Mary Shenouda (NPI# 1104801976, PAC ID# 8325093164) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPHTHALMOLOGY.
| Nation Provider ID (NPI) | 1104801976 |
| PAC ID by PECOS | 8325093164 |
| Professional Enrollment ID | I20061213000267 |
| Full Name | Mary Shenouda |
| Organization Legal Name | ADVANCED VISION CARE, INC |
| Address |
2300 Baton Rouge Lima OH 45805-1130 |
| Phone Number | 4199913937 |
| Gender | F |
| Credential | MD |
| Medical School | LOYOLA UNIVERSITY OF CHICAGO, STRITCH SCHOOL OF MEDICINE |
| Graduation Year | 2001 |
| Primary Specialty | OPHTHALMOLOGY |
| Group Practice PAC ID | 6901995174 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 360066 | ST RITA'S MEDICAL CENTER |
| 360009 | LIMA MEMORIAL HEALTH SYSTEM |
| Address | Phone | Organization |
|---|---|---|
| 2300 Baton Rouge, Lima, OH 45805-1130 | 4199913937 | ADVANCED VISION CARE, INC |
| Organization Legal Name | ADVANCED VISION CARE, INC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael T Craig | Ophthalmology | Advanced Vision Care, Inc | 2300 Baton Rouge, Lima, OH 45805-1130 |
| Street Address |
2300 BATON ROUGE |
| City | LIMA |
| State | OH |
| Zip | 45805-1130 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael T Craig | Ophthalmology | Advanced Vision Care, Inc | 2300 Baton Rouge, Lima, OH 45805-1130 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Darryl M Haycock | Podiatry | 2311 Baton Rouge, Lima, OH 45805-1129 | |
| Michael Griffith | Psychologist, Clinical | 3000 Elida Rd, Suite 2, Lima, OH 45805-1232 | |
| Michael Fishbaugh Jr. | Optometry | Michael A. Fishbaugh Jr. O.d. Inc. | 1301 N Cable Rd, Lima, OH 45805-1407 |
| Amy L Bankey | Optometry | Michael A. Fishbaugh Jr. O.d. Inc. | 1301 N Cable Rd, Lima, OH 45805-1407 |
| Ashley Nicole Schoenherr | Optometry | Michael A. Fishbaugh Jr. O.d. Inc. | 1301 N Cable Rd, Lima, OH 45805-1407 |
| John Gillis | Chiropractic | 1905 Latham Ave, Lima, OH 45805-1637 | |
| Matthew P Ziccardi | Clinical Psychologist | 1045 Mackenzie Dr, Lima, OH 45805-1660 | |
| Omar A Sweidan | Optometry | 2155 Allentown Rd, Lima, OH 45805-1705 | |
| Dale W Case | Nurse Practitioner | Mercy Health Physicians Lima, LLC | 2195 Allentown Rd, Lima, OH 45805-1705 |
| Steven R Kocher | Optometry | 2155 Allentown Rd, Lima, OH 45805-1705 | |
| Find all physicians in zip 45805 | |||
| City | LIMA |
| Zip Code | 45805 |
| Specialty | OPHTHALMOLOGY |
| City + Specialty | LIMA + OPHTHALMOLOGY |
Please comment or provide details below to improve the information on Mary Shenouda.
| 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.