Shauna Marie Ketchum
OAK ORCHARD COMMUNITY HEALTH CENTER, INC.


Address: 300 W Ave, Brockport, NY 14420-1118
Phone: 7166373905

Shauna Marie Ketchum (NPI# 1750617072, PAC ID# 9830374529) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.

Physician Overview

Nation Provider ID (NPI) 1750617072
PAC ID by PECOS 9830374529
Professional Enrollment ID I20110422000102
Full Name Shauna Marie Ketchum
Organization Legal Name OAK ORCHARD COMMUNITY HEALTH CENTER, INC.
Address 300 W Ave
Brockport
NY 14420-1118
Phone Number 7166373905
Gender F
Graduation Year 2009
Primary Specialty PHYSICIAN ASSISTANT
Group Practice PAC ID 5496746927
Number of Group Practice Members 18
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
330285 STRONG MEMORIAL HOSPITAL

Other Locations

Address Phone Organization
300 W Ave, Brockport, NY 14420-1118 7166373905 OAK ORCHARD COMMUNITY HEALTH CENTER, INC.
300 W Ave, Mobile Dental Van, Brockport, NY 14420-1118 5856373905 OAK ORCHARD COMMUNITY HEALTH CENTER, INC.

Organization Information

Organization Legal Name OAK ORCHARD COMMUNITY HEALTH CENTER, INC.
Physicians 18

Physicians with the same organization

Name Specialty Organization Address
Teresa J. Chang Family Medicine Oak Orchard Community Health Center, Inc. 301 W Ave, Albion, NY 14411-1522
Carol A Kreider Nurse Practitioner Oak Orchard Community Health Center, Inc. 7309 Seneca Rd N, Suite 112, Hornell, NY 14843-9691
Donna Tuttle Family Medicine Oak Orchard Community Health Center, Inc. 81 S Main St, Warsaw, NY 14569-1571
John L Hoffmann Emergency Medicine Oak Orchard Community Health Center, Inc. 300 W Ave, Brockport, NY 14420-1118
Robert Whelpley Family Medicine Oak Orchard Community Health Center, Inc. 7309 Seneca Rd N, Suite 112, Hornell, NY 14843-9691
Uzma S Mehr Pediatric Medicine Oak Orchard Community Health Center, Inc. 300 W Ave, Brockport, NY 14420-1118
Yuqi Mao Family Medicine Oak Orchard Community Health Center, Inc. 7309 Seneca Rd N, Suite 112, Hornell, NY 14843-9691
Michelle L Okonieczny Nurse Practitioner Oak Orchard Community Health Center, Inc. 301 W Ave, Albion, NY 14411-1522
Catherine M Goetz Physician Assistant Oak Orchard Community Health Center, Inc. 300 W Ave, Brockport, NY 14420-1118
Nancy A Ciavarri Family Medicine Oak Orchard Community Health Center, Inc. 301 W Ave, Albion, NY 14411-1522

Office Location

Street Address 300 W AVE
City BROCKPORT
State NY
Zip 14420-1118

Physicians in the same location

Name Specialty Organization Address
John L Hoffmann Emergency Medicine Oak Orchard Community Health Center, Inc. 300 W Ave, Brockport, NY 14420-1118
Uzma S Mehr Pediatric Medicine Oak Orchard Community Health Center, Inc. 300 W Ave, Brockport, NY 14420-1118
Catherine M Goetz Physician Assistant Oak Orchard Community Health Center, Inc. 300 W Ave, Brockport, NY 14420-1118
Elaine C Burritt Physician Assistant Oak Orchard Community Health Center, Inc. 300 W Ave, Brockport, NY 14420-1118

Physicians in the same zip code

Name Specialty Organization Address
Christopher J Sigillo Chiropractic 18 Graves St, Brockport, NY 14420-1206
Thomas R Adler Allergy/immunology Westside Allergy Care, PC 122 W Ave, Suite 6, Brockport, NY 14420-1225
Anitha V Shrikhande Allergy/immunology Westside Allergy Care, PC 122 W Ave, Suite 6, Brockport, NY 14420-1225
Jade J Malcho Emergency Medicine Emergency Associates - University of Rochester 156 W Ave, Brockport, NY 14420-1229
Sandeep Mannava Orthopedic Surgery University Orthopaedic Associates of Rochester 156 W Ave, Brockport, NY 14420-1229
Gregory Mark Singer Cardiovascular Disease (cardiology) 156 W Ave, 206 Lakeside Memorial Hosp, Brockport, NY 14420-1229
Michael Vornovitsky Cardiovascular Disease (cardiology) Cardiology Clinical Group 156 W Ave, 3rd Floor, Brockport, NY 14420-1229
Allan D Bernstein Diagnostic Radiology Radiologists of Univ of Rochester 156 W Ave, Brockport, NY 14420-1229
Patrick L Reavey Plastic and Reconstructive Surgery U of R Plastic Surgeons 156 W Ave, Fl 3, Brockport, NY 14420-1229
David L Hamilton Internal Medicine University of Rochester 156 W Ave, Brockport, NY 14420-1229
Find all physicians in zip 14420

Competitor

Search similar physicians

City BROCKPORT
Zip Code 14420
Specialty PHYSICIAN ASSISTANT
City + Specialty BROCKPORT + PHYSICIAN ASSISTANT

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Dataset Information

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.

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