Shirley S Mandeville (NPI# 1538113816, PAC ID# 0244423119) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1538113816 |
| PAC ID by PECOS | 0244423119 |
| Professional Enrollment ID | I20101023000176 |
| Full Name | Shirley S Mandeville |
| Organization Legal Name | BREAST CANCER SURGERY OF THE UNIVERSITY OF ROCHESTER |
| Address |
601 Elmwood Ave Rochester NY 14642-0001 |
| Phone Number | 5852763332 |
| Gender | F |
| Graduation Year | 1996 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 0446313621 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330164 | HIGHLAND HOSPITAL |
| 330285 | STRONG MEMORIAL HOSPITAL |
| 330090 | ARNOT OGDEN MEDICAL CENTER |
| 330074 | F F THOMPSON HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 601 Elmwood Ave, Rochester, NY 14642-0001 | 5852763332 | BREAST CANCER SURGERY OF THE UNIVERSITY OF ROCHESTER |
| Organization Legal Name | BREAST CANCER SURGERY OF THE UNIVERSITY OF ROCHESTER |
| Physicians | 8 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Erin L Bodekor | Nurse Practitioner | Breast Cancer Surgery of The University of Rochester | 125 Red Creek Dr, Suite 211, Rochester, NY 14623-4262 |
| Ann T Olzinski Kunze | General Surgery | Breast Cancer Surgery of The University of Rochester | 1000 S Ave, Rochester, NY 14620-2733 |
| Rachel L Farkas | General Surgery | Breast Cancer Surgery of The University of Rochester | 1000 S Ave, Rochester, NY 14620-2733 |
| Jessica C Gooch | General Surgery | Breast Cancer Surgery of The University of Rochester | 1000 S Ave, Rochester, NY 14620-2733 |
| Crystal A Regis | Nurse Practitioner | Breast Cancer Surgery of The University of Rochester | 125 Red Creek Dr, Suite 211, Rochester, NY 14623-4262 |
| Kristin A Skinner | Surgical Oncology | Breast Cancer Surgery of The University of Rochester | 1000 S Ave, Rochester, NY 14620-2733 |
| Holly A Greiner | Nurse Practitioner | Breast Cancer Surgery of The University of Rochester | 125 Red Creek Dr, Suite 211, Rochester, NY 14623-4262 |
| Street Address |
601 ELMWOOD AVE |
| City | ROCHESTER |
| State | NY |
| Zip | 14642-0001 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Matthew M Brockway | Internal Medicine | University of Rochester | 601 Elmwood Ave, Rochester, NY 14642-0002 |
| Ondrea M Carpentieri | Nurse Practitioner | Trauma Burn Emergency Surgery of The University of Rochester | 601 Elmwood Ave, Rochester, NY 14642-0002 |
| Ashley L Hendershot | Nurse Practitioner | University of Rochester | 601 Elmwood Ave, Rochester, NY 14642-0002 |
| Yanjie Qi | Critical Care (intensivists) | Acute Care Trauma of The University of Rochester | 601 Elmwood Ave, Rochester, NY 14642-0001 |
| Jacob Moalem | Thoracic Surgery | University of Rochester Surgical Associates | 601 Elmwood Ave, Rochester, NY 14642-8410 |
| Omar S Aljitawi | Hematopoietic Cell Transplantation and Cellular Th | University of Rochester | 601 Elmwood Ave, Rochester, NY 14642-0002 |
| Melissa A Mroz | Internal Medicine | University of Rochester | 601 Elmwood Ave, Rochester, NY 14642-0002 |
| Matthew D Wolfe | Internal Medicine | Internal Medicine Group | 601 Elmwood Ave, Rochester, NY 14642-0001 |
| Erika E Ramsdale | Medical Oncology | Hematology Clinical Group | 601 Elmwood Ave, Suite 610, Rochester, NY 14642-0001 |
| Melanie L Geiger | Physician Assistant | University of Rochester Surgical Associates | 601 Elmwood Ave, Rochester, NY 14642-8410 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kevin P Brazill | Psychiatry | University of Rochester Department of Psychiatry Clinical Group | 300 Crittenden Blvd, Rochester, NY 14642-0001 |
| Kristin A Knapp | Physician Assistant | University of Rochester | 738 Library Rd, Rochester, NY 14642-0001 |
| Marcy J Mason | Nurse Practitioner | University Cardiothoracic Surgery Group | 601 Elmwood Ave Box Surg, Rochester, NY 14642-0001 |
| Susan L Hartfield | Physician Assistant | Strong Renal Group | 601 Elmood Ave Box, Suite 675, Rochester, NY 14642-0001 |
| Frederick Dushay | Ophthalmology | Strong Eye Care | 601 Elmwood Ave Box, Suite 659, Rochester, NY 14642-0001 |
| Victoria M. Howard | Physician Assistant | University of Rochester | 738 Library Rd, Rochester, NY 14642-0001 |
| Rachael B Turner | Medical Oncology | Hematology Clinical Group | 601 Elmwood Ave, Suite 610, Rochester, NY 14642-0001 |
| Lauren B Bartus | Nurse Practitioner | Internal Medicine Group | 601 Elmwood Ave, Rochester, NY 14642-0001 |
| Roger P Vermilion | Pediatric Medicine | Pediatric Cardiology | 601 Elmwood Ave, Suite 635, Rochester, NY 14642-0001 |
| Karl Q Schwarz | Cardiovascular Disease (cardiology) | Cardiology Clinical Group | 601 Elmwood Ave, Box 679 B, Rochester, NY 14642-0001 |
| Find all physicians in zip 14642 | |||
| City | ROCHESTER |
| Zip Code | 14642 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | ROCHESTER + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Shirley S Mandeville.
| 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.