Patrick Shannon (NPI# 1316933260, PAC ID# 8426182924) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.
| Nation Provider ID (NPI) | 1316933260 |
| PAC ID by PECOS | 8426182924 |
| Professional Enrollment ID | I20100819000635 |
| Full Name | Patrick Shannon |
| Organization Legal Name | ADVANCED DERMATOLOGY AND SKIN CANCER CENTER |
| Address |
987 Boardman Canfield Rd Boardman OH 44512-4222 |
| Phone Number | 3309658760 |
| Gender | M |
| Medical School | NORTHEASTERN OHIO UNIVERSITIES COLLEGE OF MEDICINE |
| Graduation Year | 1995 |
| Primary Specialty | DERMATOLOGY |
| Group Practice PAC ID | 3971561648 |
| Number of Group Practice Members | 7 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 987 Boardman Canfield Rd, Boardman, OH 44512-4222 | 3309658760 | ADVANCED DERMATOLOGY AND SKIN CANCER CENTER |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_137_overall | Melanoma: Continuity of Care - Recall System | 100% | |
| MIPS_EC_224_overall | Melanoma: Overutilization of Imaging Studies in Melanoma | 100% | |
| MIPS_EC_265_overall | Biopsy Follow-Up | 52% | |
| MIPS_EC_337_overall | Tuberculosis (TB) Prevention for Psoriasis, Psoriatic Arthritis and Rheumatoid Arthritis Patients on a Biological Immune Response Modifier | 100% |
| Organization Legal Name | ADVANCED DERMATOLOGY AND SKIN CANCER CENTER |
| Physicians | 7 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Anne Renee Zajac | Physician Assistant | Advanced Dermatology and Skin Cancer Center | 987 Boardman Canfield Rd, Boardman, OH 44512-4222 |
| Casey Marie Dickey | Physician Assistant | Advanced Dermatology and Skin Cancer Center | 2360 Southeast Blvd, Salem, OH 44460-3418 |
| John Raymond Bernat | Dermatology | Advanced Dermatology and Skin Cancer Center | 987 Boardman Canfield Rd, Boardman, OH 44512-4222 |
| Sarah Jane Kudelko | Physician Assistant | Advanced Dermatology and Skin Cancer Center | 2360 Southeast Blvd, Salem, OH 44460-3418 |
| Laurie A Quattro | Physician Assistant | Advanced Dermatology and Skin Cancer Center | 2360 Southeast Blvd, Salem, OH 44460-3418 |
| Teresa Marie Shaffer | Nurse Practitioner | Advanced Dermatology and Skin Cancer Center | 987 Boardman Canfield Rd, Boardman, OH 44512-4222 |
| Street Address |
987 BOARDMAN CANFIELD RD |
| City | BOARDMAN |
| State | OH |
| Zip | 44512-4222 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Anne Renee Zajac | Physician Assistant | Advanced Dermatology and Skin Cancer Center | 987 Boardman Canfield Rd, Boardman, OH 44512-4222 |
| John Raymond Bernat | Dermatology | Advanced Dermatology and Skin Cancer Center | 987 Boardman Canfield Rd, Boardman, OH 44512-4222 |
| Teresa Marie Shaffer | Nurse Practitioner | Advanced Dermatology and Skin Cancer Center | 987 Boardman Canfield Rd, Boardman, OH 44512-4222 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Deborah Louise Sano | Psychologist, Clinical | 7010 S Ave, Suite 5, Boardman, OH 44512 | |
| Charles E Wilkins | Geriatric Medicine | 4214 Market St, Youngstown, OH 44512-1118 | |
| Louis Michael Chiaro | Podiatry | 156 Overhill Rd, Boardman, OH 44512-1455 | |
| Tony T Deramo | Allergy/immunology | 5701 Market St, Youngstown, OH 44512-2603 | |
| Carl Franklin Ansevin | Neurology | 5701 Market St, Suite 101, Boardman, OH 44512-2603 | |
| Mary Newell Waller | Psychologist, Clinical | 5500 Market St, Suite 90, Youngstown, OH 44512-2616 | |
| Katharine Williams | Psychologist, Clinical | 5500 Market St, Suite 205, Boardman, OH 44512-2624 | |
| Patrick R Ranalli | Physical Therapy | 5500 Market St, Suite 127, Youngstown, OH 44512-2625 | |
| Christine L Fullerman | Audiologist | Youngstown Hearing and Speech Center | 6614 Southern Blvd, Youngstown, OH 44512-3455 |
| Andrew J Meyer | Anesthesiology | Children's Hospital Medical Center of Akron | 6505 Market St, Boardman, OH 44512-3457 |
| Find all physicians in zip 44512 | |||
| City | BOARDMAN |
| Zip Code | 44512 |
| Specialty | DERMATOLOGY |
| City + Specialty | BOARDMAN + DERMATOLOGY |
Please comment or provide details below to improve the information on Patrick Shannon.
| 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.