophthalmology LLC | 2141 Mentor Ave, Painesville, OH 44077-1323 |
| Stephen R Kaufman | Ophthalmology | Vitreo Retinal Consultants Inc | 2163 Mentor Ave, Painesville, OH 44077-1323 |
| Maryann Bencin | Qualified Audiologist | 1701 Mentor Ave, Suite 5, Painesville Twp., OH 44077-1459 | |
| Paul Canning Hanahan | General Practice | 50 Normandy Dr, Suite 5, Painesville, OH 44077-1600 | |
| John Harsha Paul | Orthopedic Surgery | 50 Normandy Dr, Suite 2, Painesville, OH 44077-1600 | |
| Scott J Gill | Chiropractic | 1545 Mentor Ave, Painesville, OH 44077-1706 | |
| Brian J Morris | Chiropractic | 1640 Mentor Ave, Painesville, OH 44077-1707 | |
| Find all physicians in zip 44077 | |||
| City | PAINESVILLE |
| Zip Code | 44077 |
| Specialty | DERMATOLOGY |
| City + Specialty | PAINESVILLE + DERMATOLOGY |
Please comment or provide details below to improve the information on Shannon N Mckeen.
| 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.