Kenneth F Shockley (NPI# 1801854039, PAC ID# 9436120433) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is UROLOGY.
| Nation Provider ID (NPI) | 1801854039 |
| PAC ID by PECOS | 9436120433 |
| Professional Enrollment ID | I20080404000199 |
| Full Name | Kenneth F Shockley |
| Organization Legal Name | MICHIGAN UROLOGICAL CLINIC |
| Address |
406 E Elm St Carson City Hospital Carson City MI 48811-9693 |
| Phone Number | 9895843131 |
| Gender | M |
| Medical School | PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE |
| Graduation Year | 1989 |
| Primary Specialty | UROLOGY |
| Group Practice PAC ID | 4183694870 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 230236 | METRO HEALTH HOSPITAL |
| 230208 | SPARROW CARSON HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 406 E Elm St, Carson City Hospital, Carson City, MI 48811-9693 | 9895843131 | MICHIGAN UROLOGICAL CLINIC |
| 4047 E Hills Ct Se, Grand Rapids, MI 49546-6249 | 6169569577 | MICHIGAN UROLOGICAL CLINIC |
| 2122 Health Dr Sw, 160 Metropolitan Hospital Medical Oncology, Wyoming, MI 49519-9402 | 6162528403 | METROPOLITAN HOSPITAL |
| 5900 Byron Ctr Swave, Metro Health Hospital, Wyoming, MI 49519-9606 | 6162527200 | MICHIGAN UROLOGICAL CLINIC |
| 5950 Metro Way Sw, Metropolitan Hospital Medical Oncology, Wyoming, MI 49519-9514 | 6162528100 | METROPOLITAN HOSPITAL |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_EP_1 | e-Prescribing | 90% | |
| ACI_EC_TRANS_MR_1 | Medication Reconciliation | 99% | |
| ACI_EC_TRANS_PEA_1 | Provide Patient Access | 98% | |
| ACI_EC_TRANS_PEA_2 | View, Download, or Transmit (VDT) | 2% | |
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| ACI_EC_TRANS_PSE_1 | Patient-Specific Education | 98% | |
| MIPS_EC_265_overall | Biopsy Follow-Up | 99% |
| Organization Legal Name | MICHIGAN UROLOGICAL CLINIC |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| George G Carothers | Urology | Michigan Urological Clinic | 4047 Saladin Sedr, Grand Rapids, MI 49546-6249 |
| Thomas J Maatman | Urology | Michigan Urological Clinic | 4047 E Hills Ct Se, Grand Rapids, MI 49546-6249 |
| Christopher M Laflure | Physician Assistant | Michigan Urological Clinic | 406 E Elm St, Carson City Hospital, Carson City, MI 48811-9693 |
| Michelle Elizabeth Firlit | Nurse Practitioner | Michigan Urological Clinic | 406 E Elm St, Carson City Hospital, Carson City, MI 48811-9693 |
| Street Address |
406 E ELM ST CARSON CITY HOSPITAL |
| City | CARSON CITY |
| State | MI |
| Zip | 48811-9693 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Catherine T Puetz | Emergency Medicine | Sparrow Carson Hospital | 406 E Elm St, Carson City, MI 48811-9693 |
| Christopher M Laflure | Physician Assistant | Michigan Urological Clinic | 406 E Elm St, Carson City Hospital, Carson City, MI 48811-9693 |
| Michelle Elizabeth Firlit | Nurse Practitioner | Michigan Urological Clinic | 406 E Elm St, Carson City Hospital, Carson City, MI 48811-9693 |
| Rashmi Ghooi Juneja | Internal Medicine | Sparrow Carson Hospital | 406 E Elm St, Carson City, MI 48811-0879 |
| Parut R Bhimalli | Anesthesiology | Sparrow Carson Hospital | 406 E Elm St, Carson Family Care Center, Carson City, MI 48811-9693 |
| Rachel Lynn Chapko | Physician Assistant | Sparrow Carson Hospital | 406 E Elm St, Carson City, MI 48811-0879 |
| Jose Maldonado Vazquez | Emergency Medicine | Sparrow Carson Hospital | 406 E Elm St, Carson City, MI 48811-0879 |
| Nancy A Weaver | Nurse Practitioner | Sparrow Carson Hospital | 406 E Elm St, Carson City, MI 48811-0879 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John M Wegner | Physician Assistant | Sparrow Carson Hospital | 102 S 3rd St, Carson City, MI 48811-5115 |
| Douglas W Poff | General Practice | Sparrow Carson Hospital | 102 S 3rd St, Suite 100, Carson City, MI 48811-5115 |
| Andrew J Stasevich | Family Medicine | Sparrow Carson Hospital | 102 S 3rd St, Suite 100, Carson City, MI 48811-5115 |
| Stacy A Uebele | Podiatry | 102 S 3rd St, Suite 400, Carson City, MI 48811-5115 | |
| Patricia A Terry | Nurse Practitioner | Sparrow Carson Hospital | 102 S 3rd St, Carson City, MI 48811-5115 |
| Hillary A Shemes | Family Medicine | Sparrow Carson Hospital | 102 S 3rd St, Carson City, MI 48811-5115 |
| Cheryl Lynn Young | Nurse Practitioner | Sparrow Carson Hospital | 102 S 3rd St, Suite 100, Carson City, MI 48811-5115 |
| Jessica M Delcorvo | Nurse Practitioner | Edward W Sparrow Hospital Association | 401 E Elm St, Carson City, MI 48811-8600 |
| Matthew E Haglund | Chiropractic | 10708 E Carson City Rd, Carson City, MI 48811-8605 | |
| Seth T Ferguson | Family Medicine | Clinton County Medical Center PC | 221 E Maple St, Carson City, MI 48811-8702 |
| Find all physicians in zip 48811 | |||
| City | CARSON CITY |
| Zip Code | 48811 |
| Specialty | UROLOGY |
| City + Specialty | CARSON CITY + UROLOGY |
Please comment or provide details below to improve the information on Kenneth F Shockley.
| 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.